I'm impressed by your understanding and self-awareness. Being young, I'd agree that conserving the use of "band-aids" and working a more holistic management approach will serve you better in the long run. You know your limits and day to day life best. From the sound of it, you do your research and are your own advocate. Good for you! Ultimately you've got to go with your gut along with consulting your medical team regarding trying the shots.

Central sensitization may play a roll in where sometimes injections can stir up the central nervous system and indeed create more symptoms by flaring up tissue and nerve response. The same can be said for opioids, they can create hyperalgesia which is counterproductive to pain-management. When a narcotic which is hopefully helping pain actually creates more. Respectfully, each person is entitled to there own journey and exploration of pain-management, but I get the whole band-aid thing and why you give great thought to your choices.

@dmk provided great info about ASAP.org and having a child with syringomyelia. This is my favorite part of Connect, networking and learning from each other for the positive. Priceless.

I wish you good luck in making a decision about Botox shots. Keep on keeping on with the positive distractions. Humor is one of my best distractions, along with nature and of course, my kids (my son is your age actually).

Find your joy today, Blake!