"i&#039;ve had one back surgery so far, a l5 s1 fusion which didn&#039;t work and i&#039;m in alot of pain. i have tried many other pain medications, narcotic and non-narcotic to try to manage my pain, along with acupuncture and physical therapy. finally my doctor gave me opana (extended and immediate release) and i get such wonderful much needed pain relief from them. i still get some breakthrough pain but these work so much better than anything else i have tried, including oxycontin, and i&#039;m so thrilled."