He does hot baths daily, sometimes twice daily, and it helps a little. We saw a pain specialist at OHSU, and he was the one who suggested trying the different anti-depressants. We were hoping he'd be a little more out of the box, and the meds he suggested didn't do anything.
Our biggest improvement has come from a doctor that is in the Boise, Idaho area. He spent 30 years as an anesthesiologist, and when his wife started having nerve pain, saw a huge need for non-pharmaceutical pain care. He opened up a pain care clinic that is strictly non-pharmaceutical. He's licensed in a couple different types of acupunture, he's on several boards, and most importantly, does this technology out of Italy called Nerve Scrambler. He's one of a handful of providers who do it, and the idea is the locate the nerve that is sending false pain signals, interrupt the channel, and retrain the nerve to fire properly He has little patches, electrodes, that he moves around, and then tweaks the strength of the electrical pulse. Michael says when he's dialed in properly to the right nerve path the pain goes away completely. The idea is that the doctor doe daily treatments for several weeks, and ideally, each time a treatment is finished, it should take longer and longer for the pain to return, until it stays gone for 48 hours. We've never hit that goal, but when Michael started the therapy back in September, he was on Norco, Gabapentin and one of the anti-depressants. He was a mess - slept all the time, barely worked, and looked terrible. Within a week or two of nerve treatment he was off the gabapentin and norco, and weaned himself off the other one. So, it did make a difference. We recently found out that Oregon Medicaid may start covering the treatments!! We had to take a break over December/January because we had terrible weather, and because we couldn't afford it! The first couple of months the sessions were $300 each, and the doctor knocked it down to $150. Even so, it was expensive. GREAT, great doctor though - the first one to take time to listen to Michael's symptoms and really try to trouble shoot and solve the issue!