I take a baseline 4 pain pills a day, unless I have a really bad day and then I just take one knock out pill. Sertraline, Magnesium, vitamin d, and calcium most days. Every 12 months I can have a minor surgical procedure to burn out nerves in my neck and that reduces my need for pain meds, will likely start needing this on my lower back soon. Currently I’m 46, trying to hold off disc replacement or fusion until I’m 65 at least. When I’m really old, I will likely move to an oxycodone patch.