- Poster presentation
- Open Access
A review of the management of Complex Regional Pain Syndrome; an experience of an inpatient rehabilitation unit
© Mato et al; licensee BioMed Central Ltd. 2008
- Published: 15 September 2008
- Complex Regional Pain Syndrome
- Plantar Flexor
- Lower Limb Muscle
- Rehabilitation Unit
- Street Hospital
Complex Regional Pain Syndrome (CRPS) is a rare pain condition that causes severe pain in one or more limbs and results in severe loss of function. The management of this condition is difficult and requires a very intensive approach. In-patient rehabilitation is able to provide the intensity of physiotherapy that is required to effectively manage this condition.
A retrospective case note review was performed for 23 patients with a diagnosis of CRPS. All children were seen at Great Ormond Street Hospital, which has an ambulatory rehabilitation unit able to provide an intensive programme including twice daily physiotherapy, advice on pacing and pain management over a 2–3 week period. The main philosophy of the programme is that function is regained before pain is reduced.
Mean age of onset (years)
Mean time to treatment (years)
Mean time to diagnosis (years)
Mean time to treatment at GOSH (years)
Mean pain score before treatment (VAS)
Mean pain score after treatment (VAS)
Mean CHAQ score before treatment
Mean CHAQ score after treatment
Reduced school attendance before treatment
80% (more than 60% of school missed in 80%)
Reduced school attendance after treatment
40% (more than 60% of school missed in 7%)
An intensive rehabilitation approach to the management of children with CRPS is very effective in reducing pain and restoring function.
This article is published under license to BioMed Central Ltd.