Very hard to describe but I think, in retrospect, most of my pains were nerve/neuropathic pain, not congestive. My left epi does seem to me to be tender, but every uro that’s examined me in the last two years has said it’s flat and not filled up compared with others they’ve seen. All 3 uros I’ve seen believe my pain is nerve related. Nonetheless, I don’t regret having the reversal back in 2006. I was pain-free for nearly 9 years.
Based on what I’ve read, reversal is best prescribed when the pain is centered in the epi’s.