Yes, the physiatrist is a pain specialist first, then they take on more education for another type of certification. They do all pain specialists do, but incorporate, nutrition, PT, massage, and everything thing they can do to help the pain. Lotions including Katemine helps me. I am also going to ask for a patch, forgot what it is called for T1-2-3. Maybe I won't have to take any kind of pill if it worked. I go on Dec. 5th. One thing I do like, is my particular doctor really really listens to you. I sincerely hope you find this kind of physician. "healers" in every sense of the word. All my best wishes to you, never give up hope with regards to pain. ginnie