Did your current pain management group drop you? I know they have the contracts and try to stick with them but they sometimes give you 'chance'. It was just the one pill count or has there been another you didn't pass? Just asking because you have more leeway possibly if it was a one time slip up. Remember that the pain management clinics are under a lot of scrutiny and pressure from the feds. So, it puts them in a position of being very precise with their rules. I would be honest with the doctor you are seeing today. What lifestyle changes have caused you to need more pain meds? Maybe those can be scaled back.
You said you failed the pill count? By how much/how many days? THAT will directly impact the chances of getting into a new PM office.
Despite you informing the current PM of the lifestyle changes and them determining not to change your medication/dosages, doesn’t mean they don’t care.
The issue is two fold, you failed the pill count but you also broke a second rule- no self medicating,meaning you are supposed to take the meds EXACTLY as prescribed UNLESS they give you permission ahead of time to increase your dose.
You said you have about 10 days worth of meds, so until you do locate another PM , your best option is to taper off the meds over the 10 days, which is physically doable, rather than wait until you run out. Even if you do find another PM doctor, odds are that he/she will be unlikely to prescribe opiates at the first few visits. They typically want to review records, imaging, pharmacy records , try other treatment options, then perhaps give pain meds a try.