Yes no mention of blocks here, because I havent had any!! My RSD was caught extremely EARLY...Within a month and a few days of having it!! I have been on Neurontin since then..My Dr says with proper medication and aggressive physical therapy that I wil head into remission...Blocks are an option if this doesnt work for me, we have discussed this...He wants to try other things before giving me the blocks, to him that is a later resort!! Every Dr has their own treatment plan for every individual...As far as me being able to massage the sites, I was only able to massage my left lower wrist/arm area, when I was having some minor burning/stinging/shock type sensations in that area..I do not have RSD in that area, I was diagnosed with the RSD in my left lower leg/foot...Where I massaged the area I believe I might be having it spread, but thats not where it orginates from...If I was to even try and attempt to massage my left lower leg/foot Id scream like a little kid, there is no way Id be able to do it!! I was just writing asking if RSD can spread and how fast...The places in my body where Ive been having burning/stinging/shock type sensations have been yes been tolerable, but still hurt..I never had these sensations EVER before I was diagnosed with RSD...So either the RSD is spreading or I agree it could be stress, but having the same type symptoms all over my body and its been continuous every day since then??? Hmmmm...