@confused1955, I have a severe case of sfn and Erythromelagia in my feet. I understand your pain all too well. If I take a shower I am in agony all day from the warm water. The meds I take don’t work well, Gabapentin and Amitriptyline. There are many days I wish that I could be on a morphine drip because of the agony. I have not been given any kind of narcotics for pain management. The doctors want me to wean off the amitriptyline and try Cymbalta. I don’t think I could stand the weaning off period because the pain is at a 10 now for a good part of the day. I feel so awful for my husband and family because it’s not fair to them. I’m not functional any longer and I live in fear. Do you have CRPS in both hands? My feet get cold and hot and red, and when they are hanging down they turn purple. I have to keep them elevated most of the day. Do you have twitching in your hands? My left foot twitches all the time. I’m so sorry and I know how difficult it is to endure.