I have been under the care of a pain management clinic for 11 months. I have had 7 epidural steroid injections and I currently take Neurontin, Arthrotec, Zanaflex and Percocet. I had been having inceasing back pain and called my pain management doc. She told me to take more of the zanaflex. I put up with the pain as long as I could and finally went to the ER. The doctor told me to tell my pain management doc that I need a new MRI and suggested that I be put on a Fentanyl patch. She said that I most likely have developed a tolerance to the percocet. I am on 5/325 of percocet. Though my percocet doesn't seem to be working anymore, fentanyl seems like a big jump to me. Does anyone have any advice on what my next step should be?