@tkubby This could just about be my story! I was reading through and kept going back to the beginning to see if I had originally written this. The only difference is I went to Bastian's clinic and Mayo instead of Cleveland. Tramadol has been my savior for about 25 years. Haven't tried the Botox or the the cutting of the nerve but have done nerve blocks done with little improvement. I hope something new comes along soon! We've been waiting for the "miracle drug" to be approved for years now but it keeps getting rejected by the FDA. Maybe some day...