Complex regional pain syndrome (CRPS) is a disorder of the extremities characterized by pain and sensory changes, accompanied by observable findings such as swelling and autonomic, motor and/or trophic abnormalities, and it is classified into type 1 (no nerve lesion) and type 2 (with a nerve lesion). Bilateral or multiple presentation of complex regional pain syndrome type 1 (CRPS 1) is well known. To our knowledge, the coexistence of CRPS 1 and 2 in a patient has not been reported yet. In this case report, a 37-year-old female who developed CRPS 1 in the left upper limb and CRPS 2 in the right upper limb after bilateral fracture of the distal radius, is presented. Turk J Phys Med Rehab 2010;56:34-6.