<s>[INST] I have RSD/Crps. Had for 13 years I watch the shows no one every talks about this topic. I have did an experimental I was in a ketamine comma. my whole body has it. I have a spinal cord stimulator. what are your thoughts about this illness. I can t afford to pay for an answer. So no matter what I hit blocks everywhere I go. they all want money I don t have. I don t even have a car. can t afford one. just pass this on to Dr. Phil please. thank you Gwen Ramsey spencer,oh [/INST] 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 condition 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 mobilized in that period and many haves 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 is 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 these cases. In some cases were the contraction deformity is severe there the Neurologist may recommend Botox injection which will lose the muscle fibers 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 a couple of patients in my clinical practice. I will advise you to discuss the same with a neurologist as RSD is a treatable condition and you are a get out of this pain and disability factor. Need little patience and understanding about the case and things will work fine. Regards Jay In Chat Doctor.  </s>