I've just read through this whole thread again, and some things are just making so much more sense now to me. Thanks Dow, Mig, Kat, particularly, for your comments. That whole discussion on neural pathways makes a lot of sense, and the biochemical bits, but also that there is stuff that you can do yourself that will a significant difference. I think I am starting to realise that. Just recently I got to the point where I just have not been coping with pain and wanting more and more pain relief but not liking the drugged doped feelings from it. Just for the moment, things have changed again for me. I'm still in a lot of pain, but all up I guess my levels have dropped a point a so, (from 6 or 7 down to 4-6)and some of that has come from getting rid of a little bit of the fear of pain stopping me from doing my job that I am sure was winding up my actual pain levels.