Our expert says:
Good morning ! I wonder if there is a pain clinic near you - in this country there is a great need for multi-disciplinary pain clinics. I used to help run one in Durban, but I think it closed some time after I left it. Similarly, though there are some docs with a special interest in pain management, there aren't enough and they're not easy to find. Some are neurologists. Some work with hospices or the cancer association, but often are not used to dealing with chronic benign pain.
There are many cocktails and combinations of meds that can help pain, including some of the older antidepressants ( though one has to consider that some of these don't go well with heart problems ) - I haven't seen good evidence on the much mroe recently released Cymbalta being useful in chroic pain, though it may be so.
Another route to go would be to work with a good clinical psychologist, especially one with behaviour therapy / CBT experience, who can help you develop stronger ways of controlling and responding to pain using your mind itself.
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