Well, I can tell you that if you told a pain management doctor that you used up 40 pills that you should still have for awhile, he/she will not be giving you anymore. These doctors are 10x as strict as a normal doctor. At least where I live this is the case, as they will sometimes ask you to bring in your pills (randomly) and they will count them, scary stuff. Of course the obvious way people beat this is just to buy the same type and replace them.
You always want to be careful in your excitement to just go for it. Where you see telling your pain Dr. as being honest...he may see it very differently.
Tomorrow would be my first time getting this injection. It goes straight into your sciatic nerve and your sedated to do it. They say you need pain med after but really I should have 40 left till the 19th. I called and left a voicemail first thing being honest about wanting to do the injection but out of pain meds. No call back yet. I am at work and work full time. I'm so sick today. Nauseous, dirreah severe pelvic cramps. Cold chills.
What type of injections do you get? If they are non narcotic you should probably stick with those and drop the pain pills. Many times the pain gets better once off the narcotics. Hyperalgesia is an opiate induced pain, it has to do with more pain receptors developing.
Try to move around as much as possible, keep hydrated it is very important.
How long were you on the pills?
I am going on day two and last night didn't sleep at all. I left a message for my pain dr this morning. Waiting for them to call me back.
Lower back pain was my #1 issue with WDs, so I totally feel your pain. Man mine never seemed to go away, but it does die down.
You can do this. Hang in there and keep posting ! power to you !!
Sounds like your sick of it. That is a good attitude