Hi Jimmy and welcome back!
I dont know what else to say other then maybe changing meds for awile will work better then dosing down? I know before the methadone when I was still running the gauntlet of all the other meds I tended to become tolerated to easily and it kept taking more and more to get the same relief. I dont have that problem with the methadone as I have remained on the same dose for years at a time without changing.
I can recall once early out that I went to a new PM clinic and their answer was a "drug holiday" They were a joke! Didnt waste much time or money in their care.
Good luck to you and hoping you get this ironed out soon as being in that kind of pain long sure takes its toll.