jeff you may want to switch to patches they last 3 days with a constant level. patches worked best for me and i used less. i would wait too long to take my pill and when the pain got a good grip on me i would have to double up on the pills to get relief. the constant drip worked better. the swim lessons went well i will be able to learn the breast stroke. i know what your talking about the fatigue i have to drag myself out of the house to get to the pool but when im done i feel great. if they have a sauna give it a try. mike