East coast ...I would suggest out of state. I will hunt some info for you.
My pain dose flare up, I have worse days . the weather affects my pain. stress . some days are hell especially the ones right in a row. I dont know if thats what you mean by waxing and waning. everyone is different. mine is constant numb then flares up with weather, low pressure , storms hurricanes, touching on the area, ... or just cus it wants to be pain monster .
since PNS has helped others I know with, o.n. t.n., bi-lat, atypical a.d. etc... Can I ask why dose it make a difference if you call your pain a.d. . or a-typical ? I myself do not see much difference when it comes to pain. M.S. , R.S.D. , Fibro only the letters are different but that about it.
It is law that you have right for 2ed opinion !! don't settle for going to just anyone. be your own advocate!
PEACE
BMW