same boat here...
still waiting for manageability after 2+ years.
im no where near a fentanyl patch though, well my doc and i did discuss methadone so im hopeful there for some actual lasting relief. ive been hoping these endocets would work since may.
i have a spondoapathy also, and take Humira, that helps a great deal. if your hasnt talked about TNF-painblockers, you should bring them up.
Remicaid has devastated me further with pain since trying it on 11-23-09,,, this is a TNF also, most people react fine with it; its become too much of a daily reality for me not to mention it.
they are outrageously expensive, but if you have insurance, its priceless really.
the psych may not be a bad idea, or what you are imagining, they may teach you some very very valuable copping, healthy dissociating, visualization, guided meditation techniques.
if you live where marijuana is medicine, and tolerate it, a joint of the right stuff can do a lot more then a mouthful of opioids for inflammation-TRUST THIS, its the raw ugly truth. growing it, when your pain is under control, heh, is very zen-ful and soothing, it breeds patience...
growing any plants really, i try with that, orchids, and an assortment of roses.
hemi-synch is also valuable on those long nights, also lots of physical therapy is something i hope youve done, or are doing.
swimming and the proper stretches are a good good thing.
the humira, and physical therapy got me off a cane, to a knee brace, and now an occasional collapsing knee(osteoarthritis).
i absolutely understand man, sleed dep, pain, and general frustration all balled up into one, is no fucking fun.
these things and more, help me stay mostly sane.
Life Love & Laughter!