A simple uric acid level blood test will tell you if maybe you have gout arthritis causing inflammation pain. Also asked to be referred to an endocrinologist so they can test your adrenals. I had the same thing happened to me and it was a function of cortisol and adrenal gland output. I have to stay away from Cortizone injections which I get for my degenerative disc disease. It’s really hard to know what to tell you because you have only given a brief outline of your whole history. The best thing I can offer is to get some books read about the type of things you’re going through get educated And take those resources to the doctor to get referred to specialist and have them test. Many years ago I found out I have an L carnitine deficiency – intercellular. It doesn’t show up on the cheap old blood plasma test that the doctors insist on using. Periodically I would stop taking the carnitine because I felt normal and then all my symptoms came back. Finally, I wanted my doctors to diagnose the carnitine insufficiency. But they are absolutely lame. They won’t do the deep dive and spend the money and try to build insurance anymore and not get paid. So I just take the all carnitine every morning and I have no fatigue and dizziness. If I don’t take it, I get very tired. But my adrenals don’t produce enough whatever they’re supposed to produce. My endocrinologist said that was OK. I’m at the low end of normal. But I know after 30 years is that’s not normal that’s low so that lower adrenal output is what’s compromising my energy. He’s a jerk and I just work around him because I have other stuff going on.. I shouldn’t say he’s a jerk. He’s very confident, but the doctors just don’t care enough because they have such an overload of patience so if you show up within the wide range, they’ve determined is normal even if it’s one point below being outer range, they will tell you you are normal. When I get them to fix the problem and I can be very demanding my numbers go right to the center of normal! What I’m saying is you’re going to have to advocate for yourself. I just went through three weeks of vertigo dizziness. I don’t know why my doctor just wrote down in the notes. But I increased my exercise and did a bunch of other stuff and the vertigo finally went away through the help of the doctors. Don’t rely on them too much when they aren’t doing their job.