Being brutal, is not my idea of therapy. I am not having surgery because of the chance it would make my condition worse. I would not allow such treatment of my own body part, as I am in enough pain as it is. I hope some others jump on here with an opinion or two. RSD hurts, I have never heard of anyone on this site being forced into this kind of therapy. I do wish you all the best. I hope you can find proper treatment. ginnie