Hi Nancy, sadly I don't think many of the experts are an expert in pain mgt. More often than not it seems to be trial and error and how much money is in it for the providers incl pharma and electronic stimulation. I do have a good PM right now, been with him since 2014, had previous ones who were also good but only in their field of expertise and once beyond them, well they were of an age where they didn't feel the need to continue to grow their field and or were /are tapering down to retirement. In Aus in particular pain mgt specialists all started out as anaesthetists so talking isn't really a speciality... And on the down side, all those in the city I live in are on the other side if 60. Between my current PM and previous (who is so in demand and now only works 1 day a week at 79) I have been given a semblance of life back, after 2 plus years of being a house bound 4 wall virtual prisoner I was able to venture back out to PT work. Between Gerry & I we have had a litany of other things plague us to the point where I don't think either of us could or would be surprised. Both of us have long moved on from pain patches, unfortunately for me while effective in the earlier years I'm extremely allergic to the adhesive and risks of continued use became to high. Thanks for thinking of us.