<human>: i have a severe low back pro blem i have had one back surgery and ineed more surgery in next few years ihave been in a pain center for 7 years and my back pain is getting a lot worse latley icant sleep and pain is so bad icant explain just how bad it is it radites down my leg i have been taking fentenyl patch 50mcg for 2 years it dont help me any more is there another tr or er medicne that i can ask my pain docter about/ it would have to be some sort of opoids that is the that seems to help me. can you give me an idea.thank you.
<bot>: Dear: thanks for using Chat Doctor and will try to help you with my medical advice. Fentanyl is a narcotic patch that the body can get use to it after a period of time. First step is to reevaluate your back problem with an MRI of the back. Then, depending on the level of problem, the treatment options could be adjustment of pain medication, physical therapy, epidural block or surgical treatment. I hope that my advice has been helpful. Chat Doctor. 