Intended for healthcare professionals

Letters Complex regional pain syndrome

Need for early recognition and multidisciplinary management of paediatric complex regional pain syndrome

BMJ 2015; 351 doi: (Published 08 September 2015) Cite this as: BMJ 2015;351:h4748
  1. Christina Liossi, senior lecturer in health psychology and honorary consultant paediatric psychologist1,
  2. Jacqui Clinch, consultant paediatric rheumatologist2,
  3. Richard Howard, consultant in paediatric anaesthesia and pain medicine3
  1. 1School of Psychology, University of Southampton, Southampton SO17 1BJ, UK
  2. 2Bristol Royal Hospital for Children, University Hospitals Bristol NHS Foundation Trust, Bristol, UK
  3. 3Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
  1. c.liossi{at}

Complex regional pain syndrome (CRPS) in children and adolescents is often missed, with lengthy delays before appropriate treatment is started.1 This may be because of clinicians’ lack of awareness or the heterogeneity of the presenting signs and symptoms, although paediatric presentation has several unique features when compared with adults (table). Whatever the underlying cause, …

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