Sorry I just read your post. I am so sorry to hear you are having such a time with your back. Doesn't it just gripe you how drs act like scared rabbits at times when the P word is mentioned? But, if you have read many posts here you will find few PCP every prescribe pain meds. Chronic pain does not have an age limit, it can strike at any age.
Epidurals can go one of three way, either help, no help or make the pain worse. There is no quarantee on how you will do too. No one can predict whether you will get a good result or not. Its a roll of the dice.
Now for a pain mgt dr. Most of them require a referral from a dr. So, that means you will need either a referral from the PCP or ortho as last result. Alot depends too on what your ins requires. One source of referrals is to call your local hospital and ask for the referral dept and get some names and numbers from them. Another thing is get online, google your city and state and put in pain mgt. Some places may even have web sites set up about their office. Be sure when calling any pain mgt dr ask if the dr prescribed medications and does procedures or does he do procedures only. Yep, some of these guys will only do procedures. When seeking care from a pain mgt dr be prepared for him to want to do some procedures on you. Alot of them do epidurals. Another thing I will caution you about is never walk into a dr offices and ask for a certain medication by name. That will send a red flag up with the dr and he will think you are nothing more than a drug seeker. Thats a big prblem for us people with CP, trying to get the drs to try medications on us to see if we can get help rather than lumping us all into one category.
Other than this I cannot think of any other sources of locating a pain dr. I hope I have helped you some. Please let us know how you are coming along.