Hi Great Grandma and welcome to Healing Well. I am so glad you found us but hate to hear of the problems you are having with pain too. At least here on this forum you are in good company.
Like the others that have come on board you just have to be honest with dr and let her know your pain is not being covered with your current medications. I know most pain mgt drs like to start us patients out on a low dose of something and then work up from there. But, unless you are upfront you will not get the care you deserve or need. we all know very well the stigmas attached to pain medications, yes it is a hard road to walk at times. The good news for you is you have won half the battle by liking your dr and being comfortable with her. I have been very lucky in this area too.
I am not sure if your dr had you sign what is called a Contract that sets out the rules of her practice or not. But, pain mgt drs like to be the one in control of rxing your pain medications to you. Even when I have had dental work done I asked my pain mgt dr if the medication I was on would handle any potential pain from the dental work. Others have done the same when having surgery. Its pretty much using 1 dr for pain meds, 1 pharmacy to get meds filled at, random UA tests, not giving your medication to another person, not accepting pain medication from another person, such as friend or relative, taking meds exactly as prescribed and not taking more than what is rx'd, I think you get the picture.
I do not know if you have an appt coming up real soon or not with your pain mgt dr. If not, perhaps you need to call and get an earlier appt set since you are not doing well. No point in letting yourself be in pain if you can get it changed. There are so many different pain meds out there available to us, hopefully you can get one that will improve your situation. Its all done by trial and error till you hit on the right one.
Take care and let us know how you are coming along.