Risking having my note to you ignored, yet again, I will offer the same suggestion, for others to read at least, if you still are unhappy to hear advice.

Cymbalta is a very good medication for those of us who are down, discouraged and in pain. It helps both mood and pain. If you are finding yourself demoralized by the pain, that will make the pain worse, which will then make mood worse. The SNRIs seem particularly helpful with this. Effexor and Cymbalta are those. Provigil added to an SSRI also works, but most insurance plans probably wouldn't okay it if one of the others hasn't been tried first.

There, Jack, I've said it again.