I have parkinsons and my doc thinks I am getting dystonia in my shoulder/neck area. My doctor wanted to give me botox shots in shoulder but my insurance co denied the treatment. I'm not sure what doc said in his appeal letter, but with the appeal letter I was able to get coverage. It was nice that my doctor wrote the appeal for me. I hope with an appeal letter you can get coverage from insurance.
I just got my injections today. He said they would start taking effect in 2 days and would peak in 2 weeks. After about 2.5 months they won't be as effective. I will have to repeat injections every 3 months.
I sure hope they work, am so sick of the shoulder pain and tight muscles.
I wish you well.