MarriedtoRSD, I'm in Colorado and my monster lives in my left arm, shoulder and neck. But, I think it has found and old injury of my lower back to set up shop in as well. As far as the blocks, the first block didn't do so well. The second block was okay for about 2-4 days, but they were not consistant days (if you know what I mean). I'm on xanx, lexapro, ultram, trazadone. PM took me off the Amitripiline, and they have put my PT on hold until my blood pressure is controled. I say, RSD effects the blood pressure, and so does pain...so good luck with that...LOL. My PT advice was to relax, and not to get into too hot of water because it can raise my blood pressure. I can't win for losing.