Depending on your type of insurance you may need to have a referral from your family physician first. Mine doesn't require one for a specialist but I do need one for PT. Have you tried over the counter anti-inflammatories? I noticed you asked about
pain meds and normally tylenol or advil or the equivalent are tried first depending on the severity. I've never had a PT prescribe pain meds and neither did my chiropractor. Good Luck!
DDD, osteoarthritis, fusion surgeries C-5/7 & L-4/5 both in 2006, torn meniscus left knee 2000 & 2002, buldging disc L-2/3