I had an interesting chat with my GP last week. I have chronic pain, and often find myself in the awful situation of being in so much pain, knowing that I need to move slightly to make it slightly easier, but also knowing that to physically move is going to cause even more pain temporarily. This is worse during the night. Also , although i am on morphine 24hrs a day, actually getting out of bed in the morning is agony and i have to lay there for ages just waiting for the morning dose of oramorph to kick in so i can get up. Anyway, it dawned on me that being able to use gas and air at home just to get me past those temporary hitches would be very effective, safe, and much better than having to take more morphine. And - my lovely doctor actually AGREED with me. She could totally see how much better it would be. BUT - apparently gas and air is not used for home. I dont know why. Is it really the case that they would prefer us to be on extra opiates, when actually some people just need that extra boost of pain relief for just a few minutes? I dont know if i have explained this well, but obviously the MST is for the main pain relief, the oramorph for breakthrough pain. Its just those brief moments when its difficult to actually get moving to start with that gas and air would be useful. So - anybody got any thoughts??