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Hello all! I started the journey of back pain 4 years ago during my last pregnancy. In the last two I've followed this forum, but finally decided to join so I could participate. I'm 31 and all my problems are at the L5-S1 level. I have minimal annular bulge at L1-2 and a tiny protrusion on the left at L4. Neither of which seem to cause any problems. At the L5-S1 its moderate annular bulge with moderate protrusion centrally, moderate central canal and left lateral recess stenosis and moderate bilateral facet arthropathy and degenerative disc disease. I saw a PCP for 2 years, underwent one round of PT and took tramadol and flexeril for that time. Then I had a year I was uninsured and just went untreated. Finally got insurance recently and got a referral to a spine specialist/ pain mngmnt doc. They started me on baclofen and mobic, going in for my first set of injections next week. I'm VERY nervous. i know I'm probably just a babe in my compared to the veterans of pain here. Just glad to join and have a place of support. Its been a frustrating ride. My PCP was wonderful and I loved her. The specialist first appointment said I was too young to have back problems til she saw my MRI. Then she said injections first. I already know if I ask for medicine I will be labelled, so I've only been seeing her for 3 months and only discuss symptoms and what I do to reduce pain (stretches, swimming, heat/cold etc) and have not asked for anything for pain yet. Is this the correct approach? I figured she might want to try injections first. I'm allergic to gabapentin so that doesn't leave much for me to take in the way of pain relievers. Sometimes I'm afraid to tell them I am allergic to it.. I always take my medical documents to prove it because I fear they will say oh you're just looking for opiates. If the injections don't work., should I bring up pain medicine or just see what direction they want to take it?