How We Treat CRPS (Complex Regional Pain Syndrome) using Evidence Based Therapies

This video is a summary of Complex Regional Pain Syndrome. It looks at the latest research into its symptoms, causes and treatment options, including the latest graded motor imagery techniques.
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(Full English subtitles are available under closed caption settings)
00:00 Introduction
00:44 What is CRPS ?
02:12 What are the Symptoms ?
03:44 What causes CRPS ?
04:33 How is CRPS Diagnosed ?
05:26 How is CRPS Treated ?
06:39 Education & Self Management
07:36 Physical Rehabilitation
08:18 Graded Exposure
08:59 Mirror Box Therapy
10:47 Pain Medicines
13:00 Spinal Cord Stimulation
13:36 Psychological Support

[@aideny9176]

Hello, I have a question about CRPS, I was diagnosed with it and have been dealing with it for about a year and a half. The CRPS started in my right ankle. Is it possible for this condition to spread to the arms? I have pain in both arms which developed from little muscular exertion.

[@PhysioMSK]

It’s unlikely. CRPS is usually diagnosed after everthing else has been excluded. So if you have new arm symptoms then it’s far more likely that something else is the cause.

[@sharonwright9230]

34yrs was named RSD then hasnt gone away right foot sprain injury which has led to hip bursitis and osteoarthritis Hip and lower back Mybig question is now have osteo arthritis both hands and am experiencing over exaggerated pain can this be CRPS ?????

[@PhysioMSK]

Could be but best get checked out. Could just be advanced OA or possibly fibromyalgia.

[@sharonwright9230]

@@PhysioMSK XRAYS show pretty bad OA in hands especially thumbs and ring fingers both handsbut palms are where the bad pain is

[@jeffsmith4281]

Latest Reaearch??? This is the same protocol that MAYO clinic has been following for 30 years! You say the same thing as all the other articles/periodicals. There is NO new information here.

[@PhysioMSK]

Spinal cord stimulation, graded motor imagery and virtual reality certainly weren’t around 30 years ago. But thanks for your comment regardless.

[@jeffsmith4281]

@@PhysioMSK still, the title of your video suggests otherwise. Spinal cord stimulators have been around for a while now and mirror box therapy, too. AI is doing the same thing as mirror box therapy. Not helpful.

[@PhysioMSK]

@@jeffsmith4281there has been no convincing research to suggest any new useful CRPS treatments in the last decade. Unless you can enlighten me. Nevertheless, your point is well made. I’ve changed the title.

[@jeffsmith4281]

@@PhysioMSK thank you!

[@jaysikes4256]

Latest research means the most recent right, but most recent can still be 30 years old? So recent does not always same as new. My English is not so great. Thanks for your help. Sound like you are trying to say that latest in the first part, then saying new in the second part of your sentence. Those 2 are not equal tho. Maybe I'm wrong too? Please help me understand.

[@matthewgilmore4307]

what about post-stroke?

[@PhysioMSK]

There is a lot we don’t know about post stroke limb pain. In particular whether it’s caused by the brain injury itself or if it’s the resulting immobilisation of the limb that causes it. And also whether it’s a different subset of CRPS to the typical post trauma type.

[@QuickClipsR]

How d I know if I have it or not

[@PhysioMSK]

The info in the video might give you a clue but it’s usually diagnosed by a doctor - orthopaedics, rheumatologist or pain specialist.

[@QuickClipsR]

@@PhysioMSK I went to get my cast and they didn’t say about this,just wrist broken,and 5 weeks heal.do I still go school

[@PhysioMSK]

Usually yes.

[@QuickClipsR]

@@PhysioMSK for school?

[@QuickClipsR]

@@PhysioMSK sorry for asking oo much questions