For me sleep is a huge issue and I have tried so many meds for it with little relief. I so can understand too about hurting too bad to go to the doctors it. It is like I feel to drained. Is there someone who could take you and is there a better time of day where you could make the appointment? Have you tried trazadone? Out of all my meds to assist that was the best one and pain docs have suggested as well. I hope you get some rest soon