CRPS is an uncommon and can be a disputed diagnosis. I am a practicing Pain Specialty physician with over 35 years of clinical experience, including founding the Stanford University Pain Service in 1989, where I remain an active part of the Clinical Faculty.

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In my practice, I have diagnosed and treated many patients with CRPS, formerly referred to as Reflex Sympathetic Dystrophy (RSD).  CRPS is a neuropathic pain disorder that can often be go undiagnosed or misdiagnosed.

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Signs and symptoms of CRPS can include sensory and neurologic findings, along with findings of vasomotor, sudomotor/edema, and/or motor/trophic changes.  There can be continuous pain that may seem disproportionate, including but not limited to burning and throbbing pain, as well as changes in skin temperature, skin color and texture changes, swelling, and hair and nail growth changes.

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There two types of CRPS, CRPS I and CRPS II.  They have similar symptoms but different causes.  I have helped many patients determine whether they have CRPS and come up with a management plan in various cases.  I have also served as an expert witness or consultant for claim resolution in determining future medical needs for CRPS diagnosis.