@akaaki Thanks for responding. I have had several MRIs, going back to 2016. Unfortunately, in the words of a chiropractor in early 2023, "You have the back of a forty-five year-old". The only thing MRIs have shown was a compression fracture of the L1. This has long healed since. It seems like my pain is from severe nerve damage cause by a hard ski fall in 2016 on my lower back and buttocks. I remember looking at my back that night and seeing a band of black stretching across my lower back. Not black and blue, solid black. The interesting thing is that I was alsmost back to feeling almost "normal beginning in mid 2018 with meds and a spinal cord stimulator(which died in 2021). I am 90% certain that I will get pain relief from my pain pump if I can get it up to whatever the therapeutic dose turns out to be. Again, I appreciate your getting back to me. Happy New Year!