How long does physiotherapy take to work for complex regional pain syndrome?

Complex regional pain syndrome can cause pain, sensitivity, swelling, temperature or colour changes, and difficulty moving a limb. Physiotherapy aims to restore useful movement without overwhelming the nervous system. Sessions may include gentle range-of-motion work, desensitisation, laterality or mirror-based tasks, weight-bearing practice and functional activities.

The timeline varies with symptom intensity, the affected limb, sleep, mood, swelling and how the body responds after each session. Progress is measured by function as well as pain: opening the hand, placing the foot, dressing, walking or using the limb for a little longer can all matter.

Practise the small exercises at the agreed frequency and keep the movement comfortable and controlled. Avoid suddenly forcing a stiff or highly sensitive limb. Track swelling, skin changes, sleep and activity tolerance so the team can adjust the dose. Coordinate physiotherapy with prescribed pain treatment, occupational therapy or psychological support when included in your care plan.

Seek urgent medical advice for sudden chest pain, breathlessness, fainting, a new cold or blue limb, rapidly increasing swelling, fever or signs of infection. Contact the treating team if pain or sensitivity escalates after exercises and does not settle, or if movement and function are declining. Do not stop all movement without advice, because prolonged protection can increase stiffness.

Ask what level of discomfort is acceptable, how to recognise a flare, and which daily task should be your first functional goal. Clarify how swelling and skin changes will be monitored, when exercise difficulty should increase, and whether another specialist should review persistent symptoms.