NINDS Complex Regional Pain Syndrome Information Page

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Synonym(s):   Reflex Sympathetic Dystrophy Syndrome, Causalgia
Condensed from Complex Regional Pain Syndrome Fact Sheet

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What is Complex Regional Pain Syndrome?

Complex regional pain syndrome (CRPS) is a chronic pain condition.  The key symptom of CRPS is continuous, intense pain out of proportion to the severity of the injury, which gets worse rather than better over time. CRPS most often affects one of the arms, legs, hands, or feet.  Often the pain spreads to include the entire arm or leg.  Typical features include dramatic changes in the color and temperature of the skin over the affected limb or body part, accompanied by intense burning pain, skin sensitivity, sweating, and swelling.  Doctors aren’t sure what causes CRPS.  In some cases the sympathetic nervous system plays an important role in sustaining the pain.  Another theory is that CRPS is caused by a triggering of the immune response, which leads to the characteristic inflammatory symptoms of redness, warmth, and swelling in the affected area.

Is there any treatment?

Because there is no cure for CRPS, treatment is aimed at relieving painful symptoms.  Doctors may prescribe topical analgesics, antidepressants, corticosteroids, and opioids to relieve pain.  However, no single drug or combination of drugs has produced consistent long-lasting improvement in symptoms.  Other treatments may include physical therapy, sympathetic nerve block, spinal cord stimulation, and intrathecal drug pumps to deliver opioids and local anesthetic agents via the spinal cord.

What is the prognosis?

The prognosis for CRPS varies from person to person. Spontaneous remission from symptoms occurs in certain individuals.  Others can have unremitting pain and crippling, irreversible changes in spite of treatment.

What research is being done?

The National Institute of Neurological Disorders and Stroke (NINDS) and other institutes of the National Institutes of Health (NIH) conduct research relating to CRPS in laboratories at the NIH and also support additional research through grants to major medical institutions across the country.  NINDS-supported scientists are studying new approaches to treat CRPS and intervene more aggressively after traumatic injury to lower the chances of developing the disorder.

NIH Patient Recruitment for Complex Regional Pain Syndrome Clinical Trials

Organizations

American Chronic Pain Association (ACPA)
P.O. Box 850
Rocklin, CA   95677-0850
ACPA@pacbell.net
http://www.theacpa.org
Tel: 916-632-0922 800-533-3231
Fax: 916-652-8190

Reflex Sympathetic Dystrophy Syndrome Association (RSDSA)
P.O. Box 502
99 Cherry Street
Milford, CT   06460
info@rsds.org
http://www.rsds.org
Tel: 203-877-3790 877-662-7737
Fax: 203-882-8362

American RSDHope Organization
P.O. Box 875
Harrison, ME   04040-0875
rsdhope@roadrunner.com
http://www.rsdhope.org
Tel: 207-583-4589

National Foundation for the Treatment of Pain
P.O. Box 70045
Houston, TX   77270
NFTPain@cwo.com
http://www.paincare.org
Tel: 713-862-9332
Fax: 713-862-9346

American Pain Foundation
201 North Charles Street
Suite 710
Baltimore, MD   21201-4111
info@painfoundation.org
http://www.painfoundation.org
Tel: 888-615-PAIN (7246)
Fax: 410-385-1832

National Headache Foundation
820 N. Orleans
Suite 217
Chicago, IL   60610-3132
info@headaches.org
http://www.headaches.org
Tel: 312-274-2650 888-NHF-5552 (643-5552)
Fax: 312-640-9049

Mayday Fund [For Pain Research]
c/o SPG
136 West 21st Street, 6th Floor
New York, NY   10011
mayday@maydayfund.org
http://www.painandhealth.org
Tel: 212-366-6970
Fax: 212-366-6979

International Research Foundation for RSD/CRPS
USF Medical Clinics c/o Dr. A. Kirkpatrick
12901 Bruce Downs Blvd., MDC59
Tampa, FL   33612
info@rsdfoundation.org
http://www.rsdfoundation.org
Tel: 813-907-2312
Fax: 813-830-7446

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Office of Communications and Public Liaison
National Institute of Neurological Disorders and Stroke
National Institutes of Health
Bethesda, MD 20892



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Last updated December 11, 2008