I got some relief from a butrans patch (10 mcg) but also use nuycenta, hydrocone, and oxycodone on occasion. An alprazalam with the pills will help, the mildest. And still the pain can just be grinding. You cannot think of two things at one time, so watch a movie, do needlework, anything to concentrate on something beyond the pain. It is a challenge. My pain has gotten much more severe, and Dr.s act like you are making it up. Mine is in nerves. It is miserable, and dictates what I can do every day.