Had ACDF last June 3 level fusion, many epidurals, nerve blocks, and finally RadioFrequency Ablation. I still have pain stopped taking Tramadol as it gave me stomach issues, Dr. put me on the Butrans 5 cmg patch, had a little relief the first 2-3 days, my energy level was better, than started hurting a lot more. Will be putting on 2nd patch tomorrow (7th day) will it help more than the first patch? Starting to feel discouraged as nothing has diminished the pain for over a year now.