I agree with willow, if you can control the usage you have the right to control the pain. That is what the pain meds are for right? Yes being on narcotics for the rest of your life will have long term effects, that's a fact and the FDA and any doctor will tell you that. But if you are in that much pain do you want to live 100 miserable years? I wouldn't...
kennyseven, there are a lot of methadone (MMT) debates. I've always felt it was just trading one drug for another and well, it is. A lot of people abuse MMT programs beause their methadone is at a higher dose and cheaper than their heroin habit. That's what makes it bad for the ones really need it. There is cocaine maintenance too ya know but they dont have that discriminating name like "methadone" It's good you are doing well, I was on methadone for 4 years and now on suboxone. I'd rather not be on these drugs but they are buying me a LOT of time.
Best of luck and congrats on your 32 years.