It's good to see you again (but sad that your meds have stopped working as well as before). I had the same issue witht the hydromorphone. Despite several attempts to up the med to cover the pain, it just seemed to stop working completely all of the sudden. I didn't have any problems quitting it either. Then the dr put me on oyxcodone, which worked sooooo well for a while, but no so well after some time had passed.
Now he has added MSContin...(same thing you are taking) twice a day and i still take all of my other meds for pain. I use Xanax XR 3 mg, Robaxin, Ultracet, and Oxycodone along with the MSContin. The combination has been the best for me in a long, long time. I can't say that the Robaxin is very good, but I could not take the Baclofen and the DEA decided long term use of SOMA was no longer OK, so my Dr changed everyone to another muscle relaxer.
I also had another RFA (nerve ablation...where they burn the nerves that are causing the shooting pains...ie nerve pain). It works great for me and this one gave me relief so much faster (weeks faster) than the last one...but it was more painful to get.
Finally, I am getting trigger point injections (for me, that's a very large number of shots into the most painful muscles in the back in a series of injections...one after the other). It also hurts to have it done, but the relief is very good for me. Some others here share the relief from these procedurs and others don't.
I have already had the surgery (I believe you are trying to prevent that....if I'm not mistaken). These are certainly only a few of the options available, but I have been trying to find relief for years now and this is the first time in years that I feel like I have a life. Don't get me wrong, the pain is there, but so is the relief in this med combination and with these procedures to suplement the meds.
I mention all of this because it too so long to find something that offered relief for the long term and you are so new to the pain med thing. I can remember how you felt abou dilaudid when you first started taking it. MSContin works well for me as a supplement to my other meds, but alone would not be a very good med for me (at least not at the low levels I am currently taking ). You may want to ask for something for break through pain (or at least get the OK to continue the motrin). I'm sure it's probably fine, but I'm a worrier and I alway check to mae sure my Dr is OK with me adding anything over the counter or not....just to make sure there is no reaction between the meds.