I am diagnosed with 3 herniated cervical discs and fibromyalgia. I have a history 2 years ago of substance abuse (because of these pain issues). I have been thru a year of treatment and clean for 2 years. Finally referred to pain managment MD who is reluctant to prescribe opioids to treat chronic pain. Tried duragesic patch - 25 mcg TOO strong and 12 did nothing. I've also had 4 cervical steroid epidurals which offered fair relief but can't have more at this time (also concerned about amt of steroids in body and effects). I have done P.T., yoga, chiro, heat/ice, yoga, meditation, new mattress/pillows, acupuncture. What are my alternatives? Have offered to sign pain contract with him. Am very frustrated because I have been to various MD's and get the same answer since I have h/o substance abuse (again, b/c of chronic pain). Do you have any suggestions?