Criteria for CRPS/RSD

Please read the article titled, Living with Reflex Sympathetic Dystrophy Syndrome/RSD, before proceeding further with, “Criteria for CRPS/RSD.”

Most recently published criteria for CRPS

December 8th, 2010 by Dr. Anthony

General definition of CRPS:

CRPS describes an array of painful conditions that are characterized by a continuing regional pain that is seemingly disproportionate in time or degree to the usual course of any known trauma or other lesion. The pain is regional (not in a specific nerve territory) and usually has a predominance of abnormal sensory, motor, sudomotor, vasomotor and/or trophic (see description below) findings. The syndrome shows variable progression over time.

To make the clinical diagnosis, the following criteria must be met:

  1. Continuing pain, which is disproportionate to the initial injury or inciting event.
  1. Must report at least one symptom in three of the following four categories:

a) Sensory – reports of pain without a noxious stimulus or exquisite pain with a moderate noxious stimulus

b) Vasomotor – reports of temperature differences from one side of the body to the other and/or skin color changes, and/or skin color differences.

c) Sudomotor/Edema – reports of swelling or sweating changes, and/or swelling or sweating differences from one side or limb to another.

d) Motor/trophic – reports of decreased range of motion and/or motor dysfunction (weakness or tremor) and/or changes in hair, nail, or skin growth/appearance.

  1. Must display at least one sign at the time of examination in two or more of the following categories:

a) Sensory – evidence on exam of pain without a noxious stimulus (i.e. light touch, touch with a cotton swab, or passive joint manipulation) or exquisite pain with a moderate noxious stimulus (pricked with a pin)

b) Vasomotor – evidence of temperature differences (> 1 degree Celsius) from one side of the body to the other, and/or skin color changes, and/or skin color differences.

c) Sudomotor/Edema – evidence of swelling or sweating changes, and/or swelling or sweating differences from one side or limb to another.

d) Motor/trophic – evidence of decreased range of motion and/or motor dysfunction (weakness or tremor) and/or changes in hair, nail, or skin growth/appearance.

  1. There is no other diagnosis that better explains the signs and symptoms.

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8 comments on “Criteria for CRPS/RSD

    • Todd,

      Thank you so much for your interest, in helping me to bring about awareness of this syndrome. Thousands suffer from this syndrome, yet so many have never heard of Complex Regional Pain Syndrome/CRPS, also called Reflex Sympathetic Dystrophy Syndrome/RSD. Unfortunately, when government funds are being allocated for research, RSD, is never a part of the conversation. Thanks again, for your help and concern.

      God bless you!

      Paulette

  1. Paulette,

    Thanks so much for sharing through your pain. I’m learning so much as a result of what you post.

    May God bless your ministry and give you the strength and the resources to share. Who knows what can happen as a result of you spreading the word?

    Appreciative,
    ann

    • Hi Ann,

      Thank you so much for your words of encouragement. It means much to me, that you have gained new information, as a result of what I have posted. When I started this blog, in addition to spreading the Word of God, I also purposed in my heart, to disseminate information about RSD, to those who are living with this syndrome and their loved ones, as well as to those who are unfamiliar with it. “Who knows what can happen as a result of you spreading the word?” I definitely like the way you think. 🙂

      Thank you again, for reading the posts.

      Grateful,

      Paulette

    • The medication which is widely prescribed to control the nerve pain caused by fibromyalgia, is also prescribed to control the nerve pain caused by RSD, namely Lyrica. Lyrica is prescribed to calm the nervous system down when inflamed by either disorder. I am currently taking Lyrica to control the nerve pain caused by RSD. It helps quite a bit.

      I’m not sure how or why the body reacts this way, but I do know, that when I take my other medication to control the pain from RSD, it goes directly to the areas that are affected by RSD. If I have a headache, or a different type of ache, I have to take aspirin or Motrin, because the medication prescribed for the RSD pain does not help. Likewise, Motrin and aspirin do absolutely nothing for the pain caused by RSD. Perhaps, the other medications which are specified for fibromyalgia or RSD, work in the same way. I hope this information is helpful. If you have any other questions or comments, please feel free to write in. God bless.

      Paulette

  2. Hello Pbus what a great site I have been told i could have RSD. I have had numerous appointments with my Gp. Dermatologists neurologists and soon a pain clinic. The meds I am on make me feel I’m living in a cloud but would be frightened to stop them.This condition realy is not known about enough and until I was told I may have it I had never heard of it.Keep up the great work you are doing.

    • Hello there,

      Like you, I had never heard of RSD/CRPS until I was diagnosed. It is truly a sad commentary, that so little is known of this syndrome, considering that patients have been suffering since around the Civil War era. I am sorry that you may be suffering from this disorder. Did you receive a clinical diagnosis? By chance, are you taking Neurontin? That is normally the first medication prescribed to individuals that have been newly diagnosed. Unfortunately, many patients are said to suffer from “brain fog” as a result. I do hope you are experiencing a high degree of relief from the pain.

      Thank you so much for stopping by, and commenting. Your input is greatly appreciated. I wish you the very best! May The Lord bless you, abundantly!

      Paulette

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