Conversation: The conversation between human and AI assistant.
[|Human|] I had back surgery at 28, I am now 54. I had a hip replacement last year. In addition I have fibromyalgia and osteoarthritis. I am taking Cymbalta 60 mg, does not help pain but has other benefits for me. Lydrica ws tries as well as tramadol. I am getting my 2nd injection of viscosupplemantation to biilateral knees for the second time next week. First time was in May lasted 2 months. Also was prescribed 800mg Motrin, helps a little. Also made an appointment for an accupuncturitst next wee. Just cant take the pain any more from hands to feet, why can I not receive stronger pain medication? I feel embarrassed bc I walk funny from all the pain
[|AI|]  Hello, Welcome to the magical world of health care, I went through your query, and I can understand that you are in pain, BUT let me tell you getting a stronger pain medicine is not a safe idea, the majority of them have other adverse effects, and cannot be used for long. Now coming to your point of pain, appreciation of pain occurs in the brain, and our tolerance controls how much pain we feel, this is the reason that similar impulse cause different level of pain in different individual, so first learn to be active and bear some pain. Second get treated those joints which are maximum painful first, either replacement or Rhodesia, what ever suites your needs. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. I hope a 5-star rating if you feel guided in your treatment, Thanks.