All,

I am having trouble locating my labs, but if all else fails I have a follow-up with the Podiatrist next week and will get copies.

mrsD, thanks for the Vit D info. I am now taking 2000 IUs daily. It looks like that will be a safe value. I tried an epsom salt soak last night but it is too soon to say if it will help.

glenntaj, thanks for the explanation on Length-dependent die-back. It gives me additional impetus to find a root cause. In particular, there is a strong history of maternal diabetes, so I want to be sure this is not somehow related, even though I have had my glucose levels checked twice in the last few years.

daniella, thanks for the symptoms. I sure hope I don't get those if I have to go to such a high dose. I am now going to a pain center. My main doc is an anesthesiologist will do what I believe is a sympathetic nerve block, because she said it might 'reset the sympathetic nerve chain'. She is the doc that was please I was taking B Complex and conceded 'no one knows what is the right levels'. It is also under this doc that I am taking the gabapentin. I'd say the 100 mg/day worked for about 2-3 weeks until we upped it to 200 mg/day. Its felt like it might be working for the last few days so we will so how long this lasts. So I guess I am proceeding the same way: meds first then nerve block. Glad to know that is how someone else has proceeded. I am okay with that for now.

DejaVu, thanks for the tip on inonic fizz magnesium. Where did you get it?

I also forgot to mention I tried LED light therapy and a steroid injection back when of course they thought this might be a mechanical problem. Neither did anything.

Finally, who orders a skin punch biopsy, and who should I speak to about RSD?

More to come...

Once again, thanks for all the great information. I am saying a silent prayer that your pain will be blunted, temporarily abated or even stop soon.