Is it normal for an ARNP to order injections for a chronic back pain patient without knowing the history of the patient? I have only seen this Dr 4 times one of which she asked if I had any MRI's of my back. She has not even preformed a hands on exam...She is a treating ARNP at a pain clinic I was duped into going to. I was under the impression that I would be seeing a back specialist to figure out what is going on with my chronic back pain. Instead I have been placed in a pain clinic. Shouldn't I be speaking to a Back Dr before I receive these injections? Isn't there a process before they start sticking needles into a persons back? I've had MRI's done on my back which show bulging disc/s and annular tears (not leaking). I've also been told I have DDD and spinal stenosis but not by a back dr only by PcP's or MRI readings. I'm lost as to what I should do, I felt like I didn't have an option at all, that I had to go get these injections. Any input would be grateful Thank you.