Doctors in the us are very afraid of giving pain meds. TheFDA is watching every move. If they can't say your pain is because of X, they don't want to help. Even if they do see the X they still make you suffer. I had mine tell me that I didn't need to treat the bursitis in my hands this time, it would go away. I was asking if I could get injections locally instead of traveling 1.5 hours away to get them. I finally have made the appointment to get the injections again tomorrow if I can get there. My point is that some docs at some times with some patients can be rotten and it may be time to find a new one. I had a rehabilitative psychologist strongly advise me to switch and I am. I too need better pain management and better medical treatment.

Oh yes, find a teaching hospital if you can. If not ask local hospice people who they like for pain and diagnostician.