@Nicole44 I'm sorry to hear of your pain. I don't know if this will help you, but I received some relief from: 1. What is your Gabapentin dose? Inquire if it can be increased. I think the high is 3600 mg per day. 2. You mentioned Topical Meds. Have you tried Voltaran now that it's available in over the counter strength. 3. Regarding Pain Management. I was struggling and not getting much relief from opioids. My pain Doc. Recommended switching to Suboxone. Better pain control less side effects. Best of Luck