What recommendations do you have for chronic pain besides the duragesic (fentanyl) patch?

Many treatments: Other narcotics, ibuprofen, muscle relaxants, antidepressants, anti seizure medications, massage, chiropractic treatments, acupuncture, .

Natural: Besides medicine, counseling, guided imagery, yoga, meditation, acupressure and acupuncture may help! a pain clinic is a good resource.

See below: Please discuss this in detail with your treating pain physician. Other around the clock medication treatments include: oral morphine, non narcotics like neurontin, topamax, lamictal, lyrica, (pregabalin) cymbalta, and so on. In my practice, i frequently recommend muscle relaxants, anti-inflammatories too when appropriate.