hi, thank-you for providing the brief history of you. A thorough neuromuscular assessment is advised. As by reading your history what I can understand is you have a bad back ache which is chronic now. First I will advise to take an MRI of the spine as to understand the soft tissue status. mentioning this is because you haven t mentioned in your history about this. As MRI of the lumbar spine plays a key role in understanding the status of the soft tissue. Also, on a later stages to talk further you were treated with symptomatic relief medicines , which will act to an extent. There need to undergo a physical therapy as well. As the physical therapy is a non invasive by use of the therapeutic ultrasound therapy and TENS therapy for pain and inflammation. Also, the later stages will be to put you on exercises to strengthen the core muscles , spinal muscles, pelvic floor muscles and lower limbs as a whole. As the exercises are implemented as day to day basis the symptom of the pain subsides and later stages you can perform the exercises at home . In my clinical practice I have seen patients with similar complaints. After understanding the Neuromuscular assessment and MRI scan the physical therapy prescription is made to a single case to get the optimum results. by undergoing 12 weeks of proper physical therapy we are able to manage 99% of the strength. I recommend you the same. Regards Jay Indravadan Patel