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I'm new on this forum and looking for some advice/help based on your experience. Sorry for my English as I'm not native speaker.
I'm 36 years old male and having issues with my back for a log time (since my teenage) but realistically "only" about last 10 months of chronic low back pain. Now waiting for MRI results but from x-rays I have something called osteochondrosis grade 2 in multiple areas (L2,L3,L4) and grade 3 in L5-S1. Worst symptom is that I feel almost constant pressure in low back area which ends usually in nerve pain after longer time of staying or walking (is that definition of flare-up?). I'm scared of quick moves, running or sneezing as this usually ends with the same results. I was proposed by surgery which I declined for this time. Being wanna be active person (ski-touring, skiing, hiking or at least walking with my kids) this is quite big limitation. Surprisingly I'm quite active in terms of sports and on top of physical therapy I perform MTB in summer and sport climbing whole year 1-2x per week. This is manageable for me as neither long staying nor walking is required. True is that I have seating job and really not spending too much time on my legs for years but was able to walk more than 10km last winter which is for me sci-fi now.
On top of issues with low back I have also never-ending pain in right groin, right rectum and low right abdomen diagnosed as prostatitis and later as chronic pelvic pain syndrome CPPS which is just new name for the same but at least doctors recognized that this issue has probably nothing to do with prostate. This pain is bad, but not nerve related so no physical limitation for me just makes me sleep and getting motivated hard.
These 2 things even doesn't looks like life-threatening, slowly destroying my life. Recently I did some research and found several things which I'd like to discuss with someone with similar experience. I found diagnosis of similar diseases very difficult where for one the same MRI screen means disability and another one could be Olympic games winner. Inflammation is many times not visible from standard medical tests (especially for CPPS). People quite common react on weather and are anxious or/and depressed. Surgeries have very questionable results (if any in many cases). Medications (pain, muscle relaxants, anti-anxiety) are often very addictive and not working after long term use and physical therapy might help to release some symptoms but usually it is also not "coming back to life" .
Putting all of above together I have some proposals and would like to know your opinion on this.
1. Many people are anxious or depressed but it's not clear for me whether they were also before back pain. For me personally it's important topic because I was always anxious and think it can be actually one of the reason and not just result.
2. Does someone have success story just with medical treatment? Means corrected back proved by MRI longer than let's say 5 years after surgery?
3. Have someone tried to correct bad discs just by spending much more time on her/his legs? This is something I'm trying right now. Even on pain there are already some results but it's too early to publish it as success.
4. Have someone tried AD medications for low back pain? My theory is that after long years of anxiety in some people pelvic muscles are so tight that they are not able to release. This pressure might affect all pelvic environment including rectum (internal hemorrhoids, colitis), pushing on nerves, causing back pain.
I never touched any medicine except paracetamol like even prescribed with because I'm too scared about addiction and there are also some studies (especially about SSRI's as an example) which describes this pills like placebo with strong side effects.
Looking forward for your thoughts.