Lower back pain

What is your diagnosis?

Please get a second an third opinion as it is a great safeguard against a blotched surgery

Your pain could possibly due to entrapment of your cluneal nerve. Very easy to eliminate that possibility.

There is a procedure called Intercept which may help. Check with Dr Google about these possibilities.

Yes, to answer your question better, we need to know your diagnosis in terms of spinal injuries/makeup. I'd say if you bone on bone between any two vertebrae, you will need surgical intervention, hopefully less invasive in nature. If you have bulging discs or arthritis or nerve issues/damage along the spine that are causing pain, epidurals will be needed on a regular basis. If the epidurals do not reduce the pain for any longer than a few days or so, you will be helped by a nerve ablation, maybe a radio frequency ablation as they call one version. I'm not a doctor; I'm just picking up some details from this Mayo Clinic blog. Maybe try one of the AI programs or do a Google search with your question. I'm getting epidurals along the center of my spine, lower back L4/L5, and after another set of those 4 shots (they don't help for more than a week for me), I can move on to an ablation procedure. I have two sets of vertebrae that are bone on bone, so there is no way an epidural is going to help me long term to reduce that sharp pain that bone-on-bone connections give. But I'm looking for a referral to a spine surgeon or spine neurologist to determine a "less invasive" procedure, one that has lesser risks to it.

From my experience it is relatively easy to treat lower back pain, doing so successfully is an entirely different matter! Your comments indicate some history with this condition and a diagnosis that seems to recommend "let's try this and if that doesn't work we will try something else"! That is not entirely fair, but in the big picture that is exactly what it looks like. In my attempt to treat a similar condition I found I needed to start with my GP who did the appropriate diagnostics to generally understand the problem and recommend a specialist. That lead to a few specialists, each with their own diagnostics and expertise, although some were a false start. That eventually led to an accurate diagnosis (this is the absolute basis for all proper treatment) and a practitioner that could really help. In turn I understood that each legitimate procedure from the non-invasive to major surgery had it's benefits and which the experts employed depended entirely on the remedies needed. I know how it is to feel lost in this ever so important endeavor, but to be understood and on the same page as the experts really helps in so many ways.