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Reflex Sympathetic Dystrophy (RSD)

Accommodation and Compliance: Reflex Sympathetic Dystrophy (RSD)

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About Reflex Sympathetic Dystrophy (RSD)

Complex regional pain syndrome (CRPS) is a condition described as a chronic pain occurring as a result of trauma to a soft tissue or bone (Type I) or nerve injury (Type II).  Type I CRPS is also called reflex sympathetic dystrophy (RSD) and causalgia. A progressive disease of the nervous system, symptoms of pain and burning can affect one, two, three, or all for limbs.  In extreme cases other or all parts of the body may be affected.  Complications to the condition include depression, anxiety, and atrophy.

Reflex Sympathetic Dystrophy (RSD) and the Americans with Disabilities Act

The ADA does not contain a definitive list of medical conditions that constitute disabilities. Instead, the ADA defines a person with a disability as someone who (1) has a physical or mental impairment that substantially limits one or more "major life activities," (2) has a record of such an impairment, or (3) is regarded as having such an impairment. For more information about how to determine whether a person has a disability under the ADA, see How to Determine Whether a Person Has a Disability under the Americans with Disabilities Act Amendments Act (ADAAA).

Accommodating Employees with Reflex Sympathetic Dystrophy (RSD)

People with limitations from complex regional pain syndrome or reflex sympathetic dystrophy may develop some of the limitations discussed below, but seldom develop all of them. Also, the degree of limitation will vary among individuals. Be aware that not all people who are aging will need accommodations to perform their jobs and many others may only need a few accommodations. The following is only a sample of the possibilities available. Numerous other accommodation solutions may exist.

Questions to Consider:

  1. What limitations is the employee experiencing?
  2. How do these limitations affect the employee and the employee’s job performance?
  3. What specific job tasks are problematic as a result of these limitations?
  4. What accommodations are available to reduce or eliminate these problems? Are all possible resources being used to determine possible accommodations?
  5. Once accommodations are in place, would it be useful to meet with the employee to evaluate the effectiveness of the accommodations and to determine whether additional accommodations are needed?
  6. Do supervisory personnel and employees need training?

Accommodation Ideas:

Situations and Solutions:

The following situations and solutions are real-life examples of accommodations that were made by JAN customers. Because accommodations are made on a case-by-case basis, these examples may not be effective for every workplace but give you an idea about the types of accommodations that are possible.

Events Regarding Reflex Sympathetic Dystrophy (RSD)