I have chronic pain from failed back surgery syndrome for lumbar central canal stenosis / current bilateral foraminal stenosis / DDD / L5 S1 - L4-L5. I had 3 surgeries in 2016. Pain never went away, the intensity came down, but always in pain. My last CT Scan and MRI were 2 years ago -- showed the foraminal stenosis and "modic type 1" issues, but no fractures in vertebrae (?) and stability was okay. I see a pain management doctor who prescribes about 300 MME's. I still have breakthrough pain with this amount but the pain has been "stable" with the meds for about 1.5 years. Within the past few months, I have been experiencing increased levels of pain without any change in my routine. Today and yesterday were days that I end up in tears from the pain through my legs, feet, back. I would rather not walk or stand because of the pain. I quite frankly am nervous something has gotten worse -- whether the stability of my spine or fractures have occurred or whatever. I have tried to get one of my many doctors to order an MRI. The surgeon from 2 years ago agreed to do it over the phone 3 days ago. The order still hasn't come through. Maybe there is some kind of pre-auth needed, but of course his admin don't have any of the details -- they just say it hasnt been ordered. My PM is away on leave, his office didn't call me back from Monday. My primary doc's admin staff were not exactly helpful when I called last week. I think I'm answering my own question, but its nice to vent on here and get other peoples input -- should I just go to the ER and insist on an MRI?