I wanted to ask if all PM dr's do not give out pain meds? I went to one last week after trying chiro, Physical Therapy, ortho spine specialist (one that did not want to help) and now my second ortho dr. (I really like this one, and he wants to help). My current ortho dr. wants me to try Epidural Injections. I had my first on Monday and it was a real failure. I was in bed for 3 days with severe pain and the pm dr would not give me anything to help. I called my ortho dr and he gave me pain meds and it helped. The pm dr said pain meds would not help the pain. I don't understand the roll of a PM dr, could someone explain? Thanks. I have a herination in L5/S1 with Spondy and DDD. My ortho said to try another PM, I have an appointment tomorrow at 9am, if another Epidural Injection does not work, I have to schedule a discogram and look at surgery, also does every dr. require a discogram before surgery? Sorry for the length.