28/11/2025
Rich River Physio's Friday Focus
Complex Regional Pain Syndrome (CRPS)
• Cause: Believed to be caused by damage to or malfunction of the peripheral and central nervous systems, often starting after an injury like a fracture or burn.
• Pain description: A persistent, burning or throbbing pain that is out of proportion to the initial injury. It can be described as stabbing, shooting, or feeling like an electric shock.
• Other symptoms:
o Extreme sensitivity to touch or cold
o Swelling
o Changes in skin temperature, colour (blotchy, red, or blue), and texture (shiny or thin)
o Changes in hair and nail growth
o Joint stiffness and swelling
o Muscle spasms or weakness
• Spread: The pain may spread to other parts of the limb or even to other areas of the body.
Using the NOI principles of pain management for CRPS.
Explain Pain (NOI)
• What it is: An evidence-based approach to pain education developed by the NOI Group that helps people understand how pain works in the nervous system.
• How it helps CRPS: By explaining the neurobiology of pain, this approach aims to:
o Reframe pain perception: Change the belief that pain is a direct indicator of tissue damage.
o Reduce fear and anxiety: Help patients understand why their pain is so severe and persistent.
o Increase possibilities: Show patients that there are other options beyond constant pain, helping them engage in more activities.
o Improve outcomes: Give healthcare professionals a therapeutic tool to help patients with chronic pain, including those with CRPS, by creating a framework for education and treatment.
To book an appointment, give us a call on 03 5480 1655 or book online at https://richriverphysio.com.au/