You mentioned Ketamine in your ideas of treatment... I have done very well, as I understand your pain, I have had RSD since 98 just as they where trying to find out why I was always in pain vs. just in my head...

I normally live with a pain level of 6 and sometimes I can keep it their with both meds as well a spinal cord stimulator..

What I have done to help me through things is to talk with others, you are not alone... I used to think that, my therapist has an open free session with a group of others just to talk and learn. It is a great help, to help keep your head clear.

My wife and I have worked hard to find out what works and what does not work with my meds and times of day pain.

Here is what has helped keep my pain under control..

7am Cymbalta, Caffeine Pill, 1 Hydromorphone 8mg
8am 2 Tizanidine 4mg
10am Ketamine Oral 100 1ml
11:30 am 1 Hydromorophone
1pm Caffeine Pill, 2 Tizanadine
2:30pm Ketamine 1ml
4pm 1 Hydromorophone
6pm Ketamine 1ml
8pm 1 Hydromorophone
9pm Ketamine 1ml 2 Tizanadine

and if I wake up in pain I have a hydromorophone since I have 1 left based on my scripts.

*** YOU CAN TELL IN THIS LIST WHERE MY HIGHEST LEVEL OF PAIN (EVE) ***



This has also helped me to stop falling as much, when my pain level goes past 10 I normally pass out and fall.