Facet arthrosis deterioration what meds are approved for pain

I have facet arthrosis deterioration in my spine my back hurts for 13 years I have a primary care dr I see about my back I've had 6 mris done in last year just 3 months ago it finally showed up on my mri unfortunately my back is killing me it hurts all the time I've taken antidepressants that my dr claimed would help with pain but it didn't work so we tried all sorts of medication except opioids of corse because of false pandemic but nothing is working till I got on zepbound yes I lost a lot of wight and my back pain whent to a 4 for the last 3 months or so it was nice for once but for the past 3 weeks my back pain came back with a vengeance I also get some numbness out of the blue that goes down to my feet when I sleep at night I can't sleep through the whole night my back pain keeps waking me up and hurts realy bad most of time I lay there and cry cause thats all I can do or I take 3to 4 baths a night just for temporary relief 😮‍💨 I want to switch my dr I have now I want to be seen in mayo Clinic were they take me seriously and they actually care im sory but Dr's here in emporia dont take there patients seriously at least the last 3 Dr's iv had so need some advice who to go to what medication is approved for what I have cause ibuprofen isn't working anymore or Tylenol or gabapentin or fluoxitne or any of the others that I've tried I wanted the steroid injection but my dr quit giving it to for some reason it help it took away some of the pain it was something that helped a Lil bit