With the meds you're currently taking, I'm a bit shocked that any doctor would consider a pump as your next step. Trust me, morphine pumps are used when the patient is at the end of his rope, but not in situations where there are many options still out there, such as your situation.
I'd first look into more oral narcotics. I know that you're scared to death that you'll get hooked. Well did you know that less than 3% of those who take narcotic who live with chronic pain ever get addicted? That's right, because your body simply eats the narcotics up, and so you never get hooked. I've been on OxyContin and OxyIR for over 11 years now, and I could stop taking them anytime I want without going out of my mind with withdrawls. I sort of know, when I accidently mess up on my medications and miss one of the dosages for 12 hours at a pop. Did I hurt more, of course I did, but I never have bounced off the walls, or thought I was going to die just because I missed a dosage. It's only because of the little bowl I put my meds that I found out I messed up on them at all.
I wouldn't go with a pump till after you've really worked through the wonders of oral narcotics such as OxyContin. A 10mg or 20 mg twice a day would probably be more than enough, and yet you'd be so much more comfortable, you could really enjoy more of life again.
While a morphone pump gave me back my life, I'm at high limits of Oxycontin and OxyIR, so we didn't have anywhere else to go, but in your case you still do. Pumps are a pain in the side, because they are a hockey puck device but when you have no other choice, their a godsend. From what you said, it sounds like you still have other options, so I'd look at those a lot more carefully first. But please don't worry you'll be on the next Intervention Show because you're taking OxyContin. With chronic pain, you need never worry about becoming a drug head. Take care, Bob.
After an accident in 1997 crushed the nerves in my pelvis, halfway down the calf and at the fibular head (knee), my left leg slowly started to turn color from the foot up, along with swelling and temp change. Within 2 weeks I was diagnosed with RSD. Within 6 months, I had purple, red and some black area's almost to the knee area. By 1999 I landed in a wheelchair and started a life taking narcotics all the time.
In 2004 I got an Intrathecal morphine pump, and I just got it replaced around a year ago, so now I'm on my 2nd model.
5 years ago the RSD spread to my right leg and has done around 80% of the damage it did to my left leg in half the time.
1 1/2 years ago I went septic, and the infection did go body-wide. After 2 days in the hospital I then had a clot in my lungs. Both should have killed me, but this time I got lucky. Meanwhile I've been battling blood clots for the last 4 years.
Last fall the doctor's decided I needed to have both legs amputated above the knee's, but I decided I could only handle one at a time, so I went with the left leg since that one is a little worse off. The right leg is now black all the way to the knee.
I haven't slept in a bed for over 12 years and have instead accepting the fact that I can only sleep in a chair upright. Since I'm in RSD Phase III, it's still progressing, but I refuse to go on a pity party because those who do, party alone. Thanks to a wife of 27 years and great family and friend support, I'm only half nuts half the time.
Guess that about say's it all. Bob.