Sarrah
First let me say I am sorry you are in pain and having trouble sleeping. I know well about both of those issues so I hope you can find the appropriate help very soon.
I was going to tell you as well to find a new doc but then read your last reply.
So if you get along with your Doc so well and he listens why are you afraid to tell him of your pain increase? He should be the one you would want to tell right away because You do trust him.
So maybe I am confused about this matter. But if you have a trusting caring Dr who understands your conditions then tell him. if he does not like to prescribe the meds you may be required to get a referral for a pain doctor. You can have more than one Dr but they should be aware of each other so they know of the treatments/meds you are being prescribed from each Doctor.
Good Luck to you and hope you can find some pain relief.
Rhonda
I