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Guide to Complex Regional Pain Syndrome Treatment Options

May 9, 2025

Complex regional pain syndrome (CRPS) is a condition that can significantly impact the quality of life of those affected. This guide will provide an in-depth understanding of the syndrome, including its causes, symptoms, and available treatment options. Additionally, we will explain why the skilled physicians at Greater Chesapeake Hand to Shoulder are uniquely qualified to assist in managing CRPS.

What is Complex Regional Pain Syndrome?

Complex regional pain syndrome, often abbreviated as CRPS, is a chronic pain condition that typically affects the arms, legs, hands, or feet. It often begins after an injury, surgery, stroke, or other medical issue. CRPS is characterized by severe, persistent pain that is disproportionate to the initial injury or trauma.

Patients with CRPS may experience symptoms such as burning pain, swelling, sensitivity to touch, and changes in skin color or temperature in the affected area. This syndrome is further classified into two categories:

  • CRPS Type 1: Occurs without specific nerve damage.
  • CRPS Type 2: Develops in connection with a confirmed nerve injury.

Early diagnosis and treatment are crucial to improving outcomes and preventing the condition from progressing.

What Causes Complex Regional Pain Syndrome?

The exact cause of CRPS is not fully understood. However, it is believed to involve abnormal responses from the nervous system, including the brain, spinal cord, and peripheral nerves.

The most common trigger for CRPS is an injury or trauma such as a fracture, sprain, or surgery. Even minor injuries can lead to CRPS in some individuals. Research suggests that CRPS can be linked to an overreaction of the immune system, causing inflammation and exaggerated pain responses.

Some contributing factors for CRPS include:

  • Nerve damage affecting pain signals
  • Abnormal inflammation or immune system responses
  • Post-injury complications that affect blood flow or nerve function

Who is Affected by Complex Regional Pain Syndrome?

CRPS can affect individuals of any age, although it most commonly occurs in people between the ages of 20 and 50. Women are more likely to develop the condition, though men are also affected.

Individuals who have experienced the following conditions may be at greater risk of developing CRPS:

  • Severe injuries such as fractures or burns
  • Surgeries involving the extremities
  • Certain conditions, such as diabetes or inflammatory arthritis
  • History of nerve-related disorders

If left untreated, CRPS can lead to worsening pain, loss of mobility, and even psychological challenges such as anxiety and depression.

Available CRPS Treatment Options

Fortunately, there are numerous treatment options available to manage the symptoms of CRPS and improve patients’ quality of life. Effective treatment often requires a multidisciplinary approach involving pain specialists, physical therapists, and other healthcare providers. Below are some of the most common treatment options for CRPS.

Physical Therapy

Physical therapy is one of the most effective ways to manage CRPS. Gradually reintroducing movement to the affected area can help improve blood flow, ease stiffness, and maintain mobility. A trained physical therapist can design an individualized plan tailored to the patient’s needs.

Medication

Various medications can be used to address the symptoms of CRPS:

  • Pain relievers: Over-the-counter medications such as ibuprofen or acetaminophen can help reduce mild pain, while stronger prescription pain relievers may be required for severe cases.
  • Nerve pain medications: Drugs like gabapentin or pregabalin are often prescribed to target nerve-related pain.
  • Topical agents: Creams or patches containing lidocaine or capsaicin may provide localized relief.
  • Antidepressants and anticonvulsants: These medications may help modulate nerve pain and improve emotional well-being.

Nerve Blocks

A nerve block involves injecting an anesthetic near specific nerves to temporarily relieve pain. This treatment is particularly effective for localized symptoms in specific parts of the body.

Spinal Cord Stimulation

For individuals who do not respond to more conservative treatments, spinal cord stimulation offers a promising alternative. This involves implanting a small device that delivers electrical pulses to the spinal cord, which can interrupt pain signals.

Mirror Therapy

Mirror therapy is a non-invasive technique that uses visual feedback to retrain the brain and reduce pain. This therapy has shown positive results, particularly in patients experiencing CRPS in the hands or arms.

Psychological Support

Living with CRPS can take a toll on mental health. Cognitive-behavioral therapy (CBT) and other counseling methods can help patients manage stress, anxiety, and depression associated with chronic pain.

Innovative and Complementary Approaches

Some patients find relief through acupuncture, biofeedback techniques, or treatments like ketamine infusions, which have shown promise in certain studies.

Why Choose Greater Chesapeake Hand to Shoulder for CRPS Treatment?

When it comes to managing complex regional pain syndrome, the physicians at Greater Chesapeake Hand to Shoulder are leaders in the field. With extensive experience in treating CRPS, our team is committed to delivering personalized care designed to improve quality of life for our patients.

Here are just a few reasons why patients trust us for CRPS treatment:

  • Expertise: Our team includes highly trained physicians with specialized knowledge of advanced CRPS treatment techniques.
  • Comprehensive Approach: We use a multidisciplinary approach that integrates cutting-edge medical techniques, physical therapies, and personalized treatment plans.
  • Patient-Centered Care: At Greater Chesapeake Hand to Shoulder, we prioritize your comfort and concerns, ensuring you feel supported throughout your care.

Our physicians take the time to understand your unique symptoms and create a customized plan to address your needs. We go beyond just treating pain; we empower our patients with the tools and knowledge they need to manage their symptoms effectively.

CRPS Treatment in Maryland

Complex regional pain syndrome does not have to control your life. The dedicated physicians at Greater Chesapeake Hand to Shoulder are ready to help you find relief and regain mobility.

Call us today at (410) 296-6232 or submit our convenient Request an Appointment form to schedule your consultation. Together, we can create a plan to manage your CRPS and help you return to the activities you love.

 

 

 

Citations:

CRPS: Complex regional pain syndrome – Symptoms & causes – Mayo Clinic

Complex Regional Pain Syndrome | National Institute of Neurological Disorders and Stroke

 

Related posts:

Image of a female shoulder surgeon consulting an elderly man with shoulder pain during a physical therapy session in an orthopedic setting.The Comprehensive Approach to Shoulder Care at Greater Chesapeake Hand to Shoulder

Filed Under: Orthopedic Tagged With: chronic pain condition, Complex Regional Pain Syndrome, Complex regional pain syndrome treatment near me, CRPS Treatment, CRPS Treatment in Maryland, CRPS Treatment Options, injury, Medications, Physical Therapy, Spinal Cord Stimulation

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LUTHERVILLE (Main office)
1400 Front Avenue, Suite 100
Lutherville, MD 21093

BEL AIR Office
12 MedStar Blvd., Suite 300
Bel Air, MD 21015

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6100 Day Long Lane, Suite 203
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Westminster, MD 21157

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Greater Chesapeake Hand to Shoulder has 7 locations throughout Maryland offering advanced upper extremity orthopedic care for conditions and injuries of the shoulder, arm, wrist, elbow, hand and fingers. Our orthopedic surgeons and plastic surgeons possess the sub-specialty as hand surgeons providing treatment for shoulder pain, arm pain, wrist pain, elbow pain, hand pain, sports injuries, work related injury, arthritis, hand nerve injury repair, carpal tunnel syndrome, bite injuries, wrist fractures (broken wrist), tennis elbow- lateral epicondylitis, pediatric orthopedics. Our hand surgeons also offer arthroscopy, joint replacement, on-site x-ray and are expert witnesses for court cases.

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