Which therapeutic option should NOT be considered for a patient with CRPS type when no sympathetic symptoms are present?

In managing Complex Regional Pain Syndrome (CRPS) type I, understanding the presence or absence of sympathetic symptoms is crucial. When no sympathetic symptoms are present, surgery is typically not advised due to the potential for exacerbating pain or complications without obtaining significant therapeutic benefit.

CRPS type I often involves a neuropathic pain component, and the absence of sympathetic symptoms may indicate that the pain is less likely related to a dysfunction of the sympathetic nervous system. In such cases, interventions that address pain through non-surgical methods are preferred. Medication management, nerve blocks, and psychological support are all viable options. Medication can help manage pain and inflammation, nerve blocks can provide temporary relief by targeting nerve pathways, and psychological support can assist with coping mechanisms associated with chronic pain.

Choosing surgery in the absence of sympathetic symptoms could lead to unnecessary risks, complications, and a possible worsening of the patient's condition, making it the least suitable option in this context.