Hi @bayhorse. Sorry to hear of your back pains, and all the more sorry that my case may not have been of much help in situations like yours. Like you, I was being diagnosed for treatment of lumbar region vertebral problems, but my PCP -- not my spinal doctor -- had a similar case in which the patient was getting no relief from spine-focused treatment. She turned instead to the joint between the sacrum (pelvic bone at the very bottom of the spine) and the iliac bone of the pelvis (attached to the sacrum at the relatively long facet joint). This sacroiliac joint sometimes gets inflamed for long periods of time, and it spreads pain up into the lumbar region. She injected an anti-inflammation medicine in that joint, and in a couple of weeks my pain was cured. It hasn't been back since -- for several years. Hope this offers you a question for your spinal doctor to consider. Martin