@sherry , @ga29, and all. .I use medical marijuana, THC/CBD 1x1 tincture at night for anxiety, and pain relief and it's excellent. No pain meds are required. My son uses the THC/CBD pain lotion, as do I, on his bad pain areas. It's costly but it works well. Helps take the edge off some for him. He also vapes and takes pills and tincture. He uses them at different times for different reasons. Seem to help. But his situation is so severe he's needing a lot of help and is now in need of residential help to regulate and figure out what meds he needs now. There may be nothing more that can be done for him. 20 years is a very long time to make it through this kind of pain and the mental pain associated with it. Not sure about his survival, how or what kind of life he's facing.

But, the pump is an important vehicle after other attempts are unsuccessful. With whatever oral meds and therapy are called for you. Be sure you have a pain doctor you trust and who listens to you well.

Blessings to you all. Elizabeth