Hi, @marksholl, and welcome to Mayo Clinic Connect. That sounds terribly difficult that your CRPS Type 1/RSD is very aggressive and extremely painful, and that your pain never goes below 7/10, ever.

Hoping members like @tunajon @barbbie @rsnowflake will return to offer their support with your new CRPS diagnosis and offer any tips or suggestions on this journey. I'd also like to invite @rags @mam14 @cm49ers into this conversation for their insights.

Are you considering telling your pain management doctor that you aren't experiencing any relief with the gabapentin, despite your concerns he could think you are drug seeking?