<s>[INST] Hi, I had 2 surgeries on my spine 2011, a long fusion from t6 to s1 within 1 month the hardware at s1 loosened and it had to be rerouted into both sides of the pelvis , I had double rods on both sides of the spine. Right now I am in agony I eel every screw ,hook and other hardware jabbing at every inch of my back, also I am no longer upright I am almost 45 degrees bent forward just as I was before the surgery. I feel this surgeon took advantage of me and played God with my body. I see no one like me anywhere. I relocated to Vermont and I am in need of a pain management doctor. I am currently on methadone , it doesn t work no breakthrough medication I cant stand this. [/INST] Hi,Thank you for posting your query.It is unfortunate that you have to suffer this severe pain despite surgeries.Good medications to relieve chronic and neuropathic pain include pregabalin, gabapentin, duloxetine, and tramadol.You may take these medications with a doctor's prescription.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website:   My email: drsudhirkumar@yahoo.comMy blog: </s>