Heather...thank you for the ideas. Unfortunately I have NO pain management MD at this point. There have been a few disasters. Providence Hosp does have pain management and has dealt with RSD, but they are not taking anymore workman's comp cases (and I work for their healthcare system). Dr Linninger is a new name for me, but someone mentioned Dr Whittenberg and they are in the same office. Someone that had been there left bcause they couldn't do all she needed (including SCS). Guess I will call and ask more questions.as for the block making symptoms it is just that. Pain spread more severe all the way into shoulder thru elbow and lots more swelling, less movement of hand/fingers. OT said another flare up. This was May 30 and I am still not back to the place I was in. I was told by a few that another block could cause worse symptoms. So trying to figure where to go from here....