I am taking morphine sulfate ER and hydrocodone 4x a day for spinal stenosis & arthritis.Have not had fusion yet. I had a complete hysterectomy 3 yrs. ago. I can't take hormones due to being a high risk for cancer. My hot flashes have been steadily getting worse. The more activity I do the worse they get. If they are hormone related shouldn't they be getting better after 3 yrs? Or could they be pain related and I need to scale up on the pain meds? I have been on the pain meds for 4 yrs. Please help me. When the hot flashes hit,(anywhere from 8 to 30) my body stiffins up and the pain & heat radiates from me.