Hi Lisa--yep--ALL EIGHT symptoms, and they "MUST be CONCURRENT".
Never before has such STRINGENT criteria been applied--and this is especially aggregious if you have a WC claim in California. Thanks to SB899 and all the "cost cuts", diagnosis and treatment must adhere to AMA Guidelines and ACOEM Guidelines. IWs who have been dx'd with RSD by their Primary Treating Physician are inevitably sent to either an AME or QME, who will, of course, say that the IW does NOT have RSD....so the IWs treatment plans get YANKED by the IC...

NOWHERE in the scientific literature, EXCEPT the AMA, does a patient have to have all 8 concurrent symptoms; just symptoms "AT SOME TIME", because, as we have all found out, the symptoms can "wax and wane", etc., and this is especially true if we have been FORTUNATE enough to get some APPROPRIATE TREATMENT!

And--according to the AMA, a good response to a Stellate Block is "no longer the Gold Standard" in CONFIRMING the dx of RSD!!!!

Its ALL about MONEY--as we have found out, treatment for RSD is VERY COSTLY--the Insurance Co's DON'T WANT TO PAY--so the cost is "shifted" , eventually, to either PRIVATE medical coverage or MEDICARE (who, by the way, does NOT apply such strict criteria, and you don't need "pre-authorization" for TREATMENT)....

And, if you were unfortunate enough to get injured in California AFTER SB899, there is a NEW Permanent Disability Rating Schedule, and guess what? Since "pain is subjective", RSD is "not ratable"; the MOST you can get is a 3% "pain add-on"...

Pretty INTERESTING.....