Complex regional pain syndrome: medical and legal ramifications of clinical variability and experience and perspective of a practicing clinician.

4 , 5 Although a clear conclusion could not be drawn from this sequence of events, the temporal association between physical trauma and the onset of RA has been reported previously and may be significant. 6 The spontaneous spread of CRPS, without new trauma, is a well-known phenomenon possibly mediated by spinal or supraspinal mechanisms. 7 The spread of vasomotor symptoms occurred in most of the patients studied.

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