Complex Regional Pain Syndrome (CRPS)

CRPS and pain management support

Are you struggling to find help with CRPS? At Evolving Pain, we have a special interest and experience in helping individuals with CRPS (Complex Regional Pain Syndrome), and can help you with the latest treatment.

Whether you’re dealing with CRPS symptoms like pain, sensitivity to touch, swelling, sweating, stiffness, colour changes, and sleep disturbances our compassionate team is here to listen, manage pain and provide tailored strategies to help improve your quality of life.

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What is CRPS?

Complex Regional Pain Syndrome (CRPS) is a chronic pain condition that typically affects a limb after injury, surgery, or trauma. It is characterised by persistent, severe pain with features of sensitivity, swelling, or colour change. CRPS is a disorder of pain regulation, involving nervous system dysfunction and heightened sensitivity (often called central and peripheral sensitisation).

CRPS is diagnosed using the Budapest Criteria, which means doctors look for:

Ongoing pain that is greater than expected for the initial injury or cause
At least one symptom in four key areas:
- Sensory: Increased sensitivity to touch or temperature changes
- Vasomotor: Skin colour or temperature differences between limbs
- Sudomotor/oedema: Swelling, changes in sweating patterns
- Motor/trophic: Weakness, tremors, changes in nail or hair growth

Other common symptoms include stiffness, movement difficulties, and reduced function in the affected limb. Though CRPS is not life-threatening, it can significantly impact mobility, independence, and overall quality of life.

At Evolving Pain, we understand the complexities of CRPS and the frustration it can bring.

Our physiotherapists and occupational therapists work with you to manage symptoms, improve function, and create a personalised plan that supports your lifestyle and goals.

How we manage CRPS and chronic pain

Our team of physiotherapist and occupational therapists will equip you with education, strategies and support to manage your pain and symptoms independently.

Understanding YOUR symptoms

Learn about the neuroscience of CRPS
Understand how your body’s pain response works and what contributes to your symptoms

Pain coaching and stress management

Explore parasympathetic relaxation techniques to reduce stress.
Identify triggers and implement modifications to reduce symptom flare-ups.
Use mindfulness exercises to live more intentionally and manage symptoms effectively.

Gradual activity and movement

Develop pacing techniques to balance activity and rest without exacerbating symptoms.
Engage in nervous system retraining and general strength and conditioning
Create movement guidelines and exercise plans to help improve conditioning and reduce flare ups

Sleep support

Address the causes of sleep disturbances.
Implement techniques to improve the quality of your sleep.

Practical lifestyle support

Tailor a program to increase your tolerance to activities and exercises
Symptom mapping to identify patterns and plan for setbacks.
Return-to-work or school planning tailored to your goals.

Comprehensive symptom management

Manage anxiety, mood, and stress with personalised strategies.
Utilising strategies like mirror therapy, graded motor imagery, or virtual reality depending on your needs
Collaborating with your health support team including doctors and psychologists if needed