Complex Regional Pain Syndrome

Overview

4.6 out of 5 (77 Reviews)

Credits

1.50

Post Assessment Questions

11

Start Date

26 Oct 2022

Last Review Date

7 Aug 2023

Expiration Date

31 Dec 2023

Estimated Time To Finish

90 Minutes


 
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Activity Description

Complex regional pain syndrome (CRPS) is a neuropathic pain disorder defined by the presence of distinct clinical features, including allodynia, hyperalgesia, sudomotor and vasomotor abnormalities, and trophic changes. The pain experienced is disproportionate to the degree of tissue injury and persists beyond the normal expected time for tissue healing. The pathophysiology is multifactorial and involves pain dysregulation in the sympathetic and central nervous systems, with likely genetic, inflammatory, and psychological contributions. There are two subtypes: type I, formerly known as reflex sympathetic dystrophy, and type II, formerly known as causalgia. Type I occurs in the absence of nerve trauma, while type II occurs in the setting of known nerve trauma. Clinically they are indistinguishable and follow a regional rather than dermatomal or peripheral nerve distribution. CPRS favors the distal extremities, though spread beyond the initially affected area commonly occurs in the proximal or contralateral limb. CRPS is further subdivided into "warm" versus "cold" and sympathetically-maintained versus sympathetically-independent, which may affect prognosis and treatment options. This activity describes the evaluation and management of complex regional pain syndrome and highlights the role of the interprofessional team in improving care for affected patients.


Target Audience

This activity has been designed to meet the educational needs of physicians.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Outline the typical presentation of complex regional pain syndrome.

  • Describe the Budapest Criteria and their role in the diagnosis of complex regional pain syndrome.

  • Review the treatment options for complex regional pain syndrome.

  • Explain how careful planning and discussion amongst interprofessional team members involved in the care of patients with complex regional pain syndrome can help improve patient outcomes.

Disclosures

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) requires instructors, planners, managers, and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they or their immediate family may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by CUSOM for resolution, to ensure fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

CUSOM will identify, review, and resolve all conflicts of interest that faculty, authors, activity directors, planners, managers, peer reviewers, or relevant staff disclose prior to an educational activity being delivered to learners. Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation. Disclosure information for authors, editors, planners, peer reviewers, and/or relevant staff is provided with this activity.

Continuing Education Accreditation Information

 

 

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. CUSOM designates this enduring material for a maximum of 1.50 AOA Category 1 B Credits and will report CME credits commensurate with the extent of the physician's participation in the activity.

Cancellation Policy: Cancellations must be received in writing and a money back guarantee is provided if not completely satisfied.

  • StatPearls and CUSOM reserve the right to cancel any course due to unforeseen circumstances. StatPearls and CUSOM will not be responsible for other expenses incurred by the participant in the unlikely event that the program is canceled.

Equal Opportunity

  • StatPearls and CUSOM are Equal Opportunity / Affirmative Action / Equal Access Institutions. 

Medium or Media Used:

  • Computer Requirements:  Internet Access
  • E-mail Address

Instructions for Credit

  1. Register for the activity and create a StatPearls login.     
  2. Review the required accreditation information:  Target audience, learning objectives and disclosure information.
  3. Complete the entire self-study activity.
  4. Complete the post-test assessments.
  5. Successfully pass the post-test with a minimum score of 100%.
  6. Complete the evaluation form.
  7. Obtain a certificate.

StatPearls and CUSOM adheres to AOA Standards regarding commercial support of continuing medical education. It is the policy of StatPearls and Campbell that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved and also that authors and editors will disclose any unlabeled/unapproved use of drug(s) or device(s) during their presentation. Detailed disclosure will be made prior to starting the activity.

The information provided at this CME/CE activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

This course is intended for osteopathic physicians who wish to earn AOA CME credit. Take this version of the course to ensure you receive appropriate credit.

 

 
 

Reviews

good review

NASAR S. on 2/15/2021

sheryl s. on 4/5/2021

Rola h. on 10/30/2021

kathleen k. on 11/11/2021

Suzanne T. on 11/24/2021

Donald A. on 2/8/2022

Edward M. on 3/31/2022

Bhupendra G. on 3/11/2022

Timothy O. on 3/12/2022

Alexei K. on 3/24/2022

Kerrey T. on 6/7/2022

Robert M. on 7/8/2022

AC R. on 7/19/2022

Please consider the topics: what's RN to be asked for deposition, violence management: from patients, co-workers, MDs, CPO/CPE level of contact isolation.

YUKARI N. on 7/30/2022

Cory C. on 8/15/2022

hary a. on 8/21/2022

Peter M. on 8/23/2022

Autumn M. on 8/26/2022

Thanks for offering the CME on CRPS.

Sheryl Z. on 9/12/2022

Jalil R. on 10/2/2022

jaime r. on 10/4/2022

Christine G. on 10/8/2022

Michael V. on 10/11/2022

Vishal A. on 11/4/2022

Daniel R. on 11/18/2022

Ketan H. on 11/24/2022

Kimberly R. on 12/1/2022

Vektra C. on 12/26/2022

John P. on 12/30/2022

Diane C. on 1/12/2023

peter h. on 1/12/2023

Anne D. on 1/29/2023

Lesly P. on 2/20/2023

Christina R. on 2/23/2023

The teaching points are very helpful.

Jennifer O. on 2/23/2023

none

Manijeh Z. on 2/24/2023

Dong O. on 2/25/2023

TIMOTHY L. on 3/11/2023

Jess P. on 4/7/2023

Jana M. on 4/17/2023

GABRIEL R. on 4/30/2023

JOSEPH B. on 5/5/2023

Missak K. on 5/28/2023

Eugene A. on 6/10/2023

Donna P. on 6/10/2023

Stephanie D. on 6/17/2023

Cheyenne T. on 6/21/2023

Tom C. on 6/17/2023

Jennifer K. on 6/22/2023

Justin H. on 6/22/2023

Mark M. on 6/26/2023

Mark L. on 7/10/2023

Dennis R. on 7/14/2023

Mitchell G. on 7/16/2023

Fidel H. on 7/29/2023

yakdan A. on 8/13/2023

Amanda R. on 8/21/2023

Pablo G. on 9/10/2023

baher m. on 9/15/2023

LIDIA I. on 9/16/2023

Joline T. on 9/23/2023

Preman S. on 9/29/2023

wasim s. on 10/4/2023

Mahmud M. on 10/14/2023

Jonathan L. on 10/14/2023

Danial K. on 10/27/2023

Elizabeth S. on 10/31/2023

Tonda B. on 12/15/2023

Jerome G. on 12/17/2023

AJAY Y. on 12/27/2023

Scott S. on 12/29/2023

Alejandro F. on 1/29/2024

Tran P. on 3/21/2024

anne F. on 2/6/2024

Shelagh A. on 2/27/2024

THERESA M. on 3/4/2024

federico c. on 4/19/2024

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