... clinic such as UVA, neurologist, pain doctor or physiologist can tell me what is going on. I been in PT, OT, Message, Acupuncture, Trigger Point Injections, Steroids injections, medications almost every single pain medication besides for opioid due to can't take them cause of my ambien cr and prozac and causes constipation but right now I am tramadol ER and gabapentin for pain from a pain doctor (she will normally give me any pain medication that she finds appreciate for me but they do not have a licenses for opiods or anything stronger then tramadol er so what would you sujest? No I can't find any other clinic or doctor been to many before and my insurance tells me they have no others (they only have a few in virginia that take my insurance)