hi,
thank-you for providing the brief history.
As you have RSD I feel you
need a neurologist to perform a clinical examination. Post which there might be a need of the EMG and NCV test.
Since RSD is a painful conditon with severe contracture
deformity there is a way which in my clinical practice is helpful to them.
Like, usually RSD is recommended to a physical therapist for the release of
contractures if they can be mobilized in about say 4-6 weeks of time. Most cases have been mobilised in that period and many have got some mobility of the muscles as well. The physical therapist will use hot water therapy before providing the mobilization of the bones and stretch to the muscles. It will be a painful but has helped regain he normal muscle length. This is a little longer procedure and may give pain but with results. Also TENS therapeutic
ultrasound are used to reduce inflammation and pain in this cases.
In some cases were the contraction deformity is severe there the Neurologist may recommend
botox injection which will losen the muscle fibres and post which conscious
physical therapy and splints are used to maintain the muscle length. post which the mobility of the joints is expected and worked for couple of patients in my clinical practice.
I will advice you to discuss the same with a neurologist as RSD is a treatable condition and you an get out of this pain and
disability factor. Need little patience and understanding about the case and things will work fine.
Regards
Jay Indravadan Patel