@karolyn go to your pcp or rheumatologist and tell her about your pain.My Dr gave me script for Tramadol Ive taken this since I fractured my back in 05 its the only thing that relieves me . I have alot of back and nerve issues.Also I do exercises

@karolyn Is there another doctor you can see? Your doctor shouldn't force you to do anything. Find a doctor who puts you first, not their paycheck. They make a lot of money with injections. Are you a surgical candidate or have you tried physical therapy? You can look for providers on your insurance company's website. Sometimes they want to do injections so they don't have to take a risk on surgery and they put their reputation ahead of your well being. You can fire your doctor if you want to leave, I assume, unless your insurance forces you to see them. You can always call the insurance company to find a new provider. I always check out a provider as best I can before I see them. Think about what you want your future to be, and what you need to do now to get there. Put yourself first.