Hi Ginger, I have tried Physical therapy, pain management I have been seeing for about 7 years and he has tried pain meds some opioids which do not work, Pain meds are limited because of kidney disease. I have also tried Acupuncture it did not help either. It is very hard to go places because after about 10 steps I have to sit or bend. If I did not have this back pain the only symptom I would still have would be the fatigue from MM.