Thanks for your reply. I have tried & continue to try Physical Therapy. Also tried acupuncture, Bowenwork, TENS unit, Egoscue method of excercizes, sympathetic nerve block, meditation and of course medication. Take low doses of Neurontin, Baclofen and Tramadol as well as Ibuprofen. Had been on Cymbalta which caused short term memory loss, impulsivity and anger! OMG! My pain doctor offered a spinal implant, but I want to wait until the "science" is better on this invasive method. I hope your pain is bearable. I had to retire as an RN because of my ankle. But from the ankle patients I remember: some had ankle fusions that provided pain relief and could even walk normally, while many others continued to have ankle pain and used splints and/or walkers or wheelchairs. Have resisted anti-depressants because of my bad experience with Cymbalta. Anyone with thoughts or experiences taking an anti-depressant for CRPS?