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Reflex Sympathetic Dystrophy

Answer

It is for local commissioners to determine what services should be commissioned to meet the needs of their local populations, in the light of local and national professional advice.Complex regional pain syndrome (CRPS), previously known as reflex sympathetic dystrophy, is a complex and poorly understood condition. It seems to involve an excessive reaction to an injury, resulting in localised pain which is much more severe and lasts much longer than would normally be expected from the nature of the injury. It can occur at any age, although it appears to be more common between ages 45-60 and in women. The one available estimate of prevalence is some 21 cases per 1,000,000.CRPS can resolve spontaneously, but where this does not occur treatment is more likely to be effective if it is initiated quickly (within three months of the initial symptoms). Diagnosis can be difficult especially in the early stages.Treatment involves a combination of:"1. pain relief with oral medicines or, less commonly, injections or spinal stimulation;""2. physical therapy (exercises, occupational therapy, hydrotherapy) to restore normal functioning of the affected limb; and""3. patient education, so that the patient is fully involved in the therapeutic aims."Many patients suffer from psychological side effects (depression, anxiety) so good practice involves a psychological assessment and, where needed, psychological interventions such as cognitive behavioural therapy or relaxation techniques. A small number of centres in the United Kingdom can provide a specialist rehabilitation service for difficult cases.

Secondary information

Type

Written question

Reference

43178; 524 c499-500W

Session

2010-12

Subjects

Medical treatments Pain

Link

View this Written question on www.publications.parliament.uk