Understanding CRPS after fracture or surgery
Complex regional pain syndrome (CRPS) can occur after trauma, fracture, immobilization or surgery. It is not a complication that can be predicted with certainty, but early recognition is helpful.
This page helps you understand the symptoms that may alert, how the diagnosis is made, and what management options are available at the European Institute for Hand Surgery.
CRPS manifests through a set of symptoms that may vary from patient to patient. These signs do not automatically mean it is CRPS, but they warrant clinical evaluation.
Pain that seems excessive relative to the initial injury or persists beyond the expected period.
The hand becomes painful with the slightest contact, even light, or with temperature changes.
Edema that does not decrease despite elevation and adherence to usual instructions.
Mobility limitation that sets in or worsens despite rehabilitation.
The hand may be warmer or colder, red or pale, with shiny or dry skin.
Excessive sweating or very dry skin, feeling that the hand no longer responds normally.
Important: These signs do not automatically mean it is CRPS. They warrant clinical evaluation to establish the diagnosis and exclude other possible causes.
The diagnosis of CRPS is clinical, based on the patient's history, physical examination and exclusion of other possible causes such as infection, healing problems, nerve compression or mechanical complications.
The surgeon gathers the history of your trauma or surgery, symptom progression and their impact on daily life.
Assessment of pain, sensitivity, mobility, skin appearance, temperature and swelling.
X-rays or other tests may be requested to rule out infection, healing problem, compression or other complication.
No single test is sufficient to confirm CRPS diagnosis. It is the combination of clinical history, examination and exclusion of other causes that allows the diagnosis.
CRPS management is based on an early and personalized approach, adapted to each patient and symptom progression.
Adjustment of pain medication to allow mobilization and rehabilitation in the best possible conditions.
Progressive work with a specialized hand therapist to recover mobility and function without worsening symptoms.
Adaptation of daily gestures and gradual resumption of activities according to care team advice.
Collaboration with general practitioner, pain specialist or other professionals if necessary.
Contact the care team if you notice:
The European Institute for Hand Surgery team is available to assess your situation