I have been suffering from chronic back pain since 2003 and had to coflex spacers inserted in 2008. Used tramadol to manage pain from 2004 to 2009. In 2009 early 2010 still used tramadol quite frequently (50 mg 2 to 3X per day on most days. March 2010 bad car accident, 3 bulged discs in neck and arthritis. Never had neck problems before. Also has post concsussion syndrome (PCS). Had to quit taking tramadol due to stuttering (increased from 100 mg per day to 200mg per day after accident). Switched to oxycodone, 5 mg 2X per day now 3X per day. In addition, low dose pamelor was prescribed for migraines and PCS, which at first helped with migraines but it increased my insomnia problem so I quit taking it. Question, I still get chronic pain and everyday I try to avoid taking oxycodone but OTC (tylenol, taking aleve or motrin upsets stomach and causing bleeding) doesn't work and my pain, and especially headaches get worse until I take oxycodone. I do not like the rollercoaster effect of oxycodone - takes pain away but 4 hours later headaches start return and increase and back and neck pain return. Doc says not to worry about my oxy intake, but I am worried, could I be developing a dependency and my pain due to trying to withdraw from oxycodone? Anyone been taking oxycodone regularly for a long time (over a year) if so, could you please give me your input? I am currently working 4 hours per day, but will be increasing my work load - wouldn't it be nice if we didn't have to work, it would make things easier. My job is basicly a desk job, which doesn't hurt the neck that much, but the back suffers and I develop headaches as the day goes on. Also, does anyone take phosphatidyl serine (PS)- an otc supplement? I read that chronic pain patients develop high levels of cortisol, which could cause insomnia. I started taking PS and it seems to be helping with sleep, but I am still trying to figure out the right dosage and time(s) of day to take it. I used to wake up every 90 minutes, after a week of taking PS I wake up about 2 times per night, sometimes 3, which is better than every 90 minutes. Thanks, I will appreciate your input.