Wow, so glad you got into the PM dr and I think its wonderful he is interested enough in you as a patient to try and help you. That alone has to give you some relief. As I was reading about the appt and all the first thing that hit my mind was RSD. I remember when RSD first hit the medical community back in the late 70's. No one knew what it was, no one knew how to treat it. Some drs said it did not exist and I remember ins companies not wanting to pay for any treatment because it was so new and known. It ws something usually a physical medicine dr attempted to treat. It was as complex then as it is now. I worked for attys that handled worker's comp cases. The RSD that showed up in our clients was after a surgery, or some type of trauma generally to a limb, hand or leg. One gal had knee surgery, no big deal, developed RSD in her leg and lost use of the leg. Saw many get it after having carpal tunnel surgery. The patients skin had changes in temperature that was documented, the skin would be very shiny and sometimes really red and they always had incredible pain. Drs,. used xrays called thermograms in dxing some of this. I cannot imagine the type of pain you are having.
Lets hope the the ESI help with your problem. They have been used alot in RSD and CP. Some people have results from them and some don't. There really is no way of knowing if it will help or not unless you try them. Another ting he may consider is the R/F of the nerve, I had it both on my neck and back. It worked on me very well. They usually say maybe they work 6 months to a year, but some have had longer results. But, again like PA said, they have to idnetify the nrve causing so much problems. I do know you like working and do not like to miss-please talk to the dr or nurse on when you can return to work after having the ESI. You need to give your body a brake sometimes.
Ok, now that you have the pain dr on your side you can next work on finding you a good PCP and thumb your nose to that other dr....Susie