hi k. i'm sorry you have been suffering so much with rsd. i have had rsd for over five years and have found that gabapentin and pain meds help me manage my rsd pain a little better. i also take advil and antianxiety and antidpressants in order to deal the the long term constant pain that rsd has brought me. i see a pm dr and psychiatrist on a regular basis to help manage my rsd pain and rsd depression. if i were you i would look for a pm dr experienced in treating rsd so that you can manage your pain better. in the meantime you may want to try little things like warm epsom salt baths, heating pads, and lightweight clothing to help you cope a little better until you find a pm dr to help you. as for ers, i've been a few times and didn't really have much luck but everyone is different. i am not a dr but if i were you and the pain gots overwhelmingly bad then i would go to the er until i found a pm dr. i hope you start to find some pain relief soon. soft hugs.