Appendix II

Budapest clinical diagnostic criteria for CRPS

1-Continuing pain, which is disproportionate to any inciting event

 

2-Must report at least one symptom inthree of the four following categories:

  • Sensory: reports of hyperesthesia and/or allodynia

 

 

  • Vasomotor: reports of temperature asymmetry and/or skin color changes and/or skin color asymmetry

 


  • Sudomotor/edema: reports of edema and/or sweating changes and/or sweating asymmetry

 


  • Motor/trophic:reports of decreased range of motion and/or motor dysfunction (weakness, tremor, dystonia) and/or trophic changes (hair, nail, skin)

 

 

3-Must display at least one sign at time of evaluation intwo or moreof the following categories:

  • Sensory: evidence of hyperalgesia (to pinprick) and/or allodynia (to light touch and/or deep somatic pressure and/or joint movement)

 


  • Vasomotor: evidence of temperature asymmetry and/or skin color changes and/or asymmetry

 

 

  • Sudomotor/edema: evidence of edema and/or sweating changes and/or sweating asymmetry

 

 

  • Motor/trophic: evidence of decreased range of motion and/or motor dysfunction (weakness, tremor, dystonia) and/or trophic changes (hair, nail, skin)

 

 

4-There is no other diagnosis that better explains the signs and symptoms

 

 

The following two videos demonstrate that Dr. Kirkpatrick uses more objective methodology than Dr. Harden (2015 video) in making the diagnosis of CRPS:

Physical Examination by Dr. Kirkpatrick

Physical Examination by Dr. Harden