In this issue of the Scandinavian Journal of Pain Lars Kristian Lunden, Inge Petter Kleggetveit, and Ellenjørum publish an important retrospective analysis of patients with complex regional pain syndrome (CRPS-1 and CRPS-2) who had been referred for expert evaluation of chronic pain conditions . Ellen Jørum’s Section of Clinical Neurophysiology at the Department of Neurology of Oslo University Hospital, Rikshospitalet is a tertiary referral centre for a large part of South-Eastern Norway .1Lunden et al.  have two important messages to the readers1.1There is a lack of knowledge about CRPS and this delays diagnosis and treatmentUnfortunately, primary care physicians as well as hospital-based specialists still too often do not recognize a CRPS. This results in delayed diagnosis of CRPS and delays in appropriate treatment. The longer a CRPS lasts without helpful treatment, the more complex the pain condition becomes due to secondary complications. Treatment becomes even less effective when diagnosis is delayed. Normalization of functions and pain hypersensitivity of the CRPS-limb takes longer, at best. Some of these patients will suffer an intractable pain condition for many years. In their study Lunden et al.  found that mean time from injury until CRPS-diagnosis was almost 4 years, ranging from
Scandinavian Journal of Pain – de Gruyter
Published: Apr 1, 2016
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