"in 2012, i was in an accident. as a result, i have had 4 surg to my right wrist.  i then developed bi-lateral epicondylitis, trigger finger, and myofascial pain syndrome.  i have taken a variety of meds without relief.  i wasn&#039;t able to participate in life or carryout routine tasks.  my pain specialist prescribed nucynta er 50mg @ 1 tab twice a day (morning &amp; evening.  i was also prescribed nucynta ir 50 mg @ 1-2 tabs up to 4 times per day.  the nucynta er lowers my pain throughout the day.  if i have housework, etc, i can take 1 to 2 nucynta ir prior to starting the tasks.  this gives me the extra relief i need to complete the work.  if my pain spikes, i can also take the ir.  nucynta has given me my life back."