A couple of corrections. First, let's clear up the misunderstanding (??) that people spread about requiring higher and higher doses. I have been taking the same dosage for over 10 years when it was increased from the dosage I had been taking for 5 years previous. Yes, I probably would require higher and higher dosages IF I was taking it to get high and that's the crux of the discussion. A specific dosage counter-acts the pain. If the pain stays the same the dosage will stay the same.
Second, while pain meds will not cure the problem the problem is not curable with today's medical technology. It is due to nerve damage and repairing nerves is not yet possible. Similar to diabetes. Insulin will never cure diabetes but it allows people to function. Unless and until they are able to repair nerve damage there is no reason for me to stop taking opioids so whether I'm dependent or addicted I suppose the point is really moot.
Lastly, there are occasional days when I require less and other days when I require more. If I take a little less I do not go through any type of withdrawal and when I take a little more I do not jump out windows or run down the street naked.

They are, to use an old saying, a God-send.
My doctor did tell me these drugs are frequently abused and, in a round about way, implied I may occasionally notice a car parked across the street. I told him that should I notice anyone I'd definitely offer them a coffee.
In this day and age there is no reason for anyone to be in pain. There is nothing noble about needless suffering.