COMPLEX REGIONAL PAIN FREQUENTLY SEEN IN MARITIME INJURY CASES
Working as a crewman aboard a ship, tug, barge or fishing vessel, constantly exposes crewman to the risk of injuries to their hands, feet, arms and legs. Complex Regional Pain Syndrome (CRPS) is a frequent complication of those hand, feet, arm, and leg injuries that requires early diagnosis and treatment to maximize recovery. There is no prevention for CRPS and early diagnosis and treatment is key to slowing the progression of what may develop into a chronic pain that renders a maritime worker disabled.
CRPS is a chronic pain condition. It is a neurological disorder that affects the central and peripheral nervous systems. Statics show that CRPS may develop in 1 to15 percent of injuries to the peripheral nerves and in 10 to 30 percent of injuries involving fractures. Although the exact physiological mechanism of CRPS is still under investigation, CRPS is clearly related to trauma. Even a minor injury can trigger Complex Regional Pain Syndrome.
CRPS, which is also referred to as reflex sympathetic dystrophy (RSD), can be severely disabling, causing constant intense burning pain in one or more extremities. Pain and swelling in the affected limb may spread. CRPS victims have cold sensitivity and develop stiff muscles and joints that may result in contractions and muscle wasting. In the late stages of CRPS, depression and mood changes are frequently present, bone scans may show diffuse demineralization of the bones and osteoporosis in the affected hand, foot, arm, or leg.