I'm beginning to think that sometimes you will just have to live with the pain. I'm seeing my 8th doctor who is "Mayo trained" but have yet to get any relief. When you get to a certain age, it can be difficult to get to places like Mayo. That 4 hour drive seems too much although we both drive and have serviceable vehicles. We have no family whatsoever so we are in a bind unless we can hire someone to drive us. That will be difficult since it will be an overnight trip.