Tina, I feel your pain. I have been that desperate. Sympathectomy doesnt work when you have SIP which i am sure you have. This means the brain has found other paths so cutting the nerve wont help. Amputee, especially after living with pain for so long will have a risk of phantom limb pain and risk RSD spreading worse because of surgery. I agree with Loretta, there are so many different combinations of meds. I, with my pmdr. have changed one at a time and found Elavil helps me to finally sleep. It is time consuming but its worth it to find just what works for you. Hot water therapy has really made a difference with my mobility. Psych relaxation techniques and learning to let go of the fear and living in the moment has helped. He has also recommended books like, full catastrophic living or nothing special living zen.
hang in there. momof4