Hi Karen - as I recall, you have a lot of same symptoms as me - RSD of the upper extremity, the cervical spine, with bouts of severe head pain if I used my arms. my RSD eventually ended up in the occipital area of my head and my right leg.

I tried both Neurontin and Lyrica (the newer form of Neurontin) before going on Topamax. Topamax has been amazing for my head pain. It is often used for migraines. Even though I am in approx 80% remission from my RSD from monthly 2 day ketamine infusions, I still find that Topamax is extremely helpful.

Neurontin and Lyrica seem to be the most commonly used for RSD. They have a LOT of side effects, like weight gain and grogginess, check them out by googling them.

I take 60 mg of Cymbalta along with 200 mg of Topamax and .30 of Clonodine a day on a regular basis. As needed meds include Fiorcet, oxycodone, and an occassional Frova (a triptan for migraines). I really hope that this helps. Like I said, your symptoms were very similar to mine when I first got sick....

Good luck xoxo Sandy