Greetings,

I see my doctor tomorrow 10/15 and i’m curious if anyone has some last minute suggestions on things i should think about or things i should ask my doctor i would appreciate it. He is a CRPS specialists and anesthesiologist, i refer to him as DR. A in the condensed history below. My main concern at this point is getting a clear diagnosis, as it’s still disputable if i have CRPS or not. Seconday is what treatments i should consider; this seems hard to do without a diagnosis so i have put less time into researcing it. Here is a consolidated history of events as best as i can remember them

5/5/2014:
Dropped 5lb on foot. Pain was probably a 6.5/10 pain for a moment then subsided into a 4/10. Iced it in cold water for 5 mins.

5/5/2014 - 8/1/2014:
pain
Driving uncomfortable 2/10
Walking uncomfortable 2-3/10
wearing shoes 4/10
standing 1/10
elevated feet 0/10
Its worth mentioning that i mis-managed by not properly immobilizing it. I wore sandals and altered my gait to not put pressure on the toes.

6/24/2014:
Saw Dr. K (ortho). Diagnosed with fracture in 2nd digit. Later i would learn their was a slight fracture in the 4th digit as well.
Ignore advice to get post fracture shoe until 8/7/2014

8/1/2014 - 9/3/2014
No work,very little driving, was able to elevate foot much of the day
This is when i can first recalled the redness, warmth and tingling 1/10 in toes.
Walking would result in throbbing
elevation would alleviate symptoms.

9/3/2014
Saw Dr. K, he suggested it might be CRPS ordered bone scan and referred me to dr. E

9/10/2014
Bone Scan results: no evidence to suggest rsd.

9/3/2014 - 9/13/2014
Tingling decreasing, warmth and redness seem to steadily decrease in severity and frequency. I would get about an episode a day.

9/13/2014
Dr. E (ortho) diagnosed with CRPS.
I have a Nerve block done
steroid kenalog -10. hcl percent.
I recall a feeling of warmth in toes immediately after nerve block

9/13 - 9/17
toe no longer tingles
very infrequent light shooting pain 1/10
walking would result redness and warmth in toes

9/17/2014
see Dr. A (anesthesiology, CRPs specialists) he remarks that he isn’t sure about a diagnosis of CRPs and wants to see me in two weeks. orders lidocaine patches.

9/18/2014
Dr. C ( another anesthesiology and CRPS specialists) diagnosis me with CRPS and suggests lumbar nerve block and Gabapentin

9/18 - 10/6
Symptoms: typically show up later in the day.
Redness and warmth 1/10. About once aday, no longer connected to walking.
very infrequent shooting pain in leg 1/10
Odd night time pains that decreased over time i believe due to therapy (walking, stretching)
one episode of toe vibrations after some steped on foot.
some insomnia due to anxiety
right toes might be sw
Activity (no of which caused pain or symptoms increase)
moderate weight lifting: dead lifts squats and benching (attempted twice)
light jogging attempted once
walking daily
toe temp: using an infrared temp gun i kept records that show that my right foot is on average 1.8 celsius warmer then the left, though it can get upto 6 celsius.

10/6/2014
Dr. A does a superficial peroneal nerve block

10/6 - current
Symptoms: show up more often later in the day
redness and warmth 1/10
3-4 days of slight muscle twitches no pain, just uncomfortable
3 days of a dull ache alongside the foot. Possible connected to some trauma ( I stepped on something) or due to self therapy.
1 episode of shooting pain, 1/10
very very infrequent tingling which went away.
red rash on elbow (developed 10/11- current) 0, inflamed (red, warm and swollen) itchy, dry skin 1/10 (nurse said it looked like eczema). I’m currently using neosporin to mixed results.