I am a 58 yo w male who had a ruptured disc at c3,4 in 1983. Subsequent myelogram revealed congenital stenosis of canal from c3-7 to the point CSF would not flow. Laminectomy c3 thru 6 & discectomy w/o fusion at 3-4 performed. Over the years discs blew from 4-7 & anterior fusions were performed. Now anterior vertebral bodies are causing 5 or more myelopathies (doc stopped counting at 5) are present. B/c of laminectomies anterior decompressions are not feasible. Pain management seems to be only option. I cannot take NSAIDs because they damaged liver over the years. What do you recommend. of course i m very depressed, as driving priviledges have been taken as they should have been. i m taking 100mcg fentanyl transdermal, dillauded started for break through butnow every 8. It s getting hard erder each day for reasons to get out of bed some days to get up b/c of the pain, I just don,t know where the of it is going to be. Any recommendations? Oh I didn t mention no full night of sleep in years. Cannot afford this. Thanks any way.