Thanks for your post... She definately has CRPS - the glossy skin appearance, difference in temperature, the pain out of proportion to the initial event (OOS with typing), the swelling after even the most mildly active movements is extreme hense why I'v gone with the GMI stuff. She isn't actually too kineseophobic - she continued to work and has never really given the limb a chance to be passive... she's a bit of a workaholic!
Thats my fault for not fully giving a patient history... thanks for your reply.
You raise a valid point though and I will look at her neck, it's something I haven't done, and as you never know it may be a neck based problem that i'v missed. thanks again.