I too have SCS and take dilaudid. It does take edge off but not always in a bad flare. Try warm Epsom salt soak right before bedtime. May calm you down enough to sleep for a bit. Also I use a ton of Arnice salve. You can buy it online cheep at Walgreens.com. It has a natural anastetic and also calms me down, Check it out. I have lots of RSDers using it.Hope this helps-Fondly-Carol