@ga29 Back at ya some time later. I discovered that in many cases(like mine) that you have to keep ramping up the medication from the pain pump. It can take a significant amount to reduce your pain. This can take quite a while especially if they start at a low dose and up the dose at only ten percent intervals. Ask Google how many increases it would take to go from your starting dose to a therapeutic dose. Say, starting at 0.02 mg to 2.5 mg daily. It can be quite a few. Any way, I hope you are doing well.