I. CONTINUING PAIN WHICH IS DISPROPORTIONATE TO ANY INCITING EVENT
PAIN THAT DOES NOT GO AWAY AND IS MUCH WORSE THAN THE PAIN FELT FROM THE ORIGINAL INJURY
II. MUST REPORT AT LEAST ONE SYMPTOM IN THREE OF THE FOUR FOLLOWING CATEGORIES PRIOR TO INITIAL EVALUATION:
• 1. Sensory: reports of Hyperesthesia: (EXTREME SENSITIVITY AND OR PAIN INVOLVING THE SENSES, ie. TOUCH, VISION, HEARING,SOUND,SMELL) and/or Allodynia: PAINFUL RESPONSE TO A NON-PAINFUL STIMULUS
• 2. Vasomotor: reports of temperature asymmetry and/or skin color changes and/or skin color asymmetry
DIFFERENT PARTS OF THE BODY ARE HOT AND OR COLD WITH CORRESPONDING SKIN COLOR CHANGES TO RED: (HOT), WHITE/BLUE:(COLD)
• 3. Sudomotor/edema: reports of edema and/or sweating changes and/or sweating asymmetry.
SWELLING TO ANY PART OF THE BODY THAT DOES NOT RESOLVE OR COMES AND GOES.
EXCESS FLUID DRAINING FROM THE EYES, NOSE OR EARS
EXCESS SWEATING FROM DIFFERENT PARTS OF THE BODY
• 4. Motor/trophic: reports of decreased range of motion and/or motor dysfunction (weakness, tremor, dystonia) and/or trophic changes (hair, nail, skin)
REDUCED OR LOSS OF MOBILITY AND USE OF LIMBS INCLUDING HANDS AND OR FINGERS.
MUSCLE SPASMS AND OR UNCONTROLLED SHAKING OF LIMBS THAT CAN COME AND GO AND CHANGE LOCATIONS
LOSS OF HAIR OR FINGER/TOE NAILS
NON HEALING SKIN IRRITATIONS AND OR RASHES
NUMBNESS TO ANY AREA OF THE BODY
III. MUST DISPLAY AT LEAST ONE SIGN AT TIME OF EVALUATION IN TWO OR MORE OF THE FOLLOWING CATEGORIES:
• Sensory: evidence of hyperalgesia
EXAGGERATED/INCREASED PAIN TO PAINFUL STIMULUS and/or allodynia (to light touch and/or deep somatic pressure and/or joint movement): PAINFUL RESPONSE TO A NON-PAINFUL STIMULUS
• Vasomotor: evidence of temperature asymmetry and/or skin color changes and/or asymmetry
DIFFERENT PARTS OF THE BODY ARE HOT AND OR COLD WITH CORRESPONDING SKIN
COLOR CHANGES TO RED: (HOT), WHITE/BLUE:(COLD)
• Sudomotor/edema: evidence of edema and/or sweating changes and/or sweating asymmetry
SWELLING TO ANY PART OF THE BODY THAT DOES NOT RESOLVE OR COMES AND GOES.
EXCESS FLUID DRAINING FROM THE EYES, NOSE OR EARS
EXCESS SWEATING FROM DIFFERENT PARTS OF THE BODY
• Motor/trophic: evidence of decreased range of motion and/or motor dysfunction(weakness, tremor, dystonia) and/or trophic changes (hair, nail, skin)
REDUCED OR LOSS OF MOBILITY AND USE OF LIMBS INCLUDING HANDS AND OR FINGERS.
MUSCLE SPASMS AND OR UNCONTROLLED SHAKING OF LIMBS THAT CAN COME AND GO
AND CHANGE LOCATIONS
LOSS OF HAIR OR FINGER/TOE NAILS
NON HEALING SKIN IRRITATIONS AND OR RASHES
NUMBNESS TO ANY AREA OF THE BODY
IV. THERE IS NO OTHER DIAGNOSIS THAT BETTER EXPLAINS THE SIGNS AND SYMPTOMS
DENTAL COMPONENT TO CRPS:
• NON RESOLVING DENTAL PAIN AFTER ANY DENTAL PROCEDURE
• NEW AND DIFFERENT PAIN OR DIFFERENT LOCATION OF PAIN AFTER ANY DENTAL PROCEDURE
• NEW AND OR NON RESOLVING SWELLING TO THE MOUTH OR FACE AFTER DENTAL PROCEDURE
• GUMS ARE INFLAMED
• DIFFICULTY IN MOVING JAW
• BITE DOES NOT FEEL RIGHT
• FAILED SURGICAL PROCEDURES – IMPLANTS
• RECURRENT OR NON RESOLVING INFECTION
• FAILED ROOT CANAL
• DIFFICULTY SWALLOWING
• KEY: SPREADING OF ANY SYMPTOMS BEYOND THE HEAD, NECK, FACE AND MOUTH TO OTHER PARTS OF THE BODY