hi, thank-you for providing the brief history of you. A thorough neuromuscular assessment is advised. As you had mva in the past and also a surgery post which now you are in tremendous pain, I will advice you to perform some simple physical therapy as it is non invasive way of reducing the pain Symptoms. Later stages performing exercises and maintaining the strength in the muscles should give you abundant relief. Also, you look keen on medication but my friend, medication are the symptomatic relief provider and your body is the self medicine of it it s own I have seen severe chronic pain patients with more of medication but unfortunately due to excessive consumption of pain killers there leads to kidney damage and physician will prefer to avoid prescribing one. Exercises are what I recommend then along with physical therapy and they respond well. Exercises will imporve the metabolism and also the immune system which helps alot in removing the aches and pains without medication. Ofcourse medicines are a first line to choose if the pain is not bearable but physical therapy is a parallel way of treating the pain. Regards Jay Indravadan Patel