05/06/2024
How Is Complex Regional Pain Syndrome Diagnosed?
Complex regional pain syndrome is suspected when a patient's symptoms develop four to six weeks after limb trauma, the symptoms are regional (affecting an entire limb), and the symptoms cannot be fully explained by the initial trauma. To determine whether a patient meets CRPS diagnostic criteria, an actual diagnosis of CRPS is made solely based on medical history and a physical examination. The diagnostic criteria of CRPS has four components:
First, the pain that is present is disproportionally painful to any event that causes it
Second, symptoms occur in at least three of the four following categories:
Sensory (increase in sensitivity)
Vasomotor (temperature or color changes in skin)
Sudomotor/edema (sweating changes or swelling)
Motor/trophic (motor impairment or changes in the hair/nails/skin)
Third, signs are observable in at least two of the four categories above (sensory, vasomotor, sudomotor/edema, motor/trophic)
Fourth, no other diagnosis can better explain the signs and symptoms
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