Hi my name is Debbie im 46 yrs old I have Psoriatic Arthritis along with DDS and the start of spinal stinosis and spondylosis and now the nerve is pressing on my spine causing severe pain. I go to a rheumy. I am on topamax, lexapro for depression prednesone backlafin for spasm cyclosporine im allergic to all arthritis meds. oxycontin and diliduid for breakthrough pain. my rheumy sent me to a pain mgmt dr. last week, i have severe arm pain which consists of severe stabbing/burning pain going down my arm and sometimes in my neck and shoulder area let me back up a little i had surgery in oct. for a total rotary cuff tear i have 2 pins put in and i also had bone spurs shaved off. since then the pain is unbearable and uncontrolable, and i also have sciatica pain that i cant lay on my right side the pain dr. came right out and said i had the pain so long its PSYCOSOMATIC and that its in my head and that i have to distinguish from pain and whats not pain. he wants to do an epidurial of the neck but he said it probably wont even work. so now the question im already on 200of topamax he wants me on 300 of lyrica also is this normal he is i will be so sleepy i am going out of my mind with pain. needless to say no one did an mri of my lower back since 2004 either my other question is should i be seeing a neurologist and have a nerve conduction test done to . im considering going to the er tomorrow if the pain doesnt ease up. sorry this is so long debbie in pa