How is complex regional pain syndrome (CRPS) assessed in the evaluation of hemiplegic shoulder pain?

Updated: Feb 08, 2019
  • Author: Robert Gould, DO; Chief Editor: Stephen Kishner, MD, MHA  more...
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Answer

Answer

Evaluate for complex regional pain syndrome (CRPS). For the best prognosis, early recognition and prompt treatment are essential for patients with CRPS. Vasomotor instability (eg, hand edema, MCP tenderness, dystrophic skin changes) should be sought upon examination. If the physical findings are suggestive, evaluation with a triple-phase bone scan that shows periarticular uptake in the wrist and MCP joints of the involved hand can also help with the diagnosis.


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