I saw my neuro last Thursday and she did an occipital nerve block there in
the office.  It wore off in about 6 hours.  She also ordered an EMG of my
ankles to rule out tarsal tunnel syndrome (like there's any doubt!).

I had a more productive visit with my RD this morning.  She put me on a
dose-pack and we are probably going to be adding Arava.  She wants to see
first if the dose pack takes care of the flare (not likely).

The hammer-toe deformities in my right foot have gotten a lot worse, so we
are also going to be revisiting surgery.  I am going to hold off as long as
I can.  You old-timers know that my left foot was a surgical disaster.  I am
in no hurry to repeat that mess.

And, my sleep specialist agreed to lower the pressure on my cpap now and not
wait for the study.  So I am hopeful that a good night's sleep isn't far
off.

Progress at last!  So, here's my question.  What should I expect with Arava?

Walt