Randy The answer is.... it depends... (that was a let down wasn't it!!) Sorry, It's not just the level of pain relief you are on that is the consideration it is the effectiveness of it....or otherwise. Oxycodone has the effectiveness of Morphine with less addiction & a few other side effects, Fentanyl is similar...but different. If that is not giving you the pain relief you need then they start considering what other options there are. If you are almost pain controlled for instance they may consider adjusting the dose, or adding.....a muscle relaxant for instance, but if there is not enough leeway for adjustment ie if you are going to start getting some of the nastier side effects or it's just not working, then you need to consider something else & one of the something else's is a pain pump. It depends on where the majority of your pain is & what caused it. A few conditions they would offer a nerve block but that is not suitable for everyone. Your reaction to the spinal will make them wary.
I really do sympathise as others here will also tell you, when you are having a spell of going down it feels like there is no up. You go to do something you normally do without thinking & suddenly its an effort & becomes more & more impossible with every passing day & it feels like there is no end.
You know yourself better that anyone else go with what feels right but they wont offer it if there is a better alternative. One of the advantages of a pump for instance is that it works quicker & being able to adjust the dose& it gives you a better assessment of how much medicine you actually need.
Well now that I have cheered you up no end ...I really am a right bundle of sunshine lol lol !! I'll leave you to have a think on it all. We talked about Mantras a few months ago, mine is... This too shall pass
I have to believe that is true Take Care

The pump is extreme and there have been serious problems with PP patients. I lowered my dose and the pain is better. Good luck...

Excellent description, thank you.

Thanks RandyLampton

I have diabetic nerve damage in my feet , I believe I also have nerve damage in my back and hands I hope they check it all