Complex Regional Pain Syndrome (CRPS) in North Liberty

Complex Regional Pain Syndrome (CRPS) is a chronic and often debilitating condition that affects the nervous system, resulting in severe, persistent pain—usually in an arm or leg—after an injury, surgery, stroke, or heart attack. Though the initial injury may be minor, CRPS can lead to prolonged pain and changes in skin, motor function, and temperature regulation in the affected area.

At Motion Matters Physical Therapy & Wellness in North Liberty, we believe that education is the first step toward healing. If you or a loved one is experiencing ongoing, unexplained pain, understanding CRPS can be critical in getting the right treatment early.

What Is CRPS?

Complex Regional Pain Syndrome is a neuropathic pain condition involving abnormal responses of the peripheral and central nervous systems. CRPS is typically categorized into two types:

  • CRPS-I: Occurs without a confirmed nerve injury.

  • CRPS-II: Involves confirmed damage to a specific nerve.

Both types result in similar symptoms and often require the same treatment approach.

What Causes CRPS?

CRPS typically develops after:

  • A fracture, sprain, or crush injury

  • Surgery

  • Nerve damage

  • Immobilization (e.g., prolonged casting)

  • Stroke or heart attack (less common)

While the exact mechanisms are not fully understood, CRPS involves dysregulated nerve signaling, inflammation, and an exaggerated pain response that goes beyond the normal healing timeline.

Common Symptoms of CRPS

Symptoms usually begin within weeks of the inciting event and may include:

  • Intense, burning or throbbing pain in the affected limb

  • Sensitivity to touch or temperature (even clothing or wind may cause pain)

  • Swelling and stiffness

  • Skin color and temperature changes (red, purple, pale, hot, or cold)

  • Changes in skin texture, hair or nail growth

  • Muscle weakness or atrophy

  • Limited range of motion or joint function

Symptoms can vary greatly and may spread to other areas if not treated early.

How Is CRPS Diagnosed?

There is no single test for CRPS. Diagnosis is typically made through a combination of:

  • Detailed patient history and symptom patterns

  • Physical examination

  • Ruling out other causes of pain

  • Possible imaging (bone scans, MRI) or diagnostic nerve blocks

Early diagnosis is crucial—intervention within the first 6 months is associated with better long-term outcomes.

Why Early Treatment Matters

If left untreated, CRPS can lead to:

  • Muscle wasting

  • Joint stiffness and contractures

  • Permanent functional loss

  • Emotional and psychological distress

That’s why early and targeted rehabilitation is critical. Physical therapy plays a key role in calming the nervous system and restoring movement without triggering flare-ups.

Our Approach to CRPS at Motion Matters

At Motion Matters, we approach CRPS with compassion, precision, and specialized training. Our clinicians use a combination of:

  • Graded Motor Imagery (GMI): A progressive brain-based approach to reducing pain by retraining the way the brain perceives movement and sensation.

  • Desensitization Therapy: Exposure-based techniques to reduce hypersensitivity to touch and temperature.

  • Neuromuscular Reeducation: Helps restore safe, functional movement without increasing pain.

  • Pain Neuroscience Education: Understanding how pain works can reduce fear and improve outcomes.

Each plan is built around your tolerance and goals, and progressed gradually to avoid flare-ups.

We’re Here to Help

If you think you or a family member may be dealing with CRPS, don’t wait. The earlier treatment begins, the better the chance of recovery. Our North Liberty clinic offers specialized care for CRPS that blends clinical expertise with individualized attention.

Need Help Managing CRPS?
Let’s create a path forward—together.

Contact Motion Matters Physical Therapy & Wellness in North Liberty today to schedule a consultation or ask about our CRPS treatment options.

Call (319) 382-2743
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Jolie Hutchens

We recently went to a very informative lecture on healthy foods and nutrition. Meghan Cooley was so interesting! The facility is lovely. Natalie is a warm person who truly cares about helping others. This business offers many different things for health and wellness. Something for everyone! Highly recommend!

Meghan Cooley

I have personally worked with Natalie for physical therapy and professionally in my job as a nurse practitioner. I have referred many, many patients to her. My patients are always happy with their experiences with her. I have personally been very impressed with how quickly my own aches/pains resolve when working with her. She always provides excellent care and listens to her patients. She truly cares about her patient’s well being. She is an expert physical therapist, has extensive training in helping those with chronic pain, and she is a wealth of information when it comes to living a healthy lifestyle. Book with Motion Matters today, you won’t be disappointed!