I switched from the doctor prescribing my pain meds after surgery to have hardware removed from l5 s1 to the pain management doctor. My appointment with the pain management doctor is in a couple hours. He request I be on no pain meds prescribed by any other doctor which I understand bit I have had some rough days. 3 days ago I ended up in the er and they did trigger point injections which helped. I have been doing advil voulteren gel and meloxicam for pain but want epidural steroid injections and know I probably have to be off anything that may thin the blood but am finding it hard. I have literally been awake since 1 am after going to bed after 10pm and its 6 am now. Any ideas on pain help with out pain meds of blood thinning drugs. Any help with be greatly appreciated.