I wish I had some magic bullet for you. I don't know if Avinza has a different tolerance building profile than other meds. With my lumbar problems years ago, and now with my t-spine issues, I take Oxycontin. This has been effective for me and I've not crept up on doses. I've always cut down when I felt better and RARELY take anything for breakthrough.
The forced detox is tough to face. That is a different style of pain management that may be good for some. IMHO, people with serious structural problems that are generate severe pain will require some meds to function. Yes, it's great to do without meds and they may be doing some people a favor by forcing them down... but they may be torturing others.
just my 2 cents.
Mark
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