So, here is my question, I have been seeing this doc for my back for like 3 years, and he has been prescribing Norco 10/325s for that long until recentlly he finally agreed to give me Methadone 10s and I am allowed to take them 3 times a day, and on most days that is enough but some days I have breakthrough pain. I am going to a new doc tomorrow to get a second opinion, if anyone knows about this, first of all, I have severe arthritis in my back, I have Lumbar Spinal Stenosis, and I have ruptured a disc L5 S1, so my question is, do doctor's usually give you something like Percocet or Vicodin for the breakthrough pain, like I mean if I take my Methadone and I am still in pain would they give me something else to take for that pain. The doctor I was seeing told me to take Ibuprofen for the breakthrough pain, hello, if Ibuprofen took my pain away I would be taking that and not Methadone and to me if Methadone doesn't take care of all the pain then I am sure that Ibuprofen won't. So, was wondering if anyone out there has been in similiar position and what their doctor has done for them, just wondering what the norm is for this situation. Thanks