I am suffering a lot of pain from osteoarthritis and TMD/TMJ and i think that is having a lot to do with poor sleep quality and really aggravating narc. This causes stress at work, which then feeds my pain/narc further, and so on. Occ Health, GP, consultants, employer, etc all seem to be looking at each individual condition, but don't take account of the increased impact of all conditions combined. Pain killers are not working, modafinil not effective for cognitive problems and effects of sleep deprivation, don't want to take amphets as suggested by consultant because i think relieving the pain would probably make a far bigger difference, i just don't know how to do this. Physio doesn't seem to be helping, and as i can only work p/t i can't afford alternative therapies. Any suggestions?
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