My RSD started after surgery from carpal tunnal surgery. It spread from my hand, wrist up to my arm then my shoulder. Alison is so right to tell you to keep having her move it. I had to learn the hard way. Mine hurt so bad that I did nothing in the beginning. It was so stiff. I couldn't raise my right hand above my waist. I then went to PT and it was hard work, but it helped. It was like that since March of this year till the end of Sept of this year. I can now raise my arm, but the RSD is still there. I asked my doctor if it spread to my shoulder and he said yes it had indeed spread. Maybe the pain is brought on from her using her crutches?? I can't really tell you anything. Like some of the other's mentioned, get your daughter to her doc. and see what he has to say. Good luck!~Love, Desi