I absolutely understand you! I am on tegretol and lyrica, and while it controls the pain, I have had to increase the dose every two or three months to do so. For now, I refuse to consider surgery, I just can't afford to stop working. I too am tired all of the time, and am getting alot of flack from my jerk of a boss over this. I work in a very fast paced, stressful job, and struggle every day to keep up. One question I have is, are we considered disabled? Can we go on disability? Every day it gets a bit harder to keep going on......hang in there!