Complex regional pain syndromes

Complex regional pain syndromes (CRPS) type 1 and 2 are recent terminologies that refer to what was previously known as reflex sympathetic dystrophy (RSD) and causalgia, respectively. CRPS type 1 occurs without a definable nerve lesion, whereas type 2 follows a definable nerve lesion. These diagnostic criteria were standardized by an International Association for the Study of Pain (IASP) consensus development conference in 1995 to encompass the minimal criteria.39 In adults, studies have attempted validation of the original40[IV] and modified41 [IV] IASP criteria of CRPS as compared to established painful neuropathic disorders and have found relatively weak interobserver agreement or sensitivity and specificity based on clinical examination and quantitative sensory evaluation.42[IV], 43 [III] These criteria are yet to be validated in children with CRPS.

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