CRPS in 8yo post ankle sprain

[mmwr715]

Kineari,
There's a recent free summary of treatments for CRPS in children here:
Weissmann R, Uziel Y. Pediatric complex regional pain syndrome: a review. Pediatric Rheumatology Online Journal. 2016;14:29. doi:10.1186/s12969-016-0090-8.
Pediatric complex regional pain syndrome: a review

However, physio by itself apparently works well and a recent program just used home based physio:
Iowa Orthop J. 2015; 35: 175–180.Outcomes of a Simple Treatment for Complex Regional Pain Syndrome Type I in Children. Frederick R. Dietz, MD and Stephen P. Compton, MD
http://www.ncbi.nlm.nih.gov/pmc/arti...J_2015_175.pdf

Their instructions included take home plan:
Treatment Plan for Reflex Sympathetic Dystrophy
1) Massage 3-5 times/day
2 minutes firmly
1 minute lightly
2 minutes firmly
2) Focus on the body part that is causing you pain and talk to it while massaging.
3) Always keep it moving, never let it be still.
4) Use it! Walk, run, jump and play as soon as possible.
**Remember, it will hurt worse at first but it will get better!
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It is important to take vitamin C in CRPS:
Vitamin C Strikes Again – ?Prevents Post Surgical Wrist Complex Regional Pain and Obviously Post Foot/Ankle Surgery CRPS
Vitamin C Strikes Again – ?Prevents Post Surgical Wrist Complex Regional Pain and Obviously Post Foot/Ankle Surgery CRPS | Pain Medical MusingSoaks in Dimethylsulfoxide (DMSO) 50% (diluted horse linament) could help:
Pain. 2003 Apr;102(3):297-307. The treatment of complex regional pain syndrome type I with free radical scavengers: a randomized controlled study. Perez RS1, Zuurmond WW, Bezemer PD, Kuik DJ, van Loenen AC, de Lange JJ, Zuidhof AJ.
The treatment of complex regional pain syndrome type I with free radical scavengers: a randomized controlled study. - PubMed - NCBI

Good luck
Mikem MD
painmuse.org