re: Legit chronic pain people

Max out the nortryptylines/amytriptilines, gabapentin/lyrica, cymbalta. And obviously any intervention that could be precipitating the pain (epidural steroid injection, ablation, spinal cord stimulator, baclofen or tizanidine if from spasticity). After that, use opioids sparingly if possible.

Doctors (legit docs, not pill mills) got fricked when pain went from "the 5th vital sign/pain level is whatever the patient says it is/you have to treat it" to "oh no, everyone is ODing and on heroin, don't prescribe opioids".