Hi, Thanks again so much for all your comments and ideas. It is very much appreciated as we try to make the right decisions. We had our 2nd nerve block today. While last week's Stellar Ganglion Nerve Block made the pain worse but did create a warm hand with the droopy face, today's was more successful. For the first time since the accident in mid-Sept, she is able with alot of painful effort to have the tip of her thumb touch the tips of all her fingers. That is a huge success since she has not been able to move two of her fingers. She was also able to sign her name using 3 fingers comfortably. But as each hour passes, she can feel more and more pain returning and getting more difficult to touch the thumb with the other fingers. Someone asked what else she is doing for treatment She is doing physical therapy 3 times per week with a certified hand therapist, ear acupuncture from an acupuncturist who has a personal interest in treating RSD, takes Lyrica, clinodine patch, daily parifin dips or epson salt soak for the hand, and hand exercises throughout the day. One of the most useful things she does when she goes to sleep is wraps her hand with globs of Topricin in saran wrap. This seems to take away alot of pain during the night. Our next nerve block is scheduled for Monday. We are hoping to get a little more mileage out of this one in fear the doctor will stop performing these nerve blocks. Thanks again for all your comments. Jerry