I agree with Nanc. I think that maybe you should find another dr if your current dr doesn't think rsd can spread. It can spread. Mine has spread and my PM dr has confirmed it as well as my Endometriosis dr and Rheumatologist. I didn't need them to tell me though, because I already knew. It's a feeling of pain that I've never felt before in my life and it's horrific. Plus I have outward symptom. Excessive hair growth on my arms and swelling in feet with redness and burning skin with a deep aching vibrating pain that goes deep into the center of my bones. I can't move until the pain pills kick in. I lie in a ball in bed until they start to work because it hurts too much to move. A good PM dr should know about RSD. My PM dr knows more about RSD then my neurologist I now think. So keep searching for a dr who knows it spreads if this one doesn't get that. It is not in your head and no psychiatrist can help take the physical pain away. A PM dr can prescribe the meds you need to deal with the physical pain. A psychiatrist can help deal with the mental pain we suffer from RSD with meds too. I see both and they help alot. Good luck and take care. I hope you feel better soon. I will pray for you.