I do know what you are experiencing. I have a bad ankle condition, the foot broke down, arch, tendon tears, achilles problems etc. I have RSD or PN on top of this structural problem. I was just advised not to do the surgery to correct my ankle, which I had gone for a second opinion for it. Now I limp around, and there is no help for it. The ortho doc. said not to do an incision on a limb that has RSD, as you could wind up with greater pain. This is what happened to me. I suppose each patient is different. I take pain killers, and I suppose now, that is going to be the best I can do to help myself. Its lousy, no doubt about that, and I am sorry you have TOS, with the RSD. Have you gone for consult about it? What are your doctors telling you to do or not to do? Keep in touch. I will keep you in my thoughts and prayers. ginnie