I'm new to the boards, although I've read many of your threads in the past. Quick history, if possible...I'm a 38 yr. old woman. Began experiencing neck pain and muscle spasms at age 19, but could have months of normalcy. Those months got to be less and less throughout the years. Have done pt a few times with no improvement, including with traction. Muscle relaxants and mild narcotics would help, but added Chiro a few years ago because I could get in quickly when I needed it. 1st MRI about 6yrs. ago showed bulging discs. Had a few rounds of injections, no help. Has gotten quite bad in the last few years. MRI in August shows further degeneration, leading to diagnosis of degenerative disc disease, no surprise there. Same doctors saying, "you don't want spinal surgery. Too risky...you're to young." Now saying its inevitable. Long story shirt, I am not ready for that step, but my pain level is just too high. I have a great primary care physician who has prescribed pain meds many times, but shouldn't I ask for a pain management clinic referral? I have very reasonable expectations for pain relief, but along with Chiro and next week's injection (yes, another one), I need ongoing pain medication. Also, a tens unit sounds good too. Help! I don't even know what to ask for or where to go.