I know it is a tough day as I physically can't smile. I have been in constant pain for the last 2 1/2 years. Pain started suddenly in my lower back, glutes (and pudendal when bad ). I have been told here is no meccanical cause of the pain...and no treatment. I tried phsio, chiropracty, osteopathy, pain management ( crap- no understanding of ME!) ,Counselling and anti-depressants are all I have that keep me marginally sane. At the beginning i occassionally had the odd few days without pain. Now it is all the time, and since I became dependent on Tramadol and had to come off it, have not had any effective pain medication since last June (apart from Amiltriptaline- which helps me sleep and makes me fat.) I am fearful of opoids after the Tramadol debacle, but my quality of life at the moment is so poor I feel I will have no choice but to take them. Already tried paracetamol,ibuprofen, Naproxen, gabapentin, co-codomol. They all bounce off the pain and/or give me really bad side effects. Today I am in bed with pain like bad toothache from the small of my back to the bottom of my bum. and no effective pain relief- it's going to be a long day.... As soon as I stand or sit on the pain is so much worse...it's hard to walk.. My dream is to get the pain enough under control to be able to get a mobility scooter and get out of the elephant enclosure and get me some independence back! Seriously- what are you taking? what is working for you? Please don't suggest the power of the mind/pain management/ pacing/distraction/prayer/ meditation etc- I do as much of all that as I can. Seriously how do other people cope. maybe some of you are stronger than me and can live with 6,7 or 8/10 pain for the forseeable future- I can't!!!