Hi, Pain is quite complex and can be from many causes (injury, disease, nerve malfunction, chemical damage, etc). Chronic use of opioid pain medication can also lead to tolerance so that you require higher doses and can cause hyperalgesia when the body feels more pain than usual. Without knowing the exact cause of your pain, it would be difficult to give you specific information. Some general advice may help though. There are chronic pain medications that are not opioids and do not have issues with addiction, tolerance, and hyperslgesia. Duloxetine, gabapentin, pregabalin, nortriptyline, and others. Pain Management specialists can often do procedures to help the pain like nerve blocks. There is a new treatment that is benefiting patients called low-dose naltrexone. Psychotherapy can also teach people how to cope and deal with a chronic issue. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Timothy Wong, General & Family Physician