I have read that it is not uncommon for patients with CRPS to change their pain scale. We eventually get used to some mild to moderate pain. What would normally be a 3 for us is quite often a 6-7 for others. Some PM centers have been using a 0-15 scale for CRPS patients instead of the 0-10 scale that is more commonly used. I do not know if this is still common or not, but it is something that I came across at one point or another.

I can't say that I have ever heard of the pain pyramid, so I do not know how it applies to what I wrote above.

I hope things are going better for you today. Healing hugs