Have you tried a Pain Management Specialist? Dana's ENT said at one point "You shouldn't have any more pain, and I will not prescribe any more pain meds." He referred Dana to a pain management guy and he sees Dana once a month. He reviews the pain level and prescribes once a month with the understanding that Dana can call if there are major changes in pain level. Meds have been fine-tuned each time. He now takes Opana (long lasting) and Lyrica (for nerve pain) and Lortab only for breakthrough pain. Their goal is to provide a constant pain relief instead of the kind of pain relief that eliminates the need for a watch (you know...every 3 1/2 -4 hours). He is finally able to sleep through the night and is able to get more enjoyment out of his waking hours. The pain guy urine tests on a random basis, so it keeps the addicts out of his office. Hope this helps and good luck to you!