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Chronic pain

Complex regional pain syndrome (CRPS) physiotherapy

Physiotherapy for CRPS focuses on early, gentle movement and graded rehabilitation within a team, to ease pain and help you use the affected limb again.

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Understanding the condition

Complex regional pain syndrome (CRPS) is a rare condition that causes severe pain out of proportion to the original injury, often with skin sensitivity, swelling and changes in sweating or skin dryness.1 It tends to affect one limb, can follow an injury or surgery, and is hard to diagnose early, so a doctor needs to assess you.1 It is a recognised, multifactorial condition, and research quality is low to medium because trials are small.2

Physiotherapy aims to keep the limb moving and in use. UK guidelines say early CRPS is generally treated by gentle mobilisation, and that immobilising a joint risks long-term stiffness.3 Graded motor imagery and mirror therapy may help pain and function, but a Cochrane review rated the evidence as low to very low certainty, so they are not guaranteed.4 Guidelines recommend an integrated, interdisciplinary approach tailored to you.3

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Complex regional pain syndrome (CRPS) physiotherapy

What to look out for, and how we help

Symptoms are a guide, not a diagnosis. Your GP confirms the diagnosis; our team helps you manage it day to day.

What you might notice

  • Severe burning, aching or throbbing pain in a limb that is out of proportion to the original injury
  • Swelling in the hand, foot or limb
  • Skin that is very sensitive to touch, clothing or movement
  • Changes in sweating or skin dryness in the affected area
  • Stiffness, weakness and a reluctance to move the limb
  • See a doctor promptly if severe pain that seems out of proportion to the original injury, swelling or skin changes develop after a fracture, surgery or injury, and seek urgent review from your surgeon for scalding pain in the area supplied by a single nerve after orthopaedic surgery or injury, which may mean nerve damage

How our team helps

  • Assessment: a careful review of movement, swelling, sensitivity and daily function, working with your GP or pain specialist who confirms the diagnosis
  • Individual exercise programs: gentle, graded movement and desensitisation that progress from active movement to weight bearing, which can include mirror therapy and graded motor imagery where suitable
  • Walking aid prescription: help to keep a leg moving and weight bearing safely when CRPS affects the foot or leg
  • Return to work planning: a staged plan with suggested duties and adjustments as your limb recovers function
  • Team coordination: liaison with your GP, pharmacist, exercise physiologist and other clinicians so care stays joined up
  • Reports: clear reports for GPs, insurers, workers compensation and NDIS

Your PDC care team

The teams and services that most often support people with this condition. They work from one shared plan, and one GP referral reaches all of them.

Allied health teams

Physiotherapy
Physiotherapy
Allied health team
Physiotherapy
Musculoskeletal treatment and rehabilitation to help you move better and manage pain.
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Exercise Physiology
Exercise Physiology
Allied health team
Exercise Physiology
Safe, effective exercise programs designed by Accredited Exercise Physiologists for chronic condition management.
Read more

Related services

Related conditions

Terms explained

Plain English explanations for this condition are being added.
See all conditions

Sources and clinical review

Australian CRPS-specific guidance is limited, so our care follows the UK Royal College of Physicians CRPS guidelines (2018), the international practical guidelines (2022) and the Cochrane physiotherapy review.

  1. HealthyWA. Complex regional pain syndrome [Internet]. Perth: WA Department of Health; [undated; cited 2026 Oct 4].
  2. Harden RN, McCabe CS, Goebel A, Massey M, Suvar T, Grieve S, et al. Complex regional pain syndrome: practical diagnostic and treatment guidelines, 5th edition. Pain Med. 2022;23(Suppl 1):S1-S53.
  3. Goebel A, Barker CH, Turner-Stokes L, et al. Complex regional pain syndrome in adults: UK guidelines for diagnosis, referral and management in primary and secondary care, 2nd ed. London: Royal College of Physicians; 2018.
  4. Smart KM, Wand BM, O'Connell NE. Physiotherapy for pain and disability in adults with complex regional pain syndrome (CRPS) types I and II. Cochrane Database Syst Rev. 2016;2(2):CD010853.
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Common questions

How is CRPS different from normal pain after an injury?
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After an injury, pain usually eases as tissues heal. CRPS involves severe pain out of proportion to the original injury, with swelling, skin sensitivity and changes in sweating. If pain keeps building weeks after an injury or surgery, see your GP promptly, as early diagnosis can be hard.

Should I rest or move a limb with CRPS?
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Avoid keeping it still. UK guidelines warn that immobilising a joint risks long-term stiffness and say early CRPS is generally treated with gentle mobilisation. Your physio sets a graded pace so movement is not forced. Use a splint or cast only on medical advice.

Does mirror therapy work for CRPS?
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Mirror therapy and graded motor imagery may help pain and function, but a Cochrane review rated the evidence as low to very low certainty. They are not a cure. We use them alongside graded movement and team care when they suit you.

Who should be on my CRPS care team?
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Guidelines recommend an integrated, interdisciplinary approach tailored to the individual. That can include your GP, a pain specialist, physiotherapist, occupational therapist, psychologist and pharmacist. We coordinate with your team and provide reports.

Do I need a referral for CRPS physio in Perth?
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No referral is needed for private appointments. With a GP Chronic Condition Management Plan, Medicare rebates apply to up to five eligible allied health services a calendar year. CRPS often follows an injury, so workers compensation (WorkCover WA), NDIS, DVA or private health extras may help fund care.

Not sure where to start?

Tell us what is going on and we will point you to the right discipline, or to more than one. Most people start with a single appointment and leave with a plan the rest of the team can see.

Or go straight to a service

Phone (08) 6110 0570 · Medicare, NDIS, DVA and private options across our services

For GPs and health professionals

Referring a patient with this condition?

Send an online referral in under two minutes. One referral reaches every discipline at PDC Health Hub.