Thanks everyone. This is really helpful. My X-ray showed osteoarthritis, which I already knew I had but it was never this painful of persistent. It may have been caused by having my hand in the brace for a month. It is still possible that I was having a carpel tunnel problem, which the brace took care of, in exchange for getting an aggravation of my arthritis because of the immobilization. I don't have any swelling in my hand, which is the biggest difference from my foot.

So my primary is sending me back to the orthopedist to rule in or out crps spread and possibly have a cortisone shot for the arthritis. And then if the orthopedist thinks it is crps, I'll go back to the pain interventionalist for the stellate block. I am happy that there is a plan. I hope that it will be much easier and faster than with my foot, which took months to diagnosis and going from one type of specialist to another.

I really trust the pain doc who would be doing the blocks. He did a great job with the lumbar blocks, and I got a lot of long term benefit from them, just not complete remission.

In terms of TOS, I think I will bring that up with the orthopedist. I haven't had any other symptoms, however, so hopefully that will not also be an issue. But thanks for mentioning so I know to ask.