Joan,
have you tried compounded cream with ketamine? Many of us use one with various ingredients - mine has ketamine, lidocain and 4 other things. But, I think most people use just ketamine and lidocain. You can use it on more area than the lidocain patches. It has to be applied more often though.

I still work, and my elderly Mom lives with me. So, before work, I have my Mom put 3 lidocain patches on my back where I cannot reach to put cream on. This lasts me the entire time I am at work... then I use the cream on my shoulders and arm in the area I can reach. I can re-apply in the ladies room as needed. If only I did not have to wear a bra to work!!! But I am not a lady who would look very good if I went braless - and I would not feel right about it... especially since I am one of 3 women working in a building with probably 35 men second shift. So, I suffer... but the patches under my bra strap and where my bra is over my worst area makes it much better.

I think somewhere on here, in our old messages we have talked about RSD creams. If not, we should start a thread about it to document it for new members/lurkers. It's important info! Helps a lot! I'm waiting now for new cream with ketamine at 10% instead of 4%.... can't wait!

Jules

(thanks for changing the type.... it does make it easier!! I do use progressive lenses on the computer sometimes too... depends what my eyes are doing at the time. My eyes change with my pain.)