Hi,I fully understand level of pain you went through.I myself have been there i ended up with Morphine liquid, Morphine patches, then Morphine slow releasing not forgetting putting ice on swollen joints at the same time,then with help of my compression gloves & hand splints.Ok it depends where the pain is at the time,i have pain in all my joints including my jaw bone when i cannot open my mouth even sucking through a straw is hell.I will ask my G.P.if BuTrans patches will be any help to me.So thankyou for your information most interesting Valerie-R