Hello Guitarguy,

I am sorry to read you are suffering so much right now. You deserve some of your life back. Getting your pain under control is imperative. Living in constant pain without any treatment is exhausting and drains the soul. It also contributes to centralization. I understand people not wanting to take meds but sometimes all the gentle exercise, meditation, supplements and alternative therapies in the world aren't enough. If you have found a med that helps you without intolerable side effects and your doctor thinks it is safe and beneficial then take it at the lowest dose that gives you relief.

Your family surely has your best interest at heart not wanting you on pain meds, but not being able to function is a terrible option.

Nucynta has an atypical action in that it also addresses neurotransmitters not just opioid receptors. Did you ever try any of the TCAs? I find nortriptyline helpful and it keeps me off narcotics. It might be worth revisiting the options with your PM. One problem with opiates is the hypersensitivity they can cause, if you can stay off them that would be great. If not, do what you need to enjoy your life and take care of yourself.

Instead of weightlifting right now, you might try getting in a pool for the time being to keep your circulation and your spirits up.

I hope you get relief soon! Sending gentle hugs,