Welcome to the CP forum. I am right there with you sister, I have both CD & UC. I know exactly where you coming from. My 2cents are get into a rheumatologist if you are thinking you have RA & AS. A pain mgt is not going to be the one that will be willing to make a diagnosis in either of these conditions. A rheumatologist is far more qualified to diagnose & treat either of these conditions. We have peeps on the cd forum that have AS and they are under the care of a rheumy for the AS. I have a wonderful rheumy who is well versed in crohns and he has been a godsend for me. A pain mgt dr will tell you to see a rheumy for a dx of either conditions, as they are totally out of his realm of diagnosing. I know you hang out in the cd forum so do I, you may want to track down Keah, she has AS and she can sure give you some good info. Both RA & AS are easy for a rheumy to dx. If it turns out that you have neither, then my next step would be a consut with a pain mgt dr. You know you can have a form of arthritis caused by cd, from what I understand it comes & goes, its not an arthritis that stays like RA or osteoarthritis. My gi & rheumy both think that is a problem for me.
Since your PCP seems to be a piece of work, now may be the time to kick him/her to the curb and find yourself one that is willing to work with you and take care of you. Your treatment with your current one is not likely to get any better. You could try & take your husband in with you to an appt and see if this makes any difference, may well be worth a shot.
One thing about pain mgt drs, some do injections only and diagnostic blocks-no medications period. Then there are pain mgt drs that do both injections and medications. You do live in the part of the country that it is extremely hard to get a dr to prescribe pain medication, whether its a PCP or pain mgt dr. This has been an ongoing increasingly difficult road for us peeps suffering with chronic pain. The war on drugs has affected this area of medicine resulting in people being undertreated for their conditions. Drs do not want the DEA breathing down their necks, coming into their offices and demanding audits of their medical records, snooping into their computers & ect. I think you see where I am coming from.
I would suggest you keep a journal of how your pain is affecting you being able to handle your daily living task. Make notes when your pain is the worst. Keep track of what seems to make the pain its very worst. Its not an easy road, anyone on this forum will tell you. There is no magic pill to make pain go completely away, wish there was.
You definetly need to get your anxiety under control. In fact, your dr may be interpreting this anxiety as something else. You never know with some of these idiots they call doctors. By the way, I was born & raised in Ky. Hugs, Susie