Hi there, I was wondering if anyone has had any of the above treatments and whether they've been effective. I have been on pretty much all of the medications: amitriptyline, pregabalon, gabapentin, tramadol, lidocaine patches etc and none of them work. I have flares constantly, I rarely sleep and am really at the end of my ability to cope anymore and I'm starting a new job tomorrow which scares me but I need to work. I've been re-referred to pain clinic which will take about 3 months waiting before I see someone. I lost faith in them as they only offered acupuncture which I've had a lot of and no effect. I feel since I've had it since 2008 it's been ages and getting worse. I've seen specialists who say they won't go down the road of injections (don't know why, memory shot). Feel I've been fobbed off for too long and told to do self-management. It just isn't working and the quality of life I have now is really poor. If anyone can offer any advice based on their experiences, I'd be really grateful. The pain is in my right hand and travels up to my shoulder. Thanks.