Try to make a long story short....Had annular tear at l5-s1, 360 fusion on feb 1 2011. All went fairly well recovery wise, then in August of last year I started having pain again in the lower back. Went back to surgeon and he said "hardware is all good!" and seemed to ignore my concern for the pain I was having. Tried physical therapy, injections, chiropractic, and acupuncture. The chiro and acupuncture worked great, then the effects started to wear off and it was no longer helpful. Pain Mgmt dr said that he can't burn the nerves because my hardware is in the way so that option is out. fastforward to this year.....after giving up and trying to deal with the daily pain, decided something needed to be done. Primary care referred me to a neuro (refuse to go back to ortho that did surgery) view and he won't do anything. I'm in so much pain. I feel like I have something jabbing me in the lower back on the right side, like hardware or bone or something is catching every time I move...heck even when I don't move. Pain down my right leg in the area that would be L4 nerve root. The neuro yesterday said he didn't see anything terribly concerning on the MRI and didn't want to do any diagnostic surgery or myleogram or anything because he doesn't want to "put me through all that". Something is wrong inside and it is obviously not visible on MRI. I dont know what to do. Pain meds are out because of work, school, kids. I feel like I have been backed into a corner. I dont understand why I can't get the doctor to take me seriously? I know this isn't right! I cried the whole way home yesterday out of frustration. Do I just keep searching for a doctor who will investigate further or do I just live with the pain until I crack? Do I go back to my pain mgmt doc? Do I go back to my primary doc and see if he will order a myelogram or something more diagnostic?