it might also help to have a primary doctor who will agree to whatever the pain specialists recommend. this way, you get the pain spec. to recommend routine pain relief to be taken daily, depending on type of narcotic, say every 6 hrs., or some might be once a day.

then the pain specialist recommends a pill to take for break-thru pain as needed.

if your primary agrees to this, all you need to do is stick with the dosing schedules and you will be fine. order refills when directed. make no mistakes (since this is narcotic), do not lose medication. always put in a safe place away from everyone!

i don't know your age, but the younger one is, the harder it is to secure pain management that is effective. if you are over fifty?, or forty-five?, you have a better chance.

it also seems the pain issue should be treated one way, PTSD another- through therapy.

good luck to you.

your pain needs to be treated so that you can have a better quality of life. tell your pain specialist Dr. you are suffering, as is your family, and life do to this untreated pain.