I don’t think I’ve heard of Savella or milnacipran. I’m going to ask my doctor about that. I wish I could take Cymbalta but it caused the inside of my throat to swell bad. Lyrica too. I’ve had over 30 meds cause swelling, usually in my legs and feet. I also have neck and shoulder pain from a car accident, but the lower back pain is pretty much constant and the pain is very sharp. my hydrocodone 4X a day helps some with my other pains but not my lower back. I really agree with you about health care and pain meds. the government has cracked down a lot due to drug addicts and people selling the meds too, making it even harder for we in major pain to get it. I was on 5 a day but my doctor lowered it. thank you so much for sharing, sandytoes14.