Do I really need this and will it change the outcome of my treatment? I was told that I would need a skin biopsy to see if I have neuropathy affecting the small nerves. I had reservations but now I've read what the biopsy entails, I'm even more horrified.

Local anaesthetic does not work for me at all and as a result, I've had some very traumatic procedures. Earlier this week, I saw a specialist in autonomic neuropathy who asked about local anaesthetic and said it's very common alongside my Hypermobility Syndrome diagnosis to experience what I describe.

I don't want to be awkward but neither do I want to cause myself distress and trauma. I have a history of....unpleasant things happening to me. I tolerate most things but I draw the line at having a procedure where the anaesthesia is not effective.

Just after some advice please. Thank you.