Wow Jason sounds like you have it bad and working on cars is even harder , i love to tinker on my cars when i feel good but every day would kill me. I am on Embrel and NSD and doing good and i am at 0 pain at the moment hope to get 1 mounth out of a shot with diet.I hate to take any meds but some must to suvive and still work . But every one reacts diferent to drugs i am learning on this site . All i can say is maybe talk to your doc about a difernt TFN blocker and LDN to help get off the dream pills . Hang in there. Kurt