You know it just might be. because they don't have a firm diagnoses for what is causing your joint pain. That is only a guess on my part, but from my experience my pain Doc wants to know what is the cause, but my pain Doc willl also go out and order test and make referals to find out what is going on. But allot of them will not do that! What about your PCP? But you did mention that you had a diagnoses of Chronic Pancreatitis didn't you? That in its self can be very painful has anyone mentioned dietary manipulation to help control your pain for that? I am sure you have probably been through just about everything imaginable already. I am kind of at a loss for suggestions for you, I know you are in a very dificult position, right now, I do hope your rheumy can be of some help to you.