Described below is one of the many approaches I've tried or considered trying for healing my chronic myofascial pain:
BOTTOM LINE: Hardly worked.
I took painkillers (e.g., oxycodone, hydrocodone) when I first ruptured my disc (before surgery), and they had barely any effect on my excruciating pain. That said, I did welcome the one hour of slight relief I got of the four hours they were supposed to work. I took pain medications after surgery, too. But when weeks turned to months and they were not reducing my still daily, debilitating pain, I stopped taking them. In fact, lying down to relieve my neck pain actually worked better than the drugs and didn't have side effects, except for limiting my daily activities.
I know pain meds work for some people, and when pain is acute and intense, they can help the body begin to heal. Sadly, there is a war going on against opioids, which makes life miserable for pain patients who truly need them. Another sad reality of opioids and other prescription painkillers is that some people who need them at first to control pain end up getting addicted to them.
I believe that the more we can address underlying sources of pain (e.g., emotions/trauma) to reduce our pain and our dependence on medications, the better off many of us will be.