I remember you from the TOS forum. I know what it's like to have both going at the same time. I have always said that the TOS is as bad as the RSD until they can be calmed down.

I was on Methadone for years and still keep it around for the worst pain. I think it's the best med. I found for pain and I tried them all. Others have some preference of their own.

Lidocaine patches help some. You can put on 3 at a time. I also get triggerpoint injections when needed for the RSD, TOS, and Fibro.

Blocks are good too. I had 3 of them in the beginning and they again work for some but not all.

I would find a good Anesteologist that might do some blocks for you and may have some other ideals for the pain. I don't have a PM Dr. but some here do.

Others will come on here with more help for you. I can't handle the heat either. I actually do worse in the summer then I do the winter.

Ada