First...if you don't have an attorney then get one. If you have one then get them on it...if they have to take it to court to get them to approve the referral then they should be able to do that. The rules in every state are different...so a lawyer will help you navigate through all the various tricks that work comp pulls.

After several years when I was cleared to go back to work I ended up settling my case with work comp for RSD. There are lots of reasons not to...like continued medical treatment which you won't get if you settle. But in the end it was the best decision for me. Unfortunately I am dealing with work comp again after a fall off a ladder at work in October that has seriously messed up my shoulder.