If by PT you mean physical therapy:

Yeah I did physical therapy for a few months and it had no effect at all. That's what led me to moving on to a neurologist, because my hand pain didn't seem to come from any obvious injury or strain. PT did not do anything for my hand pain. Trileptal did.

I believe the old MRI showed nerve problems, but I guess we'll see what the new MRI shows. I just can't last much longer like this because weaning off Trileptal is really hurting me.