Answer: Have you seen a pain management specialist? They are generally more willing to prescribe the most potent narcotics like Diludid and Fentanyl when there is a need for them, and it sounds like there is a definite need in your case. I felt extremely hopeless about my pain as well until I started seeing a pain doctor. Now my life has turned around completely. This website: www.aapainmanage.org is the American Academy of Pain Management. It has awhole lot of information about pain and pain management, as well as a search page that helps you find an acreditted pain management program and/or doctor in your area. You might also look into clinical trials of pain medication that you may qualify for. These medications may help more than what you are taking now. Overall, I would tell you that yes, chronic pain CAN be managed, it's all a matter of finding a doctor who is willing to prescribe the medication that you need in a dose that is effective. Some chronic apin patients need doses of medication tha would kill people who don't have our types of problems. Pain doctors will work to titrate your dosage until you find a maintenance dose that allows you to function but still kills most of the pain. HOwever, you can't expect to be 100% pain-free. It's called pain MANAGEMENT and not "pain gone" for a reason, but if you find the right doctor, they will continue top titrate the dose of medication upward until most of your pain is relieved. They can also give you other medication for breakthrough pain, and can use non-pharmocological methods to help your pain. I know that some days I personally feel like I take so many pills I rattle, but it has really been worth it to experience the changes in my life that being pain free (I'm down to a level 1 or 2 pain on a BAD day) has brought about.