In the past decade I have had 3 neck surgeries and 1 shoulder surgery (2 of them in the past year) The issue I have now is after my last neck surgery (laminoplasty c 2-3 4) my lumbar spine was and is diagnosed Spondylolisthesis at L3-4 , the surgeon said it is going to eventually fuse its self and in the mean time it is extremely painful I have tried everything from tylenol to celebrex ,gabapentin,flexeril,soma. and many others the only relief I have had was post surgery in august on my shoulder with post surgery roxycodone 5-10 mg every 2-4 hours but that stopped after 3 weeks when I was released to my primary care FNP who doesnt believe in opioids What do I do?