Usually, the onset of RSD manifests in injured upper or lower extremities; hands, wrists, arms, shoulders, legs, knees, and ankles. Although some children develop this syndrome after an injury to a limb, onset is more likely to occur between ages forty and sixty. However, the onset of RSD, can occur at any age. For unknown reasons, women develop RSD, much more often than men.          

Though many physicians who specialize in the treatment of RSD, have differing opinions, on this topic, it has been said that RSD/CRPS often progresses in three stages-ACUTE, DYSTROPHIC, and ATROPHIC. Even many patients have varying opinions, as to whether or not the progression of this syndrome, is really that cut and dry. One extremely important bit of information to remember  is, that no two RSD patients are  exactly  alike! Yes, we have many symptoms in common. However, when we experience these symptoms, or whether or not we experience all of the same symptoms, varies greatly, from patient to patient. This one fact, causes it to be extremely difficult to treat patients with any level of consistency, from Dr. to Dr., and patient to patient. For example, in the Acute Stage, which is said to last between one and three months, some patients may experience extreme burning pain, swelling, and sweating, while other patients may not. Also, some patients may experience an increased sensitivity to touch, increased hair and nail growth in the affected areas, and, color and temperature changes during this stage, while other patients may experience these symptoms, but not during what is called the acute stage. During the Dystrophic Stage, swelling and constant pain, are said to occur during this stage. However, these  symptoms can be experienced, during any of the three stages. Atrophy and muscle stiffness, have also been placed in this stage. During the Atrophic Stage, it is said that patients experience more muscle  stiffness in the affected region, as well as noticeable changes in the skin, in the affected areas. Again, many patients experience the aforementioned symptoms, however, not in the order assigned to each stage. The next article in this category, will be titled, “Does RSD Spread?” Feel free to ask questions, or add a comment, to this article. If you have a story to share, feel free to tell us about your life with RSD. May God bless you today, and everyday! I still believe in miracles!