Re: switch up med for chronic back pain , lumbar fusion
If after new MRI, PM Dr. won't be flexible, start looking for a new PM. It is reasonable to need some mix or strength change after three years. Be nice and not combative with current PM. You don't want to give her any excuse to drop you before you are ready to drop her. If she is your PCP, you can ask her to refer you to a PM doctor.
Severe DDD, Severe neural foraminal stenosis at 2 levels, moderate canal stenosis at 2 levels, significantly impaired left shoulder & arm function. Chronic moderate compression fracture at C6.