Thanks a lot for the info. The DR. I was seeing during my last 3 rounds of PT knew very little about RSD, in fact very little about ankles it seemed. When I reached the point where therapy was no longer helping, I went to him to see what was next. I was told to "deal with the pain and use my cane". I brought up surgery to him and I was told there no ankle operation that can help me, while the majority of my ligaments were torn. Luckly I no longer see him and I am being treated by a very good and well know Dr. He has extensive experience with RSD, said he normally sees a case 1-2 times a month. I will be starting PT soon...I think. I'm pretty worried about it due to the amount of pain I am having. It's been 2 months since my operation and I feel my Dr. is starting to get hestient about refilling my pain meds, for fear of becoming addicted. I have also came across something that I thought was unrelated, but it isn't and thats sleep. For awhile I have been having issues sleeping and staying asleep. I figured it was because of the pain in general, so I would take a pill or 2 before bed (I am currently on oxycodone, I was on oxycotin for the 1st month) I'm not too sure of the dosage right now. But it seems RSD itself my be the problem for my sleeplessness. Is this true and is it something my Dr. can help me with?