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physiatrist added 1 more cesamet to the regimen.at least they have no side effects except drowsiness.pain is way 2 strong 2 let that affect me.so,between 8 percocet and 8 cesamet/day plus the cymbalta im getting maybe 25% relief.wish i had a pool at home as that is the only really noticeable relief i can get.now its a waiting game 2 see what these 5 doctors can come up with next.if surgery is not an option,what is?i heard 1 guy talking about therapy,but how can i possibly engage in therapy with this much pain?it seems like a ludicrous concept 2 me.