Hi, whew, that's rough. I'm sorry! So, first. Lidocaine patches. What about lidocaine cream? It's cheap, REALLY cheap. I've gotten it on Amazon for under 6 dollars a tube. You can spend more as well and it is going to last you and go a lot further than 2 patches. And I use it and it is helpful. You could look for alternatives. They also make a spray, also inexpensive.
Ketamine infusions I've heard are pretty amazing. Only down side is it is not a one stop fix, you have to go through the whole series. Our state (I'm in the US) is basically one hundred percent open, so hopefully if you are slotted to get that, you can soon.
Since covid is a problem with ketamine infusions, I guess probably physical therapy is a problem too. But that 'can' also be really helpful.
What about lyrica?? It may be in the class of meds that you've already tried another for but a different med. With these types of meds, we know that each one will create a different response in people so some trial and error comes with the territory. Might be worth a try.
And forgive me for suggesting this if it is a touchy subject, but what about an SSRI? Depression and stress also make this worse. Lots of people with fibro also take this type of medication and find it beneficial.