I have Lyme, plus a lot of coinfections, six autoimmune diseases and fibromyalgia, so I'm dealing with severe pain in many areas: joints, muscles, rib cage, lower back, upper back, neck, migraines, you name it.
about a year ago my pain issues came to a head when I was hospitalized with an attack of excruciating pain in the right upper quadrant of my abdomen (liver/gallbladder area). Well, my gallbladder was removed more than a decade ago, but I do have autoimmune hepatitis with Stage II liver damage, so they ultimately decided it had something to do with my liver, although they never did figure it all out.
The only pain med that touched it in the hospital was morphine but even that didn't do enough. I ended up on fentanyl patches. Those definitely helped more than anything I'd ever taken! I would still be using them except for the fact that they suppressed my breathing too much (I'm fond of breathing). So now I'm on Dilaudid, which isn't as effective for me but is pretty good.
But the problem is that I'm only sharing my own experiences....Jim and RetiredMom are right in saying that only a doctor can help you figure out what type of pain meds YOU need. An LLMD may not be able to do that. You probably need to see a pain management specialist and explain all of your pain issues and the history of the meds that you've tried, etc., so that they can help you find something that really works. A lot of people here are using time-release meds with an additional pain med for "breakthrough" pain.
Good luck to you....please keep us posted!
Lyme Disease, Babesiosis, Ehrlichiosis, Bartonella, AIH, Hashimoto's, lupus, fibro, RA, celiac, asthma, psoriasis, adrenal fatigue, pre-diabetic, Raynaud's, hypertension, osteopenia, sleep apnea, RLS, GERD, DDD, severe lower back pain, cubital tunnel, tarsal tunnel, Suprax, Malarone, Alinia, Zithromax, Prednisone, Imuran, Plaquenil, Lyrica, Cymbalta, Levothyroxine, Liothyronine, Atenolol, Cozaar, Zyrtec, Fosamax, Albuterol, Prilosec