Well in the end the Dr .came up with a nice report and summary plus an opinion stating that I was a good candidate for the PRC. I’m pretty sure the next Dr will say the same thing . So I’m pretty sure I’ll be going.
Still wondering how much room for behavioural modification there is with the particular characteristics and intensity of my pain . It’s very daunting to have to trust a system that says it can help me change my functionality significantly, without any new treatment , some medication weaning and some group therapy going over pain concepts that I have already explored in depth over 12 years. I lie here suffering intently ,despite applying mindfulness , an attitude of gratitude and positivity and having paced myself to best of ability today. I feel like ,perhaps , I am too far gone down the rabbit hole to be able to expect much change . Somewhere on the bell curve of chronic pain patients there must be outliers that are outside the therapeutic window . I feel like I may well be one of them . The PRC must have data on this which I guess it doesn’t publish. All I can do ,as you suggested , is trust and believe in the system , drink the Kool-aid , if you will and immerse myself in the schedule , somehow pushing past the inevitable huge flare up that getting there and adapting is going to induce . As I said , daunting .