Dr. Ramani Rheumatology Clinic
Dr. Ramani
Rheumatology Clinic
Specialist rheumatology care · Kuala Lumpur

Complex Regional Pain Syndrome

CRPS is frightening because the pain can feel far beyond the original injury, and the limb can change colour, temperature and function. I focus on ruling out inflammatory or autoimmune mimics and getting rehabilitation started early, because early treatment usually works best.

Let me explain

What complex regional pain syndrome is

Complex regional pain syndrome is a chronic pain condition that usually affects one arm or leg after injury, fracture, surgery or immobilisation. The nervous system and blood-flow regulation become over-sensitive, causing pain and physical changes beyond the original injury.

What patients may notice

Symptoms to look out for

Burning, stabbing, stinging or throbbing pain

Extreme sensitivity to touch or clothing

Swelling, stiffness or reduced movement

Skin colour, temperature, sweating or hair/nail changes

Weakness, tremor or difficulty using the limb

Rheumatology perspective

Why this matters to a rheumatologist

Rheumatology can help rule out inflammatory arthritis, infection or autoimmune disease when symptoms overlap, but CRPS care often needs a multidisciplinary pain and rehabilitation approach.

When to seek help

Signs I would like you to seek care for

For emergency symptoms please seek urgent or emergency care first rather than waiting for a WhatsApp reply.

Pain after injury that is not settling

Severe sensitivity or swelling

Colour or temperature changes in the limb

Loss of movement or function

How I can help

What a specialist review looks like

I review the timeline after injury, examine the limb and surrounding joints, exclude other causes and discuss early physiotherapy, pain management and coordinated care.

Frequently asked

Questions my patients often ask me

Yes. The pain is real and can be severe because pain pathways become over-sensitive.

Speak with me

If you have persistent burning pain, swelling or colour and temperature changes in a limb after injury or surgery, WhatsApp my clinic and we can help you decide whether a rheumatology assessment is the right next step.

This page is for general education only and does not replace medical advice. Please consult a qualified healthcare professional for diagnosis and treatment.