Hey Drew, This PA is so overstepping their boundaries. Honestly, if I need medical advice or an opinion, I'll wait for the doc even if it pisses the NP or PA off. I wouldn't except one of their opinions as that of a docs untill I hear it from a doc. I'v e had NP's tell me my dose is too high and nothing can be done, only to wait for my doc to come in and mak a 50% increase. NP's and PA's are fine for maint and collecting follow up information, but if you need anything other than what the doc has already spelled out in your treatment plan, the PA has no biz putting up road blocks to finding an answer or even giving you his opinion. How many years in medical school did he spend, where did he do his residency in orthopedic surgery and radiology?
You don't have to except a NP or PA overstepping their bounds which shouldn't go beyond helping manage stable patients by continung on with a treatment plan your doctor created.
Ask to see the doc if the NP isn't able or willing to help you, they can't make med changes or order daiagnostics without the docs OK, so what are they doing denying diagnostics or med adjustments they aren't allowed to make anyway. Unfortunately some like to throw their opinion in when it may completely contradict the doc they work for. Your doc didn't deny the MRI, a PA did which is absurd.
I did happen to see a story on TV a few days ago about trigger point surgery for whiplash and how succesful this one doc has been. I just did a search and I'm not sure this is the same doc, but it is the same surgery. You might want to look further into it or be evaluated for it. That is, if the PA thinks it's a good idea.
Good luck, Dave