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Complex regional pain syndrome Microchapters |
Differentiating Complex Regional Pain Syndrome from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Both type I and type II varieties of complex regional pain syndrome share a common diagnostic criteria. They both consist of having a spontaneous onset of pain that is not limited to the distribution of a single nerve, a history of edema, or abnormal sweating. The only difference lies in the nature of the inciting event.
Diagnostic Criteria
CRPS types I and II share the common diagnostic criteria shown below.
- Spontaneous pain or allodynia/hyperalgesia is not limited to the territory of a single peripheral nerve, and is disproportionate to the inciting event.
- There is a history of edema, skin blood flow abnormality, or abnormal sweating in the region of the pain since the inciting event.
- No other conditions can account for the degree of pain and dysfunction.
The two types differ only in the nature of the inciting event. Type I CRPS develops following an initiating noxious event that may or may not have been traumatic, while type II CRPS develops after a nerve injury.