Yeah some docs just don't prescribe. Especially Ky, there are some bias doctors. You say you're from a small town, can you see another doc in another town? Hopefully this one will actually take the time to look and thoroughly examine you. IT pumps are end of the line treatment. I wonder why he brought that up when he feels you do not have RSD. He could be a "block jock" so watch out for him pressing interventional procedures you have either tried, or don't need.