Hi Mike,

Interesting perspective with the waterfall and ledge attributions. Very symbolic. I have recognized that stress is a major trigger for my flare ups so I was finally able to close my business (a source of major stress) of 23 years. That in of itself was a major stressor, and promoted a flare up. How crazy is that? The stress of relieveing stress promoted a flare up!

For me, the SGB's still are helpfull even after 15 over 3 1/2 years. So looking at Ackerman's study, it would not apply to me since I have type II (more often related to SMP and not part of the study) and started SGB's at 6 weeks post-onset of CRPS symptoms. Any other scenerio would have ended tragically different I am sure. My pain doc assures me that I can continue having them periodically so long as they keep working, despite the literature. So be it.