Hi all I have suffered with chronic pain for eight long years. I get pain daily flare up and constant broken nights sleep. I had a ruptured eptopic needing surgery to save my life. Three months after a cyst in same area needed more surgery. After that shingles infections and daily morphine. Then six months to have another surgery as had fused bowel and surgeon had to cut away more scar tissue. I use Tramodol Paroxitine paracetamol Amitripyline every day. I have tried TENS pain clinic heat patches and relaxation. The upshot is my breakthrough pain is getting worse. I cannot have more surgery as it would could leave me worse. I want a medication I can use when all else fails? Any ideas anyone my Dr has left my on Tramodol since my last surgery. I need something some respite what works ?