Talk to your pain control doctor about a pain pump. Must be a pain control doctor , they are usually anesthesiologists. I was on many types of pain meds until my implant and I got my life back. A catheter is placed in your spine and the small pump is in your tummy. It is refilled approx. every 3 months with a needle. Not really painful and they will numb the site if you ask them to. I don’t find it necessary. The medication goes to the area where the pain is. Because the medication is intrathecal it does not cross the blood brain barrier and therefore your speech is not slurred as well as other side effects of oral meds. The pump also has a device that you can hold over the pump and give yourself an extra dose of medication if you need it. Limits are set by the doctor. No more failing drug tests if you go back to work. As a matter of fact once you have a pump implanted you and your doctor will discuss what meds you can take and you will be drug tested intermittently.