May I ask what was the second surgery that was done to his back? I would think that it would be a fusion or that this needs to be done if his discs have herniated.
The Dr. that moved out of state did not recommend another Dr. for all his patients? That is strange.
I'm sure you realize that chronic pain mgmt. is much more than just being prescribed an opiate. That is only one small piece of the puzzle...
He needs to find a Dr. who will offer a comprehensive program to help him.
This includes daily exercise, yoga/stretching, aqua therapy, acpuncture, massage, ice, heat, injections, TENS unit, possible SCS unit, counseling, etc.
As well as a muscle relaxer to take as needed.
And most people with spine issues take a nerve pain medication like Lyrica, Cymbalta, or Neurontin.
An antidepressant is another way to help both pain and deal with living with chronic pain.
I would hope that he is a healthy weight and does not smoke as this can actually cause spine issues or make them worse.
If you all are only calling around asking for pain medicine/narcotics...then most Drs. are going to not want to see him. He has to be willing to want to work with them as the goal to have less pain....not just get a prescription.
There are good Drs. everywhere...even in the states that have higher abuse/addiction rates.
What about getting help from the Ortho or Neuro who did his surgeries....can he not help find a pain mgmt. Dr. in the area? I would think they would help you as they are the ones to diagnose him with the problems and be able to show in his medical records that he is not a candidate for any surgery right now.
Does he not have any health insurance right now? If he does...then calling them to ask what are the names of the PM Drs. in the area that take his insurance.
Again...it's really about using every possible modality to help get one's pain down to about a 5 or so...and that is with everything I listed including use of the non narcotics as well.
Good luck...