Difference between CRPS1 and 2
CRPS type-I, which used to be called RSD (Reflex Sympathetic Dystrophy). CRPS type-II, which refers to people previously diagnosed as causalgia, who also have sustained nerve injuries. The National Pain Foundation goes on to say that the actual cause of RSD/CRPS is still not known and while many people develop the syndrome in similar ways, there is no single known explanation. Here are some of the differences between complex regional pain syndrome I (RSD) and complex regional pain syndrome II (causalgia): CRPS I Sympathetic hyperactivity due to trauma to an extremity, such as a fracture, that doesn’t include direct trauma to a peripheral nerve.
Here are some of the differences between complex regional pain syndrome I RSD and complex regional pain syndrome II causalgia :. Etiology — Partial nerve lesion Localization — Along the route of a nerve Spread of Symptoms — Rare Spontaneous pain — Obligatory, usually superficial Mechanical Allodynia — All patients along nerve distribution Autonomic symptoms — In nerve distribution Motor symptoms — In nerve distribution Sensory symptoms — In nerve distribution.
You must be logged in to post a comment. Usually involves the distal part of the extremity and occurs all around the limb. Involves probably the peripheral nervous center and possibly the central nervous syndrome.
Onset is usually a few weeks after the injury. The pain is described as what is the difference between rsd and crps burning pain made worse by movement or touching the skin. Increased temperature of the skin and increased sweating. There is decreased sympathetic variability and increased swelling. Later, skin constricts and there is vasoconstriction with a cold extremity. How to stop woodlice coming indoors, there is atrophy of the skin, soft tissue and bone.
Hair fails to grow and nails grow slowly. X-ray shows atrophy and osteoporosis of bone. Persists indefinitely if not treated. Sympathetic block and physical therapy seem to help. Complications include disuse atrophy, suicide and drug abuse. Patients can suffer from depression and social fears. Can simply be symptomatic near the injury but not the extremity all around Usually involves the median nerve, the tibial nerve, the ulnar nerve and the sciatic nerve.
Can occur immediately following the injury or months later. Constant burning pain made worse by light touch, movement, change in exercise and stress. Atrophy of the appendages, atrophy of bones, joints and muscles.
Cool, clammy skin that is red in color and sweaty; there is lack of sensation and motor skills in the area innervated by the damaged nerve. Sounds or bright lights can trigger burning pain. Signs of hyperactivity of the sympathetic nervous system as found by galvanic skin testing and plethysmography. Usually, there is no spontaneous remission if not treated but spontaneous remission is possible. Sympathetic block done several times along with physical therapy can lead to permanent relief.
Risk of suicide and drug what does an anchor symbolize if left untreated. Peripheral and central nervous system involved in an unknown way.
The nerve damage is usually just partial. Leave a Reply Cancel reply You must be logged in to post a comment.
We have all been united by a single common denominator and that is… Pain.
There are two categories of CRPS: type 1, previously known as reflex sympathetic dystrophy or RSD, and type 2, previously known as causalgia. The difference between these two types is whether nerve damage is involved. In CRPS-I, there is no evidence of nerve damage. In CRPS-II, there is evidence of nerve damage. This new classification created a technical difference between RSD and CRPS type II. CRPS type I still refers to the condition otherwise known as RSD. On the other hand, CRPS type II is used to refer to a condition formerly known as causalgia, that is, a chronic pain syndrome directly resulting from a specific nerve injury. Oct 14, · CRPS has acute (recent, short-term) and chronic (lasting greater than six months) forms. CRPS used to be known as reflex sympathetic dystrophy (RSD) and causalgia. People with CRPS have changing combinations of spontaneous pain or excess pain that is much greater than normal following something as mild as a touch.
Elliot T. Udell, DPM. In podiatry, when we talk about peripheral neuropathy we generally are referring to conditions that affect the local nerves in the lower extremity.
Research shows that diabetes affects the tiny nerves and small arteries in the area where the patient is experiencing pain. Months or years later, this pain may lead to numbness indicating the presence of far greater nerve damage, and in such cases we have to be concerned with the development of ulcerations.
Hence, I am well aware of the overt as well as subtle differences between these conditions. They also present with severe pain, which is far more intense than that experienced by people with peripheral neuropathy. The pain is so severe at times that even air blowing on the area can cause a person to wince in distress. The depression results from the physiology and anatomy of the sympathetic nervous system synapses rather than purely from an emotional reaction to the pain.
A glance at the anatomy of the sympathetic nervous system, which runs parallel up and down both sides of the spinal cord with perpendicular crosses from right to left, may explain why this illness can easily progress to other parts of the body. Untreated, this muscle weakness can lead to atrophy and loss of use of the extremity.
Such extensive and debilitating muscle weakness, as well as atrophy, is not common in peripheral neuropathy. Because the anatomy and physiology of the symptoms are different, so are the treatments of these conditions. Each condition is different, challenging, and time consuming, but the rewards of seeing patients leave their wheel chairs and crutches and return to work and school makes any effort we put into working with these people emotionally rewarding.
Elliot Udell specializes in pain management of the foot and ankle. He is in practice in Hicksville, New York. He lectures at medical seminars throughout the US as well as in Europe. Like Like. Great site over here, you always have great info for us. Thanks for sharing. I will definitely come back for more. Could you assist with a possible CRPS? Post trauma approx. Thank you very much for a nicely written and very informative article. Thank you very much! More power to your site!
Having had spinal surgery 6 yrs ago I have not been able to be out of pain. Can you perhaps advise me or direct me to a forum to find some answers.
Thank you very much, Harold Gordon. It started in my right arm with burning in the muscle and the NS that did my surgery even said it was my C5.
I am lucky that I have a PC that knows that I am suffering and prescribes meds, but get this the strong med. I just want to be fixed not take meds all my life. Thanks for the info! Good luck to you all, we need it! I attended a 6 week long, 7 hours a day, 5 days a week Functional Restoration Program.
Phew that was hard. I participated in a 6 month Neurpathic Pain Study which ended recently. Not a comment, more like a question: I had a graft of the saphenous sural nerve done to repair an amputated thumb in Eversince the pain has been getting worst on my lower extremety near graft. My question is — Could the nerve graft have been the cause of my illness and if it is will it be consider as a CRPS type 2? Yes the nerve graft could be a cause of CRPS.
Type 2 is with known nerve damage. Please discuss this with your doctors. Fabulous post. I actually tried subscribing to the rss feed, but had a problem adding it therefore might need to attempt once more at some time. It started in my right hand after a crush injury and has gone up my arm into my neck and face, to my left arm down through my left hand. My doctor is cautiously considering there may be some further spread to my legs as well.
It has been a challenging 4 years, I have had several medication infusions, Electric stimulation therapies, more medications than I care count, nerve blocks, and tomorrow I am having SCS trial unit procedure. I have the added problem of having Celiac disease, so medications become an issue. However, function now means get out of bed, make myself meals, take care of my dog feed, Walk, etc. This is not anywhere near the quality of life I had before this disease.
I raised two Children on my own, coached softball teams, worked as Correction Officer in a Maxium Security Prison, danced, was going to college full time. I stumbled on your article in trying to find a connection between the two conditions for my disability retirements with my employer, and Social Security. Thank you so much for your insightful article, I am going to forward a copy to my attorney it may help him in his work fighting for me. Thank you for the information. In the beginning I was misdiagnosed and it just by accident that an Emergency room MD made the connection and I was sent to a specialist who agreed that I did have RSD.
It is a struggle with a disease that has hit me in every way to destroy me by stealing my mobility inside and out. I now have swelling in my right leg, ankle and foot of course with severe pain, and discoloration and what I assume is pitting of the skin. It has also moved into the left leg, but not as bad. I am having difficulty walking, cannot stand having anything touch me and I have these beautiful children who want to hug me and I want to hug in return and somehow I do and then work to not make a sound or cry.
Even vibrations from other people walking across the floor sends me into tears I am not a crier, but this has drawn it out of me! Needless to say I am worried that I will be on crutches or worse in a walker and while I can be grateful that is available I will fight to walk tall as long as I can! Again Thank You for an article that tells it like it is, one that I can use to help educate others to our needs.
Thank you and thank you also for sharing your story with me. That is stays in the area it developed. This is not entirely true. It can move and spread to other areas of the body and include internal organs and while this is not likely and only includes a small percentage of patients it can happen.
I admire you also for trying to walk as long as you can. That means if your body can only walk 10 minutes, 30 minutes etc, try not to push beyond that or you will end up in a flare up.
Pain is already going to exist. Always try to pace your activities. I have a wheel chair, a walker with a seat and hand breaks on it and several walking canes as well as a large and tall walking stick. I only use my wheel chair when I am not able to continue, I use it more as a walker, its always in the van, and I use my cane as needed. For short trips I use neither. But also know that these are tools to help us.
Please use them as you need them. I felt embarrassed. Most of us do not look sick or disabled. I finally realized with my husbands help that my quality of life depended on these items at times. Hi Twinkle, Thank You for your comments. I needed to feel that I am not unique to the strangeness of this disease.
There are days when I want to give in , I am so tired and with the spread of the symptoms I am at times emotionally overwhelmed. Education is so important in the fight we face daily with CRPS and the more we can educate our selves, our family and healthcare providers the better off we are.
Still it is hard to give up the freedom to walk and in my case perform on stage without a walker or crutches. Reading your letter I decided not to feel guilty for wanting to continue to perform so I have figured out ways to adjust for the help and thus far have managed to keep my audiences comfortable by making it feel and look natural when I use a walking stick or other prop.
Thanks for reminding me to pace myself…it is so hard to do. I also take care of my three year old granddaughter whose parents work and I believe this has been an integral part of staying alive. Gods gift of love Twinkle, just writing this down and sharing it with another who knows what CRPS does to us has helped.
I honestly could not believe that I had started another chapter. I am on Facebook will look forward to staying in touch. God bless and again I thank you for your thoughts and suggestions. I will try to keep things shorter, I am a wee bit too chatty. I send a hug and prayers your way, Grandma Rhymer.
I pray you can continue to remain before your audiences for years to come. Using props is an excellent idea. A thought has just come to me that I have used during holidays and maybe you can incorporate it or something similar into your shows. I decorate my walking canes like candy canes at Christmas time. I use white and red ribbon and then hang little ornaments off the handle so they jingle with Christmas cheer. Its uplifting.
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