A retrospective case note review was performed for 23 patients with a diagnosis of CRPS by H Mato, S Sian, N Hasson and S Maillard at Great Ormond Street Hospital, London, UK.An intensive programme was undertaken including twice daily physiotherapy, advice on pacing and pain management over a 2–3 week period. The main philosophy of the programme was that function be before pain was reduced.
All children improved in symptoms and function including school attendance. It was concluded that an intensive rehabilitation approach to the management of children with CRPS is very effective in reducing pain and restoring function.
Tony Tobin of RSD World News http://health.groups.yahoo.com/group/RSD-WorldNews/
has long been an advocate of physical therapy especially aqua therapy. It's good to see more studies that support this. The very strong brain message not to move and to protect needs to be overridden. I've found personally that normal movement is one of the best ways to relieve symptoms in the long run.