First nerve block, now what?

[nypain]

I have been suffering from PGAD, numbness and tingling, vulvodynia, and muscle spasms of the butt and vulva since May 2021. Tried treating with pelvic floor PT, vaginal dilators, vtizanidind and NSAIDs so far. I had an X ray guided nerve block last week. The numbing agent worked for about 7 hours and I was able to sit and wear jeans comfortably. I believe the steroid kicked in about 3 days later, notable decrease in PGAD but still with the other symptoms and unable to wear normal underwear still.

8 days later and the spasms are notably worse and the PGAD is returning. Is there ANY chance that I’ll experience improvement from this block or no? Additionally, in my shoes, what would be your next course of action? Medication? Botox?

[nypain]

Update: now I have even worse pins and needles and PGAD on the OTHER side and no one here has any answers