I am on oxycotin 20mg twice a day i can't tell any difference or relief is there anything comparable or related that may work better?

Yes: In the opioid class we have 40+ different medicines alone which can be used. But there are different types of pain. Some pain medicines work better than others for these different types. Often patients develop a tolerance too quickly due to factors such as genetics. It is important to find a Board Certified Pain Specialist to help diagnose the pain as this will lead to more specific treatment.