If you have ruled out things like broken bones, diabetes, cancer, etc. and you are still in pain 24 hours a day you will likely need opioid medication. Don't be frightened since intractable pain patients have a lower rate of addiction than the general population. When pain is under control you can then try physical therapy, exercise, improving diet. Getting the pain under control is the first and most important step. Uncontrolled pain can cause stroke, heart attacks, depression, and many other serious illnesses. If you truly have intractable pain demand treatment. You can actually file complaints against doctors who don't abide by their oath to do no harm. Good Luck!!!