Pain management doctors are only human, and all have different ideas. Is your aim to wean off the hydrocodone and try some other pain relief? The detox going cold turkey is a nightmare and is not recommended unless you have 4-5 days to suffer intense sweats, vomiting, nightmares etc. Been there and done that never again. You can start to halve your dose week by week, so your body starts to function without it. That worked much better for me.

What options do you have for other pain relief -

Buprenorphine patches 10mg is one way, which means no tablets to worry about. If you go down that path always leave your old patch on for an extra 24 hours after you put your new one. This keeps your level constant and reduces any nausea you may experience.

Memantine - this has the added benefit of helping reduce your fatigue. Read up about it and acts a bit like ketamine without the side effects. Is far cheaper than ketamine.

Ketamine - very effective, especially in wafer form, but only works in 1/3 of people, may have long-term side effects, requires blood work regularly, and is quite expensive. Search for threads on ketamine Mayo Clinic pain groups for more views.

Cannabis - gives only short-term relief in my view, not very effective, but you can read about it in threads throughout the Mayo Clinic pain groups.

Unfortunately, there are not very many options, and the Government continues to make it hard for those who have long-term chronic pain.

I hope this helps..