Pain management?

PAIN MANAGEMENT? hi all…maddy has been having a lot of pain lately…tylenol and advil are not helping…shes only 14 too young for vicoden or percocet…they are trying to send us to a pain clinic…she has a facial avm…what have you taken…what has worked?? Has anyone noticed when your heart rate is elevated that it makes a difference is anyone being treated with blood pressure meds??