Hi---
I am around your age and I know how frustrating chronic pain can be .

My first suggestion would be to request another referral to an orthopedic surgeon and/or a dr who specializes in spinal issues.

Depending on what he/she says, along with your MRI, surgery might be something to consider.

Another option is asking for a referral to "Pain Management". Theese doctors specifically specialize in Chronic Pain. There are other options besides meds and physical therapy.

As for for PT-- has your doctor written a "prescription" for PT ? If so, then your insurance should at least be covering part of the cost. (If your doctor hasn't written you a prescription for it, make sure he/she does so.) THEN, I'd call around to different PT centers and ask what they specialize in. PT centers aren't "one size fits all". For instance, the last time I broke my foot (I've broken my feet 4 time now ) I chose a PT center that specialized in feet/ankles; where as right now I am in PT for my pelvis and the center I go to specializes in Womens issues. Try to find one that specializes or has experience in Spinal Issues and back problems. Water PT might also be something to consider.

In terms of the the brace-- it might be helpful if you have the PT write a prescription for one or have him/her fax a request to your doctor. I've found that *sometimes* doctors respond better when another "professional" requests something vs just the patient. Your PT can specify the type and reason.

Personally, I would NOT see someone who isn't a Liscensed Physical Therapist, but thats just my opinion. Friends can be well meaning and seemingly helpful, but you want someone who has experience and a post graduate degree in Physical Therapy.

As for your rights--- one of the greatest rights you have the right to switch physicians until you find some one who will listen and someone you click with. You also have the right to a second opinion. Make a list of what you want in dr , and what you don't want, and call around to various dr's office and talk to the nurse/receptionist-- before you make an appointment, and ask questions and they can give you an idea of how the office works, experience, etc. This goes for specialists too, not just PCM's.


****On that same note: I *think* one of the challenges you are probably running up against is your age. Just based upon my experience, a lot of doctors have the tendancy to think that because your "only" 27, you should not be experiencing chronic pain or they may doubt the severity of it. I am NOT saying its right-- I am just saying, its what I've dealt with. I've broken both my feet 2x (4 broken feet total), and have a clear diagnosis of RSD/CRPS in my legs and my pelvis (surgery complications) so the "cause" is clear, but even I frequently get the run around and deal with drs who just don't get it. ***

Remember, You are your own best advocate. Ask lots of questions. Push for answers. Ask for options and referrals to specialists if the your PCM or first person you see doesn't know. If you aren't comfortable with something, speak up.

Hang in there and feel free to PM me anytime.

L2L