Hello---did you say you live in W virginia still? What does THR stand for? I do (although I hate to admit it to myself) believe you are very correct that my rsd is reinstateing itself. I do have access to a pool so I will start doing exercises that way. I had my left wrist operated on 3/5/09, maybe that has something to do with it flaring up again? I also question if my botox injections could of aggravated my rsd?? I am not seeing a doctor for this--what type of doctor do I go to. The first time I got rsd it was my hand surgeon that sent me to a pain management doctor who gave me nerve blocks--only thing with that was the shots only worked the first 3 times and then it was no longer effective. I am not sure that would be the way to go again?? I am very leery of pain meds--they scare me. I do take ativan occasionally, so maybe I should take that a little more often for now. Oh, what does PM me mean?? I am not very good at the computer lingo yet. I go to John Hopkins for my epilepsy, dystonia & arachnoid cyst, maybe I should call JH to see a doctor there for my rsd or do you think the exercising will do the trick?? Thanks for your reponse---and what days and times are good to call you?? much thanks---hutch