Complex Regional Pain Syndrome

Complex Regional Pain Syndrome (CRPS) Physiotherapy in Singapore

Complex Regional Pain Syndrome (CRPS), previously known as Reflex Sympathetic Dystrophy (RSD), is a chronic and often progressive condition that typically affects the arms, legs, hands, or feet. It is characterised by persistent pain, swelling, and changes in skin appearance or temperature in the affected limb.

The pain associated with CRPS is often disproportionate to the original injury and may continue long after the tissues have healed. Early diagnosis and treatment are essential to improve recovery outcomes.

At ACE PHYSIO SPORTS, located on East Coast Road in Singapore, our experienced physiotherapists provide personalised rehabilitation programmes to help individuals with CRPS reduce pain, restore mobility, and regain independence in daily activities.

Understanding Complex Regional Pain Syndrome

CRPS is a complex neurological condition that affects how the nervous system processes pain signals. It commonly develops after an injury, surgery, or trauma to a limb.

People with CRPS may experience severe burning or aching pain, along with swelling and visible changes in the skin.

Although the condition usually begins in one limb—such as the hand, arm, foot, or leg—it can significantly impact overall mobility and quality of life.

In some cases, early treatment can lead to improvement within weeks or months. However, more severe cases may persist for longer and require ongoing rehabilitation.

Causes and Triggers of CRPS

The exact cause of CRPS is not fully understood. However, the condition is often triggered by injuries or trauma that affect the nerves and surrounding tissues.

Common triggers include:

• Bone fractures
• Sprains or ligament injuries
• Surgical procedures involving the limbs
• Infections or inflammation
• Direct trauma to a limb

Even minor injuries can sometimes lead to CRPS. Researchers believe the condition may involve abnormal nerve communication between the brain and the affected limb, as well as dysfunction in the sympathetic nervous system, which regulates blood flow and temperature.

Types of Complex Regional Pain Syndrome

CRPS is generally classified into two types:

CRPS Type I

CRPS Type I occurs without identifiable nerve damage and is often associated with minor injuries such as fractures or sprains.

CRPS Type II

CRPS Type II occurs after confirmed nerve injury, such as following major trauma, surgery, or infection.

Symptoms of CRPS

Symptoms of CRPS can vary in severity and may change over time.

Common symptoms include:

• Persistent burning or aching pain in the affected limb
• Swelling around joints and tissues
• Stiffness and reduced joint mobility
• Skin temperature changes (warmer or cooler than the opposite limb)
• Skin colour changes such as red, purple, or blotchy appearance
• Increased sensitivity to touch or cold (allodynia)
• Shiny or thin skin
• Excessive sweating in the affected area
• Changes in hair or nail growth
• Difficulty moving or using the affected limb

These symptoms can significantly affect daily activities and quality of life.

Physiotherapy Treatment for CRPS

Physiotherapy is one of the most important treatments for managing CRPS. Rehabilitation focuses on restoring movement, reducing pain, and improving function.

At ACE PHYSIO SPORTS, our physiotherapists create personalised treatment plans tailored to your symptoms and recovery goals.

Treatment may include:

Pain Management Techniques

• TENS (Transcutaneous Electrical Nerve Stimulation)
• Heat or cold therapy
• Gentle desensitisation techniques

Manual Therapy

Massage and manual therapy techniques help reduce stiffness and improve circulation.

Hydrotherapy

Water-based exercise allows gentle movement with reduced stress on joints and tissues.

Exercise Rehabilitation

Gradual stretching and strengthening exercises help improve mobility and restore limb function.

Functional Movement Training

Exercises designed to improve confidence in everyday activities such as walking, lifting, or reaching.

Relaxation and Stress Management

Stress reduction techniques help manage pain and improve overall wellbeing.

Education and Lifestyle Guidance

Patients receive advice on pacing activities, sleep habits, diet, and strategies for managing symptoms.

Benefits of Physiotherapy for CRPS

A structured physiotherapy programme can provide many benefits for individuals living with CRPS.

Benefits include:

• Reduced pain and sensitivity
• Improved joint mobility and flexibility
• Increased muscle strength and stability
• Improved circulation in the affected limb
• Better ability to perform daily activities
• Increased confidence and independence

Early and consistent rehabilitation is essential for achieving the best possible outcomes.

CRPS Rehabilitation at ACE PHYSIO SPORTS

At ACE PHYSIO SPORTS, our physiotherapists specialise in treating chronic pain conditions, neurological disorders, and musculoskeletal injuries.

Our personalised rehabilitation programmes focus on:

• Reducing pain and inflammation
• Restoring limb mobility and function
• Improving muscle strength and coordination
• Supporting safe return to daily activities
• Enhancing long-term quality of life

Our clinic is conveniently located on East Coast Road in Singapore, serving patients from Katong, Marine Parade, and surrounding areas.

To arrange an appointment:

📞 Call +65 81535374 📧 Email admin@acephysiosport.com 🌐 Visit acephysiosport.com