Taking cymbalta 60 mg and nucynta (tapentadol) daily for lumbar facet issues and fms. they stopped working and cannot tolerate lyrica. what else could i try?

Facet Injections? Tr: Have you discussed with your doctor lumbar facet injections or medial branch blocks? Have you tried lumbar traction?

See below: You have lots of options. Gabapentin or Gralise or savella (milnacipran) for the fm. There are many other opiods (and non opioids) to replace the nucynta.

Facet Arthropathy: These are joints in the spine where the bones articulate and can develop bone spurs and cause pain typically with extension. I would consider seeing a pain/spine specialist to see if facet injections or radiofrequency ablation would be helpful for you.