Hi, I'll do my best to keep this concise. I'm 31 and got into a car wreck 5 months ago that resulted in a herniated L5/S1 disc. I also have some spinal stenosis. I ended up seeing an orthopedic back doctor who referred me to a pain management clinic for epidural injections. He gave me 3 injections over 2 months and also wrote me a prescription for Lortab- #120 7.5 mg with 2 refills. He said that would be the only prescription he would write. I have 1 refill left and I'm still in a lot of pain. My orthopedic doc said a spinal fusion is my only surgical option and that he won't do that until we've explored other options. I've had the injections, use an anti inflammatory daily, went to PT, use a tens unit, and wear a back brace. My ortho doc won't give me pain meds because I was in pain management and the pm doc wrote one script with the refills and that's it. I went to my primary care yesterday to see if she would refer me to a different pain management clinic. She wants me to see a neurosurgeon. She also asked if I have tried a butrans patch. I said no and she said she would see if my insurance covers it. I looked it up after I left and it sounds like a good option to me since the pills don't work that well. I called her office today to see if she would write me a script for it and the nurse I spoke to said she would not because of the amount of lortabs I've been prescribed. It sounded like the doctor was angry. I was upfront about the lortabs and didn't even request anything from my primary care doc- she suggested the butrans patch in the first place. I thought I was supposed to take the lortabs as prescribed, based on what my pain management contract stated and from what I've read on these forums. I'm confused as to what I did wrong, scared that my pain won't be managed in the future, and unsure of what to do next.