Chronic pain and fatigue kinda go hand to hand , think this way you own a building with a battery operated alarm, because of the alarm going off constantly from bad weather very soon it stops because it's out of battery power, your body is the building, pain is the alarm and it keeps ringing even though no actual emergency, your pain is undoubtedly affecting your sleep, and that damn alarm keeps going of, and bingo you are fatigued from both being awake and having your rest interfered with, unfortunately science is at a loss on how to give you back pre injury vitality, and chronic opiod dependence strips you of alot of "reserve" power, my suggestion would be see if your Doctor would be willing to rotate your opiate to something else and have a holiday, this frequently will help.

In my case I take Fentanyl and Oxcycodone for breakthru pain know that my rescue drug and rotation drug if I need a holiday is Damerol because it's a different class of opiate and I am therefor "naive" to it. So if you're doing suboxone there are less options but still options none the less, to help you feel better. Pain is a very draining thing physically as well as emotionally, how is your level of depression? Chronic illness causes depression in 99% of patients, the amount it affects your day to day life and ADLS is unique to everyone of us (( knowing it's there, is half the battle)).

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