Have you ever heard of any cases of limited systemic sclerosis being aggravated by physical trauma, such as a fall? I fell backward onto both hands, and fractured my left pinky. The tip of the fractured finger developed painful, thickened skin, like a callus, which I couldn't figure out. Over the next weeks, several other fingers on both hands developed swelling, Raynauds, and ulcers (right index finger severe). In 3 months I was diagnosed with limited cutaneous sclerosis, after never having these issues before the fall.

What type of pain relief were you referring to? Because the usual over-the-counter painkillers do not work with this kind of (nerve?) pain!