I'm definitely repeating myself in part from other posts, but here is why I have an issue with what EA's anesthesiologist stated, the skill of the doc, and the meds used can make a huge difference. Those with suspected SIP can receive Depro Medrol as a part of the cocktail, and this can help. I've experienced blocks done poorly, I've experienced blocks done well technically (with and without Depro Medrol) and the DM made a difference of a day's relief as opposed to 3 weeks relief.

Just because the trend is going away from blocks with certain experts, it can be one of the few options offered to many that don't live near someone offering newer treatments. Insurance will approve blocks. If someone can't go out of pocket in the critical early stage window, this might be one of the few options for them.

I also trust a few of my docs that claim they have had success when they've done blocks early and aggressively. I personally think I'm long past the stage that they'll help lessen my symptoms enough to justify them alone. But, a SGB helped me get through surgery without spread. And I have substantial enough relief to have my doc requesting a tandem of SGB and a Ketamine Infusion.

Those of us that have had RSD for a lengthy period are without question those that have had the worst response to treatment. The RSD experts often see these worst cases. So, the same approach is not always required.