I am a 28 year old male. I have had chronic back pain since my teens that has gotten considerably worse this year. It is now to a debilitating level. I started seeing my GP about the pain in January and 6 months later its worse than ever.
I have always had pain that I can best describe as the sensation of pressure where my lumbar and thoracic meet. If I stay in flexion for to long (dish washing or the like) I have a really hard time getting straight again and pain is increased in this area.
I have also had a sharper more burning pain very low in my back and across the back of my hips for along time. The pain here varies and the triggers are less identifiable.
The last few days I have been having pain down the front of my thighs. It feels like the "growing pains" that used to keep me up at night crying when I was kid. This pain ends at my knees which ache (long term) especially on the sides.
Back at the beginning of the year my doctor ordered a few xrays, mri and a nuclear bone scan. From what I'm told nothing shows up in the T12-L1 area where I feel the "pressure pain". At L5-S1 there is spondylolisthesis or spondylolysis depending on the mood of the docotor. An amount of arthritis that my doctor says is normal is present. After being referred to a physiatrist I had extension/flexion xrays (That I thought would have included the T12 area but didn't). These showed instability at the L5-S1 that varies with position. The xrays also show a broken facet joint on L5.
I have seen a surgeon but she told me that I don't have neurological pain and therefore she wont do surgery (I'm unclear how she tells?). I have been on many different meds including NSAIDS and muscle relaxers. Most recently I have tried Tramadol and lidocaine patches. Non of these have even touched the pain. PT has left me with increased pain and difficulty with even basic mobility for the days after.
The pain prevents me from working and living a normal life. I cant take care of my house let alone go out and create an income. Sleep is often impossible. I never would of guessed that this would still be unresolved after so many tests and treatments. Where do I go from here? Any help or ideas are greatly appreciated.