I'm getting to the point where I have had enough now I have ask my doctor if she could refer me a pain and a sleep clinic without success. She told to take 2 25ml amitriptyline at 6pm which don't work just make me fell hungover for the rest of the day I get a couple of hours sleep which consist of paralysis dreaming with muscle spasms down the right side of my face and neck. And if I'm lucky I have spent them few hours with waking choking because I can't breathe or have stopped breathing. Then there's the lovely addiction to tramadol which do nothing for the pain. And then have the constant worry and fear of loosing pip. I have had enough.