Post-traumatic dystrophy, also known as CRPS, is a complex pain disorder that often follows an injury. In Westland, this term is still frequently used in medical reports and personal injury proceedings.
Nomenclature and Development
The nomenclature of this condition has evolved over time.
Old and New Terms
| Era | Term | Characteristics |
|---|---|---|
| 19th century | Causalgia | Related to nerve damage |
| 1900-1950 | Sudeck's atrophy | Following bone fractures |
| 1950-1990 | Reflex Sympathetic Dystrophy (RSD) | Focus on sympathetic nervous system |
| 1990-present | Post-traumatic dystrophy | Common term in the Netherlands |
| 1994-present | CRPS (Complex Regional Pain Syndrome) | Global standard term |
Relation to CRPS
In the Netherlands, post-traumatic dystrophy is often equated with CRPS type I, particularly in legal cases and by experienced physicians in Westland.
Common Characteristics
- Identical symptoms such as pain, swelling, and discoloration
- Similar causes, such as trauma or surgery
- Comparable diagnostic methods
- Consistent treatment strategies
Stages of the Condition
Previously, the condition was divided into three stages, although this model is now less commonly applied.
Traditional Stages
Stage 1 - Acute (0-3 months)
- Intense pain and sensitivity
- Swelling and redness of the skin
- Increased temperature and perspiration
- Limited range of motion
Stage 2 - Dystrophic (3-6 months)
- Persistent pain complaints
- Cold, bluish skin color
- Reduction in skin and muscle tissue
- Stiff joints
Stage 3 - Atrophic (> 6 months)
- Chronic pain
- Severe tissue loss
- Deformities and contractures
- Bone loss
Important note: New research indicates that these stages do not always progress linearly. The condition can stabilize or improve at any time.
Risks and Triggers
Various factors increase the risk of developing post-traumatic dystrophy.
Common Risk Factors
| Factor | Impact |
|---|---|
| Wrist fracture | Common cause |
| Female gender | Higher prevalence |
| Age between 40-60 years | Highest incidence |
| Prior CRPS diagnosis | Increased chance of recurrence |
| Prolonged immobilization | Adverse effect |
Legal Implications in Westland
In personal injury cases in Westland, post-traumatic dystrophy plays a crucial role, supported by institutions such as the Juridisch Loket Westland and the District Court of The Hague.
Key Legal Points
- Causal link: The connection between the accident and the condition must be proven
- Predisposition: A pre-existing susceptibility does not alter liability
- Diagnostics: Use the Budapest criteria for an official diagnosis
- Documentation: Record all symptoms and limitations in detail
- Expert report: Engage a CRPS specialist for a report
Expectations and Recovery
The course of post-traumatic dystrophy varies greatly from person to person.
Possible Outcomes
- Approximately 50% recover fully or largely
- About 30% retain mild symptoms
- Approximately 20% develop permanent, limiting symptoms
- Early treatment increases the chance of recovery
Practical Advice
- Watch for early symptoms and seek help immediately
- Avoid prolonged immobilization after an injury
- Request referral to a pain clinic for persistent pain
- Be prepared for a potentially prolonged process
- Maintain a detailed file of the condition