I dont know who told you that but that is not correct at all. Many PM drs will only do 1-3 SGB's. I have seen some paitents however have better controled pain with the SGB's and I personally know a paitent that has had atleast 11 if not more to controle her pain for RSD. And others the blocks dont work at all. Every paitent is diffrent!
As for the insurence, again i dont know where you got that info. My Dr knew i wouldnt do any injections and he offerd right off the bat to go ahead with a SCS and it was not going to be any insurance issue if thats the way i wanted to proceede.
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Originally Posted by NerPain4
I don't think the Pain doctors themselves know exactly why SGB's help CRPS pain. However, it seems to be they are being dictated to by insurance companies, and unless you are Rich as Croceus to be paying for everything yourself, one's medical treatment is somewhat affected by what your medical insurance provider guidelines.
Most Med Ins companies want to see 6 SGB's before they will entertain the thought of a Spinal Cord Stimulator or some other really expensive treatment like a pain pump. It has some positive predictive value that the device would work.
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