after a torn meniscus surgery in august severe pain and swelling still. took another mri showed another tear but new surgeon states trauma from torn meniscus surgery in august would only make another surgery worse. suggested pain management. pain management injected left side of left knee with kenalog and marcaine, pain was relieved tremendously. today just injected right side of the left knee though told me he didnt think the side mattered as the steroid spreads as long as it is injected into the patella. since my body is weird i insisted he inject the right side the most painful anyway. Now the pain is still there but subsided tremendously. He was not sure I had crps though bone scan suggested it, He was talking about possible synvisc injections in 6 weeks, last resort is an epidural. You see I suffer from narcolepsy/cataplexy and pain triggers off muscle tone loss of total body so even upon inserting the injection I would go limp hear everything but cant move., part of the cataplexy. So an epidural would require intubation as Ive had 5 brain stem ones when I bled in brain in 2003 from an fda experimental drug called ghb to help the narcolepsy, after that was left for 3 years with severe neuropathic pain, nothing helped but morphene, fenatanal, zanaflex and baclofen which i presently take, since this md feels its to dangerous he wants to try the other approach. My question is should i get the synvisc or do another kenalog/marcaine injection and since other leg with a unicompartmental in 2008 now loosened and needs to be done over so i changed to special surgery. this injection should i baby it with the ice and rest.. i know my case is weird. i live in nyc . and presently go to hospital for special surgery as a second opinion as original surgeon didnt know wht it was and just wanted to give epidural in office, and i thought he was crazy.