I am currently on 50 mcg Fentanyl Patches that I have to change every 48 hours due to Occipital Nueralgia, and Severe Sciatic Nueropathy. I am only 30 years old and have been on several different opiates and non-opiates. I can not take any NSAIDS or Aspirin and have several drug allergies. Recently my Pain Management doctor put me on 10 mg Opana for breakthrough pain. I am so careful about how much and how often I use Opiate medication because I want to remain as non-tolerant as long as possible. Does anyone have any advice on different ways to deal with breakthrough pain that sometime makes the pain go to a 10+ without having to use medication? I don't mind taking the medication for breakthrough pain, but if I could combine it with something that is not a medication and maybe be get to the point of eliminating having to take the Opana as frequently I would greatly appreciate it. I just don't want to feel like I am always taking a pill and would like to find ways to deal better with breakthrough pain. Any advice will be considered. Thanks in advance for your input