I am a 28 year old male. I recently had a Lumber and Cervical X-Ray along with a Lumbar MRI. Now the X-rays were discussed with my nurse practitioner, and he said the cervical x-ray was fine but did show some DDD. The lumbar x-ray showed some DDD. The MRI showed slight bulging of the discs and DDD, but no significant nerve issue according to the rude phone nurse who tried to tell me going to the ER for my back pain was like going to the ER for a hangnail. I told her a hangnail does not cause you to be curled up in a ball nearly in tears. She asked why I thought I hurt so bad and tried to elude to a number of things like physical dependence on pain killers(previous NP had gradually increased dosage and added medications to the point I was on 2x50 MG Tramadol every 6 hours, 1x Lortab 10/500 twice a day, and Soma(I pretty much took one at night, and occasionally one during the day)), my weight(even though I was exercising at one point, and managed to maintain my weight for about a year), and other reasons that I can;t even be bothered to remember. She actually rattled the MRI results off to me on the phone saying "but you already knew that." I knew about the cervical DDD, but the Lumbar X-Ray looked fine. I go in Friday to discuss the MRI results with my NP. I am rolling with the DDD diagnosis for now, but believe this could actually be Fibro. I was injured in an MVA 3+ years ago and been on a down hill decline, with 2 spurts of improved health, and I have neck pain, with tingling in my arms and base of my neck. I have pain in the lower back that predates the MVA for years and would flair up making it hard to work as it was. The back pain has been known to cause my legs to buckle enough that I had no choice but to go down on my own or go down the hard way. It also causes tingling in my legs. Latley it has even been a bit of vertical pain along the spine where as in the past it was horizontal across my low back. I have pain in both knees. I had ortho knee surgery(R Knee) that predates the MVA and grinding in the R Knee when going up and down stairs. Oh and my shoulders are sensitive to. They grind and pop when they move. Even holding my baby nephew caused me extreme pain last time I held him. So I made this far longer then I wanted, but my reading says DDD does fit my symptoms(other then the fatigue and shoulders). Can any one suggest some bullet points to hit with the NP in regards to DDD?