welcome purple. sorry you have rsd but this is a great group to be a part of because you will get plenty of great advice, caring and support. i have had rsd/crps I for almost five years and tried blocks the first six months. they didn't help much. i am on similar meds as you are now. gabapentin (neurontin) 600mg 4x daily and strong pain killer but with 5/325mg instead of you 10/325mg taken as needed. i don't know what elavil is but also take antidepressants and antianxiety meds to help me deal with the constant pain from rsd. as for scs i don't want to even consider that unless its a last resort. my neurolgist and gp said not to do it and my pm said to do it. i decided not to do it because i was told there could be complications like infection if i tried it and i didn't want to take the chance on getting worse or getting spread if the odds of it helping were like 50/50 if that. i am not a dr but this was my decision. everyone is different and has different opinions and what works for one doesn't always work for the other but the meds are helping manage my pain for now so i'm sticking with them. i hope you find something that helps manage your pain better soon. maybe you need to increase the neurontin (gabapetin) and pain killers. that helped me. let you dr know that if you want to try it. sending soft hugs your way.