@alexandercrps Thanks. I appreciate your words of wisdom. If only my PM doc had an ounce of empathy. I've been going to him for two and a half years and the only thing he has done is to refill the pump and take his money. Despite my requests for him to look deeper into my case, discuss it with colleagues, even try altering my meds(tramadol, gabapentin, and diclofenac K). Apparently he knows everything so there is no need to consult with anyone else. Sorry, I am just expressing my anger. I have gotten more help and information from this group than this doctor. I hope you have a blessed day.