@windyshores , lidocaine helped a little bit in the past-5% patches by prescription. But for some reason not helping anymore. Tens unit helps more by distracting the mind. I bought one which operates via small remote control. I use 2-3 hours per day mostly in evening. I hate Tramadol. Not sure why it gives me headache and barely takes the edge off. I take 1 mg Clonazepam at night. I know that it is very bad mix, but doctor prescribed to me and I need to get some sleep. It would be nice be able to find something natural for sleeping at night . I hope that functional medicine can help somehow.I really don’t have where to go anymore. My endocrinologist categorically is against any steroid injections. I already did one and got no relief whatsoever.Nerve ablation didn’t work.There is some non opioid pain pill waiting for approval VX-5. Not approved yet. Another hope.Still not sure what to do after finishing Evenity and if Evenity contributes to so much pain. My friend is on Tymlos and has a lot of back pain as well. I know you liked this medication but everybody is different. I avoided all kind of pills almost all my life. And now I have to take so many different drugs. My body screams everyday -please stop.