leilanis @leilanis - I'm wondering how long you've been taking naltrexone, and if you feel it helps not only fibro pain, but also the spinal pain as well? Do you have low-back or lumbar pain at all, possibly any that radiate to your sciatica? It has been suggested by the compounding pharmacist who has helped me with returning to Hormone Replacement Therapy (due to an increased incidence of UTs), that naltrexone could be helpful with both those conditions. Also, I'm not familiar with baclofen - is that an anti-inflammatory? I'm also interested, just as lioness @lioness indicates she is above, about where you receive your lidocaine injections? I have used the patches which are helpful, but my supplemental insurance for prescription medication does not cover the costs of these so I've been using over-the-counter 5% which are probably just as effective since the dosage appears to be the same.