for osteoarthritis you can see a regular internist (internal medicine) or a DO or a rheumatologist. if it is the spine that is the issue...a spine specialist would be prime. for osteoarthritis, there really isn't much to do with bloodwork besides keeping track of your vit D and calcium....osteo is diagnosed through films (xrays). a rheummy may not always treat pain. they will RX nsaids but rarely narcotics. if you're seeing a regular MD they can RX painkillers if you need them, but if you go to a pain clinic....you'll have to stick with them for your pain meds. bascially, only one place is going to be writing your pain meds.
personally, i would see a spine specialist & a rheummy. all bases covered.
right now, my rheummy keeps track of my RA and RXs my RA meds; my GI RXs my GI meds; and my primary doc RXs my pain meds.
are you seeing an MD at all currently?
Active Severe Rheumatory Arthritis. Crohns Disease. A.Chiari Malformation & right brain venous anomoly. Partial Complex Seizures. MVP & Tricuspid Valve Prolapse. Rheumatic heart & lung. Previous Lymes Disease for 10 years.
Meds: Remicade infusions; Intra-articular knee injections; Imuran; Mesalamine; Prednisone; Meclizine; Reglan; LidoDerm; Diazepam; Restaril; Dilaudid; Avinza and too many others.