@heisenberg34 I don’t have a pump and hopefully I will never need one. I am currently doing PT, MFR and massage for my back pain. I have OA, OP, and PN and I exercise 2x daily and walk 2 miles a day. I have a buprenorphine patch that I change every week. I have breakthrough Percocet but rarely use it. Here is an article to share with your doctor and you might give it a try. With the current cap on our out of pocket it’s affordable. https://pmc.ncbi.nlm.nih.gov/articles/PMC4675640/,
https://www.mayoclinic.org/diseases-conditions/back-pain/in-depth/chronic-pain-medication-decisions/art-20360371,