@heisenberg34 I'm sorry your pain pump hasn't helped you with your pain. Three years at an 8 I know is frustrating but when my pain is that high and that happen one to two hours before I'm due to take my pain meds. I take Oxycodone 5mg Q6H and Tizanidine with it. They take the edge off and sometimes my pain drops to a 2 but it returns before it's time to take my meds. You sound defeated when you say your pain is here to stay and I feel bad for you. Do the oral meds you take help? What do you take if I may ask. I find that when I'm anxious the pain is worse and when I'm in pain my anxiety is worse. Nobody I've seen for my pain has been able to diagnose the cause. It feels muscular but I can't be sure.