Hi Shaw,
I think its stinks that your PM is not listening to you. If he does not rx BT meds then it sounds like you need to bite the bullet and get another PM dr. What he is doing is not right, your pain is being under treated. As a pain patient you have a right to proper care. Many PM drs do rx BT meds. I have a pain pump and my PM dr says all pump patients needs a BT medication. But there are some drs out there that will not give a pump patient BT meds. Its all boils down to the personal choice of the physician. I am glad you are happy with the Methadone. It can be a very effective pain reliever. But again, its only for long term use only. Will your dr rx you something like Neurotin that is for the nerve pain. If you are having nerve pain, narcotics are not going to be of much use for that type of pain.