I've been lucky so far. Prednisone has cleared up 90% of my pain. My CD symptoms also include very harsh lower back pain, and mild/moderate pain in most of the joints in my body. Unfortunately, I have a job where the strongest pain meds I can take are ibuprofen and acetaminophen. I feel like I have a mild case of the flu non-stop. Just last week, my GI prescribed Ultram ER to help me deal with the remaining lower back pain i have at night. OMG, it has just been unreal the difference. I have zero pain at night now, and can sleep 8 hours straight, waking up in the same position I went to sleep in. Haven't done that in years.
So why the long diatribe? It's all about quality of life. Please excuse the language, but screw dependency. If a person's quality of life is being degraded because of pain, then whatever they need to take to deal with it is fine, IMHO. Even if it means addiction. Going through life in pain with low quality of life is far worse than an addiction to prescription pain killers. My mother has severe RA. She suffers every day. Needlessly, IMO. She's so afraid of "getting hooked" that she doesn't take any pain meds at all. Honestly, is that any way to spend the sunset years??? I would just love to throw her a bottle of Oxycontin, and tell her to get busy. Life is hard enough, why do we insist on putting this huge stigma on things that can make it tolerable for those in pain? I'm not saying that everyone in the world should have free access to morphine, but those that are in pain should get the relief they need, even if it means an addiction. I dunno, maybe I've seen one too many episodes of House, but anyway... it often seems like too much emphasis is placed on "addiction", and not enough on Quality of Life.