EnlightenMe, how old is your neurologist? The first one I had was in his early fifties and kept forgetting why I was coming to him. He thought I was only being treated for headaches. My new doctor is very young and he understands much more. He realizes that the size of the syrinx can change daily, even hour to hour. He told me that there is an overall trend that he continues to watch, but my symptoms will vary according to the size and location of the syrinx that day or hour. I have found out that I will have a bowel control incident, if I have picked up one of my grandchildren the day before. But my syrinx is getting smaller in general. As far as the pain goes, gabapentin helps block nerve pain and is not narcotic. It is hardly toxic to humans and I am almost unable to walk without it. I am like Gabrielle, my legs feel like lead with out it. It also makes the pain bearable most of the time. I take the largest dose allowed. You are going through what we all go through. Because our symptoms come and go, change from one thing to another and affect so many parts of our bodies, it is easy for the uninformed to write us off as someone with mental issues. So far, that hasn't happened to me, but I know it has happened to many others. I am so sorry for your pain and lack of finding a knowledgeable neurologist.