How frustrating!

I am not sure where the disconnect is here. If you had 5 blocks ANYWHERE and your insurance received claims on them, then they already know you tried that. The facility should be irrelevant. Getting more than 5 if they are not working is unreasonable. Was it just the doctor who said you needed more or the pre-auth people?

Further med trials also seem unreasonable to me unless it is a med you want to pursue. This sounds like an issue of documentation. It should be written in your chart that you have tried meds and blocks. End of story. If they need records from your other doctor to accomplish this, then get those to them. But Typically your insurance doesn't even receive the notes unless something goes to "peer review".

I didn't have to do any of this. I had tried two medications and had either side effects I didn't like or inadequate relief. Trying another med was, in my doctor's opinion, really up to me. I never had any sympathetic blocks at all because I just didn't want to. My insurance didn't put up any roadblocks to my receiving ketamine. I am on a regular old commercial United policy, no bells and whistles.

You can always call your insurance yourself and ask what they require. I have done this with my policy and actually found them to be quite helpful.

On LDN, it seems to be a whole other animal. Sometimes neurologists give it or more "holistic" type MDs or DO doctors. You could call your local compounding pharmacy and find out who is prescribing it.

I am sorry you left your appointment crying. I have done that plenty of times. It is never fun. As if there is an infomercial on LDN or anyone's CRPS limb looks the same all the time. That's hilarious.

Keep after 'em till you get what you need!