I appreciate all the advice. Im trying to do as much resurch as i possibly can on my own because ive come to the realization that nobody is gonna try as hard as i am or care about what happens to me more than i do. Its frustrating, sometimes infuriating that there are so many contradictions in treatment/cause. I made a mistake early on when i had the surgicle lumbar sympathectomy. The doctors told me then that it would "cure" my RSD which i now know was incorrect. It actualy made things worse. prior to the sympathectomy i had several blocks done which seemed to help at least in the begining. Not so much in the end. i do use a tens unit. I do aqua theropy on my own but that is the extent of the treatment ive had. I cant tollerate hot or cold only luke warm and mildly cool anything else is intolerable. im going to contact a doctor i found in richmond va at the medical college of virginia. He is supposed to be very good and knowledgable about RSD. Im hoping i can get an appointment with him sometime in the near future. Again i want to thank everyone. Your comments and sugestions are always welcome and appreciated,