{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T09:31:52Z","timestamp":1772271112288,"version":"3.50.1"},"reference-count":20,"publisher":"World Scientific Pub Co Pte Ltd","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hand Surg Asian-Pac Vol"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:p> The author\u2019s approach to a patient with CRPS is presented. The key is to classify the patient into any of the following groups: wrong diagnosis, psychogenic-dystonic hand, nerve injury (complex regional pain syndrome [CRPS] 2), flare reaction (FR) and the remaining would comprise the real CRPS 1 patient. The first three do not represent any mysterious condition, but require addressing the underlying problem, while a FR \u2013 a minor form of CRPS 1 \u2013 is, for the most, self-resolved by physical therapy. The remaining group, i.e. the true CRPS 1 case, have a condition known as irritative carpal tunnel syndrome (ICTS): release of the transverse carpal ligament yields a 94% cure rate. Even though the treatment is the same, carpal tunnel syndrome (CTS) and ICTS are very different conditions. In summary, there is a paradigm shift in handling CRPS patients. Further research to understand the pathophysiology and the failures is needed. <\/jats:p><jats:p> Level of Evidence: Level V (Therapeutic) <\/jats:p>","DOI":"10.1142\/s2424835525400028","type":"journal-article","created":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T06:41:51Z","timestamp":1745390511000},"page":"229-234","source":"Crossref","is-referenced-by-count":1,"title":["How I Approach a Patient with CRPS \u2013 A Shifting Paradigm (History, Examination, Investigations, Classification and Treatment)"],"prefix":"10.1142","volume":"30","author":[{"given":"Francisco","family":"del PI\u00d1AL","sequence":"first","affiliation":[{"name":"Private Practice, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"219","published-online":{"date-parts":[[2025,4,16]]},"reference":[{"key":"S2424835525400028BIB001","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2010.04.030"},{"key":"S2424835525400028BIB002","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000002245"},{"key":"S2424835525400028BIB003","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.316.7134.792"},{"key":"S2424835525400028BIB004","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009416.pub2"},{"key":"S2424835525400028BIB005","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kes312"},{"key":"S2424835525400028BIB006","doi-asserted-by":"publisher","DOI":"10.1177\/1753193413477058"},{"key":"S2424835525400028BIB007","first-page":"713","volume":"115","author":"Stein AH","year":"1962","journal-title":"Surg Gynecol Obstet"},{"key":"S2424835525400028BIB008","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.44.12.1068"},{"key":"S2424835525400028BIB009","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199409000-00013"},{"key":"S2424835525400028BIB010","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2009.08.003"},{"key":"S2424835525400028BIB011","first-page":"22","volume":"9","author":"Del Pi\u00f1al F","year":"2019","journal-title":"Ezine (IFSSH)"},{"key":"S2424835525400028BIB012","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2023.01.001"},{"key":"S2424835525400028BIB013","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000009243"},{"key":"S2424835525400028BIB014","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2024.09.024"},{"key":"S2424835525400028BIB015","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000010454"},{"key":"S2424835525400028BIB016","first-page":"633","volume-title":"Operative Hand Surgery","author":"Lankford LL","year":"1988","edition":"2"},{"key":"S2424835525400028BIB017","doi-asserted-by":"publisher","DOI":"10.1142\/S2424835525500109"},{"key":"S2424835525400028BIB018","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(17)30329-0"},{"key":"S2424835525400028BIB019","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2000.17867"},{"key":"S2424835525400028BIB021","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.72B2.2312575"}],"container-title":["The Journal of Hand Surgery (Asian-Pacific Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.worldscientific.com\/doi\/pdf\/10.1142\/S2424835525400028","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,31]],"date-time":"2025-05-31T13:35:52Z","timestamp":1748698552000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.worldscientific.com\/doi\/10.1142\/S2424835525400028"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,16]]},"references-count":20,"journal-issue":{"issue":"03","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1142\/S2424835525400028"],"URL":"https:\/\/doi.org\/10.1142\/s2424835525400028","relation":{},"ISSN":["2424-8355","2424-8363"],"issn-type":[{"value":"2424-8355","type":"print"},{"value":"2424-8363","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,16]]}}}