Hi I'm a long time chronic pain patient. I've had 3 spinal fusions. L3-L4 and L5 are all fused. I have osteoarthritis, spinal stenosis, severe nerve damage, edema in both hips and a few more issues going on. I am going to pain management, for 3 years now. And I've been on the same pain medication for that long. There have been some drastic changes in my life and I need some advice on how to ask my pain management dr if he will increase/adjust my pain medication without sounding the wrong way. Any and all advice welcome!! Thank you for taking the time to read this. My appointment is tomorrow, so I'm really hoping someone will help me out with this.