Sorry to hear about your situation. Have you ever gone to a pain management doctor? If they decide to prescribe meds, there are many different meds and maybe something else will work for you if the patch had too many side effects. People are all different and it usually takes some trial and error to find the right combinations and dosages of meds to get adequate pain control.
I have been in some kind of pain management for about 8 years and on the med combo I am currently on for 5 years. I've had one increase on both the long acting and short acting meds and have been stable for over 2 years. I am very grateful for my pain doc and think he is one of the best, he really cares about his patients.