I am in the same boat. I have been to more "pain management" docs than I can count. They all have tunnel vision regarding my back pain from a ski fall 8 years ago. Most want to give me injections. Had too many of those, none worked. Spinal cord stimulator worked for a while, then stopped about 3 years ago. So I had the pain pump implanted. This has never given me any relief. You would thin the pain doc taking care of the pump would take the time to: either investigate other possibilities, or: confer with other docs for their take and possible suggestions. But, no, too busy. Would be nice to find a doc who would take the challenge and really do serious investigation into my pain.