Sorry your pain has increased. If I were in your shoes, I would try the anti depressant. If depression and anxiety are less, usually the pain goes down a notch too. I don't like taking them either, but I know they have helped me. I would do that before an up in the narcotic. If you don't get a bit of relief after being on the anti depressant, sure talk to your doctor. I do all I can not to take the narcotic. I know how difficult it is to get off the medications, thats why I limit as much as I can. Sure hope you are OK. ginnie