I hear you, brother! Your story could be mine. I fell while skiing back in 2016 and landed quite hard on my lower back and buttocks. Did PT, injections, and ablations with little to no success. It wasn't until summer of 2017 when I was referred to a private practice neurologist, who spent an hour and a half(!) with me. She prescribed a cocktail of meds that brought my pain down to about a two to a three. Some days it flared up to a six-7. Was referred to ortho surgeon who recommended L5-S1 fusion to correct spondylolithesis. Surgery did not help. Would not have it done again. Had spinal cord stimulator implanted in 2018 after successful trial. Worked well until 2021 when it just stopped. Had pain pump implanted in 2023. Has never given any pain relief. At this point, I have done just about everything that can be done. I am currently on tramadol, gabapentin, diclofenac K, baclofen for the pain. These help marginally. I tried a trial of a new SCS last October. Could not get leads into sweet spot, so no real results. I can only wish you well and pray that you can find a doctor who will take the time to really listen to you and take the time to look deeper into your issues.