Alaska has had 'legal' medical cannabis since 1998, cannabis as a right of privacy (article 1, section 22 under the State's constitution) since 1975, and now legal recreational cannabis since 2-3 years ago.
Despite that, a primary clinic in the Interior that is owned by the same coop/Foundation that owns the hospital and another urgent care facility, a number of years ago stated they would NOT provide opiates to persons who used cannabis, citing all kinds of fabricated BS re. risks to health; never mind that no one I know has ever heard of negative interactions between the two, unless getting the chore list done, and having Indica as your primary strain of choice can be counted.
I take one or two opiate pain-killers about every two months or so, on average; only when it gets so bad I can't sleep. And before I reach for them I use muscle relaxers in those times. I never do either one if I have to be up and moving, as the results often lead to compounded misery
I don't know if I can say that I use cannabis medicinally, other than for sleep, which is over-lapped as an issue with pain, but also other issues. I may, but haven't really defined that yet.
My right hand is numb partially, in the outer half of three fingers, and a thumb that is mostly numb (none of them completely numb, but tingly and half numb, making berry picking, holding papers/documents, or a glass of water, etc. into something that requires more conscious thought than it once did).
At times my neck, thoracic, and lumbar get to feeling like they have a subtle bar-clamp vice on them, gently compressing, and sending weird sorts of (subtle but very present?) electrical-like current that seems to decrease strength in my back and legs during those times, as well as other interesting features.
I quit seeking surgical resolve for now, for a variety of reasons. I won't register as a medical cannabis patient for a WHOLE BUNCH of reasons. But I have some protections here that you lack.
Bottom line; I'd think real hard about pulling up stakes simply for believing that another place will be the answer. At least, if I liked where I live, and that's where my social support network was located.
As others have stated, the Hippocratic Oath has taken a back seat to DEA thuggery and social knee-jerk reactions to the sometimes-exaggerated opiate epidemic. Docs seem to sometimes/often focus a whole lot more on their next yacht payment or investment than whether your or my lives have become unbearable, as long as the DEA compliance badges are peeping over their shoulders; and that's even in states with some degree of cannabis protections.
I recently acquired a TENS unit, and find it provides some -limited- relief by interrupting the nerves' pain signals that often initiate muscle spasms, leading to more nerve spasms, and on and on she goes. Not a cure, but rather some limited time relief during which maybe stuff stops impacting each other to the point of minimizing the negative experiences.