Re: I am sooo condused, and looking for help!
Has anyone told you the list of characteristics for RSD? We went to a conference on RSD in 2004. They discussed having a more definitive definition of CRPS (RSD). These are the guidelines that were discussed (I don't know if they have been formally adopted yet). They might give you an idea of whether you really have RSD or not. (I hope not, of course.)
For a positive diagnosis of CRPS:
1. Continuous pain in the region disproportionate to the inciting event
2. At least one symptom (reported by patient) in 3 or more or the following categories:
3. At least one sign (present at doctorís visit) in 2 or more of the following categories:
1. Sensory: Allodynia; hyperalgesia; deep somatic allodynia
2. Vasomotor: Temperature; color change/asymmetry
3. Sudomotor: Abnormal sweating; edema
4. Motor/trophic: Decreased range of motion; skin, hair, nail changes
(Allodynia=pain from innocuous tactile stimuli; hyperalgesia=increased response to painful stimuli)
Diagnosis is made on clinical evaluation, but thermography, Quantitative Sweat Test, bone scan, diagnostic blocks, etc., may help support the clinical diagnosis. Lack of a positive response to SNS block does not mean it is not CRPS.
New guidelines for traditional treatment involve 3 core elements: rehabilitation (including physical therapy), pain management, and psychological treatment.
Hope this helps,