I have had three ACDF surgeries however, I have never had shoulder and back pain like I am experiencing after my most recent surgery on 12/16/08. I see a pain management doctor tomorrow for the first time and I am hoping some of you could give me some input on what might help. Right now I am taking Esgig (Fiorocet) and Soma together which only dulls the pain for about 3 hrs at a time. I try to only take it 3 times a day along with a Valium before bed. These are definitely not doing the trick and I may have to return to work on Monday as they have given me an ultimatum(This stress didn't help either). I can not take the really strong things like Vicodin or Percocet as they make me sick and don't even seem to help this pain. I was given Fentanyl through an IV after an extremely painful discogram in December and it seems to work really well but very short term. I understand this does not come in pill form and my OS does not prescribe this but says the Pain Management doctor does. Any suggestions would be greatly appreciated.