Hi! I am so sorry you are in so much pain. I can feel for you though, my RSD is in my left side foot and leg and I now have a pinched nerve in my neck on my left side. I too am having trouble sleeping. Right now on bad nights before bed the doctor has me taking 2 trazodone 50mg, 2 zertec 10mg, vistaril 25mg, orphenadrine 100mg, dilaudid 4mg(will be switched to extended release next visit). This combo has been succesful in atleast getting about 4-6 hours uninterupted sleep. On normal nights I take 1 of everything. They recentley did a sleep study to make sure I could tolerate them with no assistance through the night but have not got the results yet. I also take Neurotin 800mg but I would take it anyway. Tonight I have tried taking only the diaudid and the orphenadrine and I am having trouble sleeping but am home alone so my OCD makes it hard to knock my self out and be able to handle the thought of doing it. If I would just not fight it I would have taken it and slept but have major anxiety at night when alone. Maybe you can find you a good combo too. Have a great night.