What they are concerned about is the Ultracet I sometimes have to take to relieve post-injection pain and knee pain flareups...I have tried stuff like NSAIDs but honestly, they make my acid reflux a problem and don't work for me.

My medical clinic knows I have a mental illness, and yes, they take that into consideration whenever they treat me.

I am looking into Synvisc for the knee problem.

I have to wonder if they know how really painful two bad knees can be...or if they think certain people with physical pain have 'issues' or use it to not have to deal with life?

I think physical problems and how they really affect those with mental illness should be taught to mental health staffers by an M.D. who has training in pain treatment/management.