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Hello, I'm writing today because I'm unsure what to do. I've had pain in my neck, back, and shoulders for some time now and last year I was in a pretty bad auto accident. I decided I was tired of being in pain every day and asked my PCP for help. She started me on Tylenol 3 but was not comfortable prescribing for a long period of time. She reffered me to pain management and I've been going for the last 14 months or so. Initially I was on tramadol 50mg 3 times a day and it was increased to 4 times a day. The tramadol was giving me headaches and they switched me to Norco 5mg 3 times a day. It was helpful and I was able to exercise and function much better. Over the last year they have cut me back from 90 to 75 to 60 and now to 45 with plans to go-to 30. I'm not able to exercise anymore without pain in my neck and back and now I've ruptured my bicep tendon. I told my orthopedic Dr. I'm in pain management and called my pain management and told them what happened. They refused to give me any extra pain meds. They told me that if the orthopedic Dr. wrote me a prescription to call them and let them know before I filled it. The orthopedic Dr. won't write me a script for anything because I'm in pain management. The script for 45 was insufficient for my pain before this most recent injury. I have a week left before I go back to pain management and I have 2 norcos left. My script is for 1-2 a day so 45 if I take 2 a day like I have been since I tore the tendon does not last a full month. I've been completely honest with them every step of the way. Today they called me back after I dropped off a letter from my orthopedic Dr. yesterday telling them that I had ruptured my bicep tendon. The guy says well we are not giving you any more pain meds, really rude and then says when you come in you better have the appropriate amount in your urine. Well, I told them I've been taking 2 a day and my prescription allows for 1-2 a day. This rupture hurts like heck and 1-2 a day before this rupture was not enough for the pain I was already in. They are making me feel like I'm a drug addict and I'm just trying to deal with the pain. I want to take a pain pill so I might be able to get comfortable and go-to sleep. It's 4 am and I've been laying in bed since 11. I don't know what to do. I'm taking ibuprofen 3 times a day but it is very little relief. Any advice?