Complex regional pain syndrome (CRPS) – also known as reflex sympathetic dystrophy (RSD) – is a chronic pain syndrome that most often affects one arm, leg, hand, or foot following injury or trauma. CRPS is believed to be caused by damage to, or malfunction of, the peripheral and central nervous systems and presents as prolonged or excessive pain and mild or significant changes in skin color, temperature, and/or swelling in the affected area.
Providers aren’t sure what causes some people to develop CRPS. In more than 90 percent of cases, the condition is triggered by a trauma or injury, such as a fracture, sprain or strain, soft tissue injury (such as a burn, cut, or bruise), limb immobilization in a cast, or surgical or medical procedures. It’s more common in adults; rarely affects children younger than 10; and is not uncommon in teenagers.
The Pediatric Pain Management Center at Children’s Health offers children and parents a specially trained team that evaluates and treats chronic pain, acute pain and headaches. Our interdisciplinary approach involves many other specialties to treat pain using multiple approaches at once. The Center can help lessen the pain associated with a variety of diseases and disorders including, but not limited to, chest and back conditions, nerve injuries, rheumatologic conditions, sports injuries and cancer. We also have a dedicated headache clinic for those children suffering from headaches.
Symptoms of CRPS vary, but the most common symptom is prolonged pain in one area. Your child’s pain may be constant, and can range from mildly uncomfortable to severe. Your child may complain of a burning, squeezing, or “pins and needles” sensation, and pain can spread throughout an entire arm or leg. Your child’s limb may also be sensitive to touch.
Children with CRPS may also experience:
Your child’s provider will ask about any history of injury or trauma to the area and look for symptoms that match the syndrome. He or she may also order tests to rule out arthritis, Lyme disease, and various muscle and nerve problems.
The Pediatric Pain Management Center at Children’s Health℠ offers many ways to manage pain associated with CRPS. Your child’s providers may recommend one, or a combination of several, of these therapies:
CRPS is most common in adult women, and does not often affect children under the age of 10. However, the condition is not uncommon in teenagers.
The key symptom is prolonged pain in at least one arm, hand, leg, or foot. Pain may be constant or come and go, be uncomfortable or severe, and may feel like burning, tingling, or squeezing.
Your child’s providers and team at the Pediatric Pain Management Center at Children’s Health℠ will help design a treatment plan for your child based on his or her symptoms, previous injury or trauma, and response to previous treatments.