So that is not very much Gabapentin, and unlike the narcotics, you aren't going to build a tolerance to it. So if you can just get someone to prescribe it, you can increase that dosage and likely get more relief.

Its too bad about the SSRIs, as they can be quite effective. Topamax, a med for migraines, can also help.

Its important to get the pain under control as the longer those pathways are reinforced the harder they are to stop. That's one reason why the sympathetic nerve block is so good, it stops part of the process, which keeps the brain from building up those pathways and reinforcing them. The more that pathway is used the harder it is to get rid of.