I'm new here and wrote a long post in the Sciatica forum. Long history of back pain with sciatica. This is a WC injury so treatment has been almost non-existent. Today was my 2nd. Pm visit. I've had MRI's which were inconclusive and did have an NCS/EMG in 2013 that stated although not seen on MRI and diagnosed as muscoskeletal he found abnormal results that show neurological changes so may perhaps be intermittent. He stated an L4 radiculopathy on left side. He never did the EMG on my right leg although I am one of those exceptions that has dual sciatica. Funny thing is is that I am unable to walk as of 10 days ago due to severe right leg weakness. I had my first PM visit last month. His report stated no true leg weakness and was diagnosed as facet arthritis and wanted to do facet injections at 3 sites. I asked if this would help with my leg symptoms and his response was your problem is in your back. About 10 days ago with increasing pain I experienced a complete loss of function in my right leg. I couldn't stand or walk and went into ED. He diagnosed a R L3,L4,L5 compression with decreased reflexes in my leg and CT scan only showed mild degenerative change with numerous small disc bulges. I was given pain relief shots and 3 RX's when I left and told to follow up with Dr. One of them was 2mg. dilaudid. Fast forward to today's PM visit. Of note here is my Occ. doc has prescribed Norco 5's for a while as needed 2X per day. (60 per mth) I have talked with her before that on some days I need none others more so she is aware of this and this amount has worked OK for me for some time. If I run out I go without but normally don't unless my next appt. is delayed for an extended time for some reason. If I have extra I delay refill and she is given this info by pharmacy. It angers me even explaining this but I just feel the need to vent about today's visit. I was not prescribed anything by PM doctor at my first visit, You may sense that I distrusted his diagnosis and was hoping with new info maybe he would explore further as I have to get back to work (not getting paid) and am too hyper of a person to deal with this inability to walk. He seemed very angry that I was given meds in ED and even more so a RX. I was honest and told him I took it once and was so nauseated I didn't take anymore and have gone back to the Norcos. I also told him I had been taking it 3-4X per day. He flipped out about me taking more than the 2 per day noted on the rx bottle I had been routinely taking. I told him after reading it was important to tell them about anything you had taken, He asked me where the dilaudid was and I told him at home. He asked me if I had any intention of taking it and I said if the pain ever gets that excruciating that I would do anything to relieve it, possibly. He was very nasty the whole visit and prescribed me Lyrica. He asked me about gabapentin and I told him I tried it a couple years ago and thought I was going beserk. I actually got shingles last year and my FP insisted I take it but I was too terrified and I wouldn't. Luckily I have no lingering side effects from those. I also have a history of panic attacks and odd personality changes from a trial with Celexa. Hence I have a fear of new meds. It's silly but I feel the need to express that I have taken Norco so many times for numerous things over the years that I am able to work and think normally. At least with my perception. Anyway I expressed a fear about the lyrica as a co-worker said she felt like she was drunk all the time on it. This further angered him and he stated the Norco had far more side effects and that's what I needed to stop taking. Maybe a little sympathy. reassurance and a low starting point? Nope! I don't know why I feel guilty right now like some kind of addict. I never asked him for anything at either visit and kept reiterating to him my #1 concern is not pain right now it's my inability to walk. I've read a few posts on here about people being treated like this but feel maybe PM is not a good field for this guy. Am I wrong in my thoughts here or would you run from this office. He's still pursuing the facet injections only. I'm so frustrated right now I could scream.