Complex Pain Syndrome

CRPS is a chronic, often misunderstood nerve condition that causes intense pain, sensitivity, and physical changes—typically following an injury or surgery. At the Center for Regenerative Therapy & Pain Management, we provide non-surgical, image-guided treatments that target the nerves responsible for your pain. Our goal is to reduce symptoms, restore mobility, and help you regain control of your life.

What Is Complex Regional Pain Syndrome?

Complex Regional Pain Syndrome (CRPS) is a chronic nerve disorder that typically affects a limb—such as the arm, leg, hand, or foot—and causes prolonged pain that feels disproportionate to the original injury. It often begins after a minor trauma, surgery, or immobilization but lingers far beyond the expected healing timeline.
There are two main types: CRPS Type I, which occurs without confirmed nerve injury, and CRPS Type II, where a specific nerve injury is identified. Early diagnosis and treatment are critical to preventing long-term complications like muscle wasting, joint stiffness, or spread of symptoms.

By targeting this space, epidural injections help reduce swelling and nerve irritation, providing pain relief for patients suffering from back, neck, or radiating nerve pain. This minimally invasive procedure is often used when conservative treatments like physical therapy or oral medications haven’t provided enough relief.

Common Causes and Triggers

Fractures or Sprains

Even minor injuries such as a wrist fracture or ankle sprain can lead to intense, lingering pain and hypersensitivity in the affected area.

Infections or Immobilization

Inactivity, casts, or complications during healing can alter blood flow and nerve signaling, triggering a CRPS response.

Repetitive Strain or Overuse

Repeated stress or overuse of a limb—especially during recovery from an injury—can aggravate nerves and tissues, potentially leading to abnormal pain responses and the onset of CRPS.

Unknown Causes

In some cases, CRPS develops without a clearly identifiable trigger, making diagnosis more complex and requiring symptom-based evaluation.

Nerve Injuries

Direct trauma to nerves (as in CRPS Type II) may cause abnormal nerve signals, pain, and dysfunction long after the initial injury.

Surgery

Post-surgical inflammation or nerve irritation may initiate CRPS, especially if the limb is immobilized during recovery.

Symptoms of CRPS

Symptoms can vary from person to person and often affect the skin, circulation, and musculoskeletal function in the affected limb.

  • Burning or throbbing pain, usually in a limb

  • Skin sensitivity or pain from light touch (allodynia)

  • Swelling, redness, or temperature changes

  • Shiny, thin, or discolored skin

  • Limited range of motion or stiffness

  • Changes in hair or nail growth on the affected area

How We Diagnose CRPS

CRPS is diagnosed clinically through a combination of your medical history, symptoms, and physical examination.
We may perform sensory testing to evaluate temperature sensitivity and movement limitations, and use sympathetic nerve blocks to assess how your nerves respond. Imaging such as bone scans, thermography, or MRI can help rule out other conditions. In some cases, blood tests are ordered to rule out infection or autoimmune disorders.

How We Treat Complex Regional Pain Syndrome

Sympathetic Nerve Blocks

Temporarily block overactive nerves to reduce pain, swelling, and skin sensitivity in the affected limb.

Spinal Cord Stimulation

Delivers electrical signals to interrupt pain messages traveling to the brain and provide long-term relief for chronic cases.

Trigger Point Injections

Target tense or overactive muscles around the affected area to ease discomfort and improve mobility.

Medication Management

Includes non-opioid therapies to reduce nerve sensitivity and inflammation while supporting overall pain control.

Physical Therapy Referrals

Helps restore motion, prevent muscle atrophy, and retrain the limb to function properly again with gradual movement.

Psychological Support Referrals

Chronic pain affects mental health. We coordinate with pain psychologists as needed to support emotional wellbeing.

When to Seek Help for CRPS

If your symptoms are worsening or your pain feels excessive compared to the original injury, don’t wait to seek help. CRPS is most treatable when caught early.

  • Pain lasting more than a few weeks post-injury or surgery

  • Sensitivity to touch, temperature, or light pressure

  • Swelling, redness, or changes in skin texture

  • Difficulty moving or using the affected limb

  • No response to basic care or medications

Relief from CRPS Starts Here

Early Treatment Makes a Difference

CRPS may be a complex condition, but with expert diagnosis and customized treatment, it doesn’t have to define your life. We’ll help you with pain management, restore movement, and move forward with confidence.

Complex Pain Syndrome

Frequently Asked Questions

CRPS is a chronic nerve condition that usually begins after an injury or surgery. It causes prolonged, intense pain that is out of proportion to the original event. The exact cause isn’t fully understood but involves nervous system dysfunction.

Pain that worsens over time, spreads beyond the injury site, or comes with skin sensitivity, temperature changes, or swelling may indicate CRPS. If basic treatments aren’t helping after a few weeks, a specialist should evaluate your symptoms.

CRPS can improve significantly with early and consistent treatment. In some cases, symptoms resolve completely; in others, they can be managed long-term. Delaying care increases the risk of permanent changes.

Yes, in some cases, CRPS may spread to another limb or area—especially if left untreated. This makes early intervention critical to limiting the condition’s progression.

Type I occurs without confirmed nerve injury, while Type II involves a known nerve injury. Both types share similar symptoms and are treated using the same interventional strategies.

Yes. Sympathetic nerve blocks can quickly reduce pain and inflammation in many patients. They’re also used as a diagnostic tool to confirm CRPS and guide ongoing care.

If done too aggressively, yes—but when customized and introduced gradually, it’s one of the most important parts of treatment. Gentle movement helps prevent joint stiffness and improves circulation.

Untreated CRPS can lead to permanent changes in skin, muscles, and bones. It can also result in long-term disability. Early diagnosis and treatment are essential for the best outcome.

Contact Us Today

Have questions or need guidance? Reach out today and our team will help you take the next step toward lasting pain relief.

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