Update: the doctors confirmed my fears - the CRPS is worsening and progressing. It's moved into my ankle. The pain is better managed than it was before, but it's not really the yard stick since meds are just stopping me from feeling the pain - not stopping the pain itself. The fact that my foot is now cold all the time and that there are significant skin and nail changes indicates the disease itself better. My orthopedist, pain management doctor, and my new PT all agree that I need a nerve block, so I'll be doing that in a few weeks. In the meantime, I'm hitting this condition with everything I can -acupuncture, chiropractic, medications, therapy, relaxation, meditation, and PT. Most important, I'm trying to stay positive. Want to follow my journey? Check out my Facebook page*edit*