CRPS
The pain is greater than the degree of tissue injury and occurs long after the injury has healed. Type 1: with or without nerve damage. Can be from minor soft tissue injuries bone fracture or surgery, frostbite or burn, stroke, MI, immobilization, etc. Changes to the sensory nerves causing paresthesia. Can cause autonomic changes: swelling and edema, abnormal blood flow, temperature changes. Can cause trophic changes: thick and brittle nails, increased hair growth, fibrosis, osteoporosis. Can cause motor dysfunction: weakness of all muscles, stiffness, tremor, reduced ROM, atrophy. Can cause increased pain. Type 2: following nerve damage and can cause similar characteristics. Symptoms can spread beyond the lesion nerve in type 2 which can cause central sensitization. The majority of people with CRPS have bilateral differences in skin temperature. PT can consist of any of the following: -TENS -Aquatic therapy -Mirror therapy -Desensitization -Gradual weight bearing -Stretching -Fine