I am lucky that I have a very wonderful relationship with my Primary Care doc. I have Fibromyalgia, Chronic Fatigue Syndrome, and Myofacsial Pain Syndrome. I've had to have both knees scoped and they are now bone-on-bone. Yes, I'm over-weight but that is due to the fact I really cannot get around much anymore. Exercise? What's that? Between my knees, my muscles, and everything, I barely eat and I do a lot of veggies and such. I'm very careful with my food. I can't lose weight. I'm 55 years old.
My doc is very good with my meds. I know what I'm on and the dosage. I can take a prescription of Flexoril and a narcotic. I started with the light stuff years ago, Naproxsin prescription. Then added codine to it (I'm allergic to Tylenol). Then we went harder. I can use a prescription probably for two years, max. I get one and make it last about 6 months at 60-100 tabs. I only take it when I need it, I don't take it daily. I know there's an addiction factor to this stuff. I won't take it until it's just to the point of unbearable pain. My doc doesn't have a problem with writing the scripts because of my fear of addiction. I am past Oxycodone now, I'm taking Nucynta ER 50mg. He's talked to me about going to a pain management team but I'm afraid of going to a different doctor who may poo-poo my pain levels or tell me I need to lose weight and not do anything else. I've had this for over 35 years, it's not going to go away magically, even by losing weight, I had it when I was skinny too.