Hi all it's been a while since I was on here I think since I was last on I have seen further dermatologists and neurologists and my medication is Amitriptoline gabapentin duloxetine carbamazepine but for the amount of meds I'm taking I feel I am not getting much benefit.I haven't had a proper diagnoses as of yet but suspected rsd erythromilalgia . I have had a skin punch about 11 hours ago to do this I had a local anaesthetic before the punch but now the area feels like an ice burn and still pretty numb but really painful has anyone had a skin punch that can tell me if this is normal and how long should the numbness last.I really hope this is not going to make me worse.