I have had numerous nerve blocks and a few differnt medicines. yes i do work and yes its very hard. Some days better then others. my hand swells and the burning pain gets worse by the of the day. Lots of pills. I received a letter from the company I work for telling me my time of being off had ran out and my job was not secure no more. I do not have any confidence in the doctor im seeing. I have a emg scheduled next month and am scared that it will flare. I did the pt until i went back to work. I was told by my doctor that eventually I would not be able to work and the use of my hand would be nill. thats when I made a appointment at mayo. Getting a appointment was challenging but I didnt know where to turn. I hope the they have a rsd doctor.