Welcome to the forum desert!
One good thing I see here is that you are seeing a Pain Management Dr. My question is, has he or she perscribed any pain med's for your pain? Generaly, once you have had an Epidural, it takes about two weeks for the maximum effect to kick in. These work for some, and then again, not so well for others.
It may be, that you need a Breakthrough med to help with your pain at this point.
Also, our Moderator (Chutz) posted this pain scale chart, and you might want to take a peek at it to gage your pain scale.
If you will read the Chronic Pain 101 located at the top of the forum page, it has a printable Pain Journal, that is a great tool both for you and your PM.
Everybody is different in how much pain they can handle on a daily basis, but for me if I'm above a 5 or so, I then contact my Dr for an adjustment. My own pain scale seems to be all over the place, as just sitting can raise my scale by 2 points.
You are your own advocate when it comes to getting treated for your pain. Dr's will seek the source of the problem and attempt to repair it, but will seldom ask you if you need anything for your pain. They will of course try the least evasive items first, such at PT and Epidurals. (for back problems)
Honesty is the best route to take with your DR when it comes to your needs. Show him your journal if you are keeping one, and then let him suggest the way to handle your pain. Again, it will be up to you to convey that you are hurting and need some sort of relief.
Good Luck to you,
Post Edited (Screaming Eagle) : 2/21/2011 9:05:52 AM (GMT-7)