I have not gone to PM, but I have had really good surgeons and primary care doctors in my past. I can't believe they have kept you on the same pain meds for 8 months. My doctor changes my meds every month so that I do not build up a tolerance and also I do not become dependant on any one particular pain med. I bounce from Ultram, Lortab, Tylox and Lodine. My muscle relaxers are changed also. I bounce from flexeril, zanaflex and robaxin. I know alot of people stay on the same medicine for years at a time, but I guess I am just too nervous to stick with one. I do not want to become addicted. Tylox is a good strong pain medicine. I take it when nothing else works.

Good Luck!!! Keep Smiling!!!
Tammy