• J Hand Ther · Apr 2005

    Review

    Diagnosis and management of complex regional pain syndrome complicating upper extremity recovery.

    • Zhongyu Li, Beth Paterson Smith, Thomas L Smith, and L Andrew Koman.
    • Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157-1070, USA.
    • J Hand Ther. 2005 Apr 1;18(2):270-6.

    AbstractComplex regional pain syndrome (CRPS) is a clinical syndrome of pain, autonomic dysfunction, trophic changes, and functional impairment. CRPS is common after hand trauma or surgery. Early diagnosis and intervention is critical for adequate recovery. The diagnosis of CRPS requires a careful history, physical examination, and supporting diagnostic testing. Optimal treatment requires a multidisciplinary approach. A large spectrum of pharmacologic interventions is efficacious in treating CRPS. Surgery may be used to relieve nociceptive foci. Patient-specific hand therapy is very important in reducing swelling, decreasing pain, and improving range of motion.

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