Thanks so much for your insight. So, do I go ahead with the lumbar sympathetic block? If I do get some relief, is that a positive diagnosis? It sounds like the relief is very temporary and more injections will be necessary. If so, how long do you have to wait between injections? As to the physical therapy, do you have any suggestions on specific things that should be targeted? Is ultrasound effective? My ankle is still pretty swollen and sore. I MRI showed that I have a slight tendon tear. The doctor said that it should have healed by now... but it hasn't. So, I have a lot of pain in my ankle. I know I sound like I am rambling, but again, I feel like I am running around in circles.