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[Chen, Yan NP; Kelly, John MD

Yan Chen is a Nurse Practitioner at The Washington Home and Hospice, Washington, DC. Dr. John Kelly is a Neurologist and Chairman at the Department of Neurology at George Washington University Medical Center, Washington, DC.

Reflex sympathetic dystrophy (RSD), also known as complex regional pain syndrome type I (CRPS I), is a chronic condition characterized by burning and aching pain; hyperesthesia and allesthesia; motor disturbance and soft tissue change; vasomotor and autonomic changes; and psychosocial disturbance. 1 Early signs and symptoms of the disease usually include inflammatory signs in the affected limb and muscular paresis with easy fatigue. 2

RSD can be difficult to diagnose and often requires excluding other conditions that produce similar symptoms. A thorough history and neurological examination is important for accurate identification. During the examination, the practitioner may notice that response to ...
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