Hi all. I was having severe pain in my left shoulder, down my arm, and numbness and tingling in my left hand. I went to the er and was told i have arthritis down my spine affecting nerves. I was told to see my regular dr, which i did. Instead of sending me to a rhuematoligist, she wants me to go to a pain management clinic. Is this normal or should i get a 2nd opinion? This has been hurting me since Nov 2013, but im not sure what to do.