skip to main content

Complex regional pain syndrome — FRCA Final MCQ

Instant feedback + full explanation. One question, done properly.

HardPain MedicineComplex regional pain syndromeFRCA Final

A 36-year-old woman has severe burning pain, swelling, colour change and reduced movement of the right hand three months after distal radius fracture. Pain is disproportionate to examination findings, and she is fearful of using the limb. What is the most appropriate pain management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Start multidisciplinary rehabilitation with neuropathic analgesia and psychological support

The features are consistent with complex regional pain syndrome, where early rehabilitation, desensitisation, psychological support and neuropathic analgesic strategies are central. Immobilisation and avoidance reinforce disability. High-dose opioids are not the core treatment and may worsen function. Early explanation and active limb use within tolerance improve outcomes.

Reference: Faculty of Pain Medicine CRPS guidance; NICE CG173 neuropathic pain