I have been dealing with my back pain since 1986. (boy time sure fly's by even when you are not having much fun.) Over the course of years I have mostly been given medication by a primary care doctor unless something new pops up. When that happens I usually end up getting a consult to see a pain doctor for a epidural or surgeon. However there has been 2 times when I ended up seeing and being treated by a Rheumatologist instead of a pain doctor. While there is more going on with my back my arthritis plays a major role with the pain in my back. My guess is that if you have back pain you probably have in some degree arthritis (DDD bone spurs) also. Has anyone gone to a Rheumatologist?