Have You Heard About CRPS?
There are cases where the pain in an arm or leg after injury or trauma becomes increasingly worse. This occurrence is sometimes referred to as complex regional pain syndrome (CRPS), which significantly impacts quality of life. With CRPS, an individual experiences prolonged, severe pain that is disproportionate to the initial injury. The exact cause is not fully understood, but nerve, hormonal, inflammatory, and psychological changes may contribute to CRPS. This condition can lead to physical and emotional distress, preventing individuals from performing daily activities. There are doctor-recommended strategies that may help beat CRPS, providing a brighter outlook for patients.
Symptoms and next steps
CRPS in the leg is common after a healed fracture or surgery. Some people experience CRPS after a stroke or heart attack. Symptoms include constant or throbbing leg pain, swelling, sensitivity to touch, and stiffness. Some individuals experience abnormal sweating in the area, changes in blood flow, and amplified pain signals. Doctors continue to research and understand the many factors surrounding CRPS. Over time, CRPS can affect relationships and work, cause significant medical costs and sleep disturbances, and lead to mental anguish. Outpatient options are cost-effective, customized, and accessible. The following 3 actions can help CRPS patients get early treatment and feel empowered thanks to ongoing management.
1. A focus on physical therapy
Physical therapy (PT) is a series of exercises, stretches, massages, and techniques commonly used to help rehabilitate someone after injury or surgery. The goal is to improve flexibility, restore range of motion (ROM), and strengthen surrounding muscles. PT allows individuals to resume activities with minimal pain or loss of function. CRPS can benefit from physical therapy. A therapist specializing in CRPS can work with the patient to perform exercises, massage therapy, and other ROM exercises to reduce leg pain. Patient education, graded motor imagery, and functional training also come into play, helping patients to perform daily tasks without excessive discomfort. PT is an ongoing process but can provide relief without medication or high medical costs.
2. Managing pain with medication
There is no specific medication for CRPS. However, there are different drugs that can bring varying degrees of relief. A medical team can recommend medication to help patients manage symptoms and even help place CRPS into remission. Non-steroidal anti-inflammatory drugs (NSAIDs) are a typical option for patients. Topical pain relievers or more potent opioids may be prescribed. Injecting medication like corticosteroids into the impacted area may provide long-term relief. Studies show some CRPS patients see improvements in pain using botulinum toxin injections. Injectable treatments are non-surgical outpatient options. However, there are side effects to consider, and patients may develop a tolerance to medication. A doctor or pain management specialist can work with the patient to find the right option.
3. Try spinal cord stimulation
Some cases of CRPS can be traced to disruptions with nerves leading to the leg. A doctor may recommend a spinal cord stimulator (SCS) to manage nerve-related pain. The battery-powered pulse generator is attached to thin wires called leads. These wires are placed in the epidural space of the spine using a procedure called fluoroscopy. The pulse generator sends electrical signals that disrupt nerves, sending pain signals to the brain. The power and intensity can be adjusted based on the patient. If SCS provides significant relief, the device can be surgically installed in the lower back or buttock for a permanent solution. This device is often combined with physical therapy and lifestyle changes for more effective pain management.
Future outlook with CRPS
There is much to be discovered and understood about CRPS. The symptoms and degree of pain vary from person to person. Some people experience remission in symptoms with outpatient options, while others fail to find relief, needing ongoing management. The outcomes are more favorable when the condition is identified and treated early. About 70% of people have noticeable improvements, with 10-30% experiencing a recurrence of pain. CRPS continues to be a challenging condition for patients and doctors to navigate and understand. However, these outpatient options, along with healthy lifestyle changes, can help beat chronic leg pain.
