Neurologist, Orthopedist or Rheumatologist?
Wondering what you think? Would I benefit from getting an opinion from a Neurologist or Rheumotologist?
Dx: DDD L4-L5, L5-S1, enplate sclerosis, boney spurs, facet arthropathy, annular fissure L4-L5.
I have had chronic pain in my low back for 9 years. The last three years it got worse and continues to do so. Sometimes I get hunched over in pain and unable to straighten my back. I have had one bout with sciatic down the left side about 5 yrs ago. Recently, I have had bilateral tingling in my calves only and this is intermittent(?). I have tried pain meds, muscle relaxants, tricyclic antidepressants, cortisone injections, PT, now working w/TENS unit. I just can't accept that I am a lifer with this thing and want help <IMG SRC="http://www.healthboards.com/ubb/frown.gif"> I have consulted an orthopedist who is willing to do epidurals, IDET, etc., but my primary (HMO) doc is reluctant to give me the referral; however, I do have the option of self-referring under my POS plan and just cough up the cash. What would you do?