Best thing(s) for chronic lumbar pain?

Mike30a, did the injections give you relief immediately after the injections. Sometimes we have a inflammatory reaction to the steroid after the injection which can make the pain worse for a bit. If you had immediate relief or if this pain relaxes you might have radiofrequency ablation of that offended nerve. For now, you might try ice directly over the area of the injection. The otc anti inflammatories could be helpful You can try lidocaine patches. They can be effective directly over the injection site.

@gently

No, I had a few hours of relief after the injections and

This is what they wrote in my after visit summary:

"Assessment / Plan
Left low back pain individual with diffuse spondylotic changes well as facet arthropathy. We did have a lengthy discussion about his options in the office today. He tells me his pain has been in the left low back mostly with bending standing walking. We will set him up for a left L4-L5 and L5-S1 facet joint intra-articular injection. Given his medical fragility and comorbidities I do not believe he is a candidate for a radiofrequency ablation

sdm

1. Spondylosis of lumbosacral spine without myelopathy
M47.817: Spondylosis without myelopathy or radiculopathy, lumbosacral region

Has any one tried the smooth spine device for spine pain?

@mikeb39a
those hours of relief (might) mean that the procedure is effective for you because numbing the area worked. The analgesic wears off after a few hours. You may have increasing relief as the steroid reduces inflammation in the facets, allowing more space for the exiting nerve.
If you are on an anticoagulant, they'd want you to stop before RFA. And that might not be safe for you. Do you know if you've had autoimmune testing. It's only a question because of the "diffuse spondylotic changes" and "facet arthropy,"
There is an autoimmune system called ankylosing spondylitis. In your situation I might want genetic testing for HLA (B27), but that a wild guess without much information.
There are braces for spondylosis. https://www.bostonoandp.com/products/scoliosis-and-spine/boston-brace-3d/

@ladybugg I tried a similar product, and it gave me sciatic pain that is so bad. I never had sciatica prior to using it. Please be careful. I didn't realize how bad sciatic pain was.

@besmith57 Thank you I appreciate this because I was thinking of trying that product. I don't need to add any more problems.

@ladybugg It may work for you. I totally understand not wanting to try it now. They make the ad so believable.

A spinal cord stimulator. Accupuncture. If the epidural aren’t helping, you might seek getting them from another doctor. The first epidurals I received were ineffective. I went to another doctor and he nailed the perfect spot. Hang in there.

Movement and exercise is my go to for back pain relief aside from my meds which I prefer to use sparingly.