Aparently there are four types of spread with RSD, Contiguous Spread C.S. (moving up your limb or body), Independent Spread I.S, (to an other area of the body) and of cource Mirror Spread M.S. (across to other side) and Dissociated Spread D.S. (in some areas symptoms without pain)

These were documented in a medical paper done in january of 2000 called:

Patterns of spread in complex regional pain syndrome, type 1 (RSD).
by
Jahangir Maleki, Alyssa A.LeBel, Gary j. Bennett, and Robert J. Schwartzman.

I have the paper but havn't found a free online version yeat to post the link here.

I have one doc who thinks mine is both IS and MS and one that thinks it is CS and MS as do I.

But my doctors are now saying mine has generalized. which means spread throughout my body. And that too is what I think too.
WCB however is still saying there is no spread that it just does not happen except I.S. from another injury.. and they have their docs backing that up, s'a crazy world folks.

Anyway I just wanted to share the spread info if anyone can find a usable link to share this the most wake em up evidence and or just to see what is/can happening when spreading.

I think that as they note in the artical that I.S. strongly promotes the belief that I have always had that RSD has systemic qualitys, mabie some of the syndromes involve more systemic propertys while others stay more regional?

Anyho a thinker fer ya to work on and perhaps help some.. it sure has me.

Sandra,
I believe that this would be the article you are looking for:
http://www.sciencedirect.com/science...2d7af78b84db20

I read it before and recognized it when I read your post.
Many soft hugs,
Vanessa

And here are two other articles that speak about spreading:
http://www.rsdsa.org/3/education/CRP...ad_Stanos.html
http://www.rsdsa.org/3/research/evidence_report_1.html

thanks
that first link you provided is just the abstract of the it, the article is 9 full small print pages long, and it has some enlightening diagrams I believe they want you to purchace the full version on that site too. I am off to look at yr other links now thanks again..

I hope you are having low pain days an lotsa sunshine.

You are welcome!

Yeah- they always want you to buy the full article so they only give you the abstract! I would love to find the full article, because I want to read it/ see the diagrams! If you ever find it online please do post it! Thanks.

Here is the diagram from the Patterns of Spread article

Fig. 1. Schematic drawings showing the three types of spread found in patients with complex regional pain syndrome, type I (reflex sympathetic dystrophy). Arrows indicate the direction of spread.

Attached Images

3 types of RSD spread.JPG (29.5 KB, 266 views)

Attached Files

Patterns of Spread.pdf (152.6 KB, 188 views)