I think some importance too is it may mean different treatment. I know for me since procedures were making me worse my pain doctor/anestesolgist felt the pain is now in my brain and not just in the spine. That is why he put the scs on hold cause he was fearful it would make my pain worse.
For me it was my pain mangement/anestesolgist. To me a pain doctor should be both. I also though was dx from my neurologist.
Hang in there and feel better