I am in FL as well (Palm Coast, north FL south of Jacksonville). I have been w/o occurrence for almost 2 years (heaven) Unfortunately, it has returned worse than ever. The only thing that worked for me is a prescription doxepin cream (I believe it is an antidepressant cream base that penetrates to nerves). My insurance does not pay. I have had injections, all OTC topicals, PT, acupuncture, etc. this is the only thing that seems to work. I am a Mayo patient. Thinking of going back to my pain mgmt doc at Mayo to see if anything is new. I feel mine is definitely related to the stenosis in my neck. I would be Interested in any clinical trial