@Leesha
This has to b short 4 now,sorry--but I wanted to respond ASAP
Ok, i have the MEDTRONIC pain pump and have the same exact problem with tolerance.
My Md also denies that there is tolerance.
*moderator edit*

Everything but the tolerance most of us KNOW OURSELVES happens,which is THE DRUG STOPS WORKING after a while on the pump.
The pain management specialist I saw b4 getting the pump refused to implant them or prescribe opioid pain meds -Because- the pumps werent lasting.
I think Medtronics is borderline criminal here, and I bet they will be sued for millions once the fact they are misrepresenting the drug and treatment outlooks.
Ithink they hedge on either the patient dying or the condition progressing.
The fact is: pain pumps only work as advertised in patients who have malignant pain b/c they won't be around long enough for all the pain management problems... ,