No what she meant is to keep your head straight you need to realize that opiates will never provide complete relief from the pain. Chronic pain patients have to realize you can't just take more and more to relieve the pain because relief will never come. The pills can only be used sparingly to reduce the pain not eliminate it. So to simply manage the pain.
Yes hyperalgesia is an issue. I wondered if I had it but honestly being off of it my pain is worse. I plan to give it a month to see if it will reduce. It sucks. Ok off to work.