The Royal National Hospital for Rheumatic Diseases

Welcome to
the National CRPS Rehabilitation Service and the
Complex Cancer Late Effects Rehabilitation Service

The website resources remain accessible to you at any time. 

We have added a new section containing additional information to support you during the current situation.  This is available for anyone to use – please take a look:   Useful Resources for Patients

You can also contact the team by email:   ruh-tr.RNHRDCRPSteam@nhs.net

Update regarding COVID-19

We are closely following the latest Government guidance on COVID-19 (coronavirus) to ensure that the hospital remains a safe place for our patients.  

Our CRPS and CCLERS inpatient rehabilitation programmes are currently postponed until further notice, in line with current hospital and NHS operational needs.  Our team will make direct contact with all patients who are impacted by this.

We are running a reduced outpatient service with no face-to-face appointments.  This means that your appointment may take place over the telephone or an online video chat service instead.  If your appointment is suitable for a virtual clinic, a member of our team will contact you to arrange this.

 

COVID-19 and CRPS – Advice for patients

Many patients with CRPS may be worried regarding their vulnerability to COVID-19.  There is no evidence of any specific vulnerability for patients with CRPS or chronic pain. However, we advise that all patients with CRPS follow the Government guidelines on social distancing and frequent hand washing diligently.  The guidance changes daily so check the Public Health England website for current advice: https://www.gov.uk/government/organisations/public-health-england 

We will update this page when we have any further information relating to our services.  For the current NHS advice and guidance regarding COVID-19, please visit https://www.nhs.uk/conditions/coronavirus-covid-19

We are a specialist service at the Royal National Hospital for Rheumatic Diseases, with an internationally recognised expertise in pain management and rehabilitation.  We are based at the RNHRD & Brownsword Therapies Centre (part of the Royal United Hospital) in Bath.

Complex Regional Pain Syndrome (CRPS) is a chronic pain condition that often affects the limbs.  It can cause a variety of symptoms, with pain starting following injury to the limb or sometimes for no obvious reason.  We are the national CRPS rehabilitation service for adults in the UK.  Complex Cancer Late Effects can include uncontrolled pain and poor movement due to treatment.  It can also include brachial plexus nerve damage as a result of radiotherapy treatment given for breast cancer in the past.

Our Rehabilitation Service

We offer a specialist rehabilitation service to people affected by CRPS and Complex Cancer Late Effects.  Everyone referred to us is assessed initially as an outpatient before a decision is made as to whether our inpatient programme is appropriate for you.  The services are run by a multi-disciplinary team, with an emphasis on promoting self-management.

The inpatient rehabilitation programme usually runs for a period of two weeks.  You will be part of a group of 6-8 people who are either affected by CRPS or Complex Cancer Late Effects, but the treatment will be tailored to your individual needs as much as possible.

You will learn a number of new skills including relaxation, mindfulness and desensitisation.  Medical involvement is minimal, but you may be seen by our pain consultant during your stay.

We also teach different techniques and strategies to help you manage your condition and improve your level of function in everyday activities.

Our Referral Process

The CRPS and Complex Late Effects services are both provided on a national basis for adults aged 18 years or over.  If you live in England, then this is currently funded as a national specialist service via NHS England.  If you live elsewhere in the UK, then special funding will need to be obtained by your GP or local pain consultant before you are referred.  We are also able to accept private referrals.

Learn more about referrals