Orthopaedic surgeon shares how sitting lifestyles are weakening the bones, causing hidden pain

Weak bones or burning pain in arms can be a sign of CRPS, rare but severe pain disorder often triggered by minor injuries.(Image: Pexels)

With screens becoming the everyday companions, many people are spending long hours seated, barely stretching their limbs. While it may feel harmless, this new lifestyle is gradually weakening the bones and joints. And for some, injuries or even minor sprains can escalate into something far more painful, identified as Complex Regional Pain Syndrome (CRPS).

CRPS is a rare neurological disorder that affects the body's central and peripheral nervous systems. Dr Prashanth Kalale, Orthopaedic and Joint Replacement Surgeon, Apollo Spectra Hospital, Bangalore, tells Moneycontrol, “It usually shows up after an injury—sometimes even a small one—and results in pain far more severe than expected.” Women, he shares, those who are above 40 tend to be more at risk, and early treatment makes a huge difference.

• Type 1, which develops without direct nerve damage and often follows fractures or sprains.
• Type 2, which occurs after a confirmed nerve injury.

Both types bring intense, often burning pain that can take over the affected limb.

The symptoms of CRPS can be dramatic and confusing, often causing fear or delay in diagnosis. Dr Kalale describes the most common warning signs:

• Severe, persistent pain that feels stabbing, throbbing, or burning.
• Extreme sensitivity, where even a soft touch can hurt (known as allodynia).
• Swelling and stiffness that gradually reduce movement and flexibility.
• Changes in skin colour due to altered blood flow—sometimes reddish, bluish, or pale.
• Skin texture changes, caused by poor circulation and low oxygen supply.
• Unusual nail and hair growth, from sudden excess to complete halt.
• Sweating irregularities, either too much or none at all.
• Bone changes, including thinning or, in rare cases, excess growth affecting bone marrow.

Dr Kalale tells, “These symptoms can worsen if ignored, which is why early diagnosis is essential.”

CRPS responds best when treated early. “A mix of physical therapies and doctor-advised medications can prevent long-term stiffness and restore limb function” Dr Kalake tells Moneycontrol:

• Physiotherapy to improve circulation, movement, and muscle tone.
• Occupational therapy to help patients adapt their daily routines and regain independence.
• Graded motor imagery to retrain the brain’s pain response.
• Mirror therapy to reduce discomfort and improve mobility.
• Desensitisation techniques to help the limb tolerate touch again.

“Staying physically active is crucial,” says Dr Kalale. “The more engaged the limb is, the faster the recovery.”

Along with therapy, says Dr Kalale, day-to-day habits play a major role in recovery:

• Manage existing health conditions carefully.
• Avoid smoking, which can worsen nerve damage.
• Exercise daily to keep blood flowing.
• Improve sleep patterns for better recovery.
• Manage stress through mindful practices.