Complex regional pain syndrome or post traumatic pain syndrome

Post traumatic pain syndrome or regional pain syndrome (CRPS) consists of abnormal pain, swelling, vasomotor and sudomotor dysfunction, contracture and osreoporosis. This entity described and literatutre with many synonyms like reflex sympathetic dystrophy, sudek's dystrophy, cusalgia. Transient migratory osteoporosis, painful osteodystrophy or alegodystrophy etc. It may be primary or secondary, in primary it occurs directly to the damage tissue and in secondary it occurs in surrounding undamaged tissue. Orthopaedician must realize that these patient are not malingering and it is real perception of pain. The patho-physiology is not clearly known. Treatment is multidisplinary involving medical, psychological and rehabilitation.