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I would suggest to schedule an appointment with your primary doc and ask for a referral to try PT again. I would also continue seeing your surgeon as well. If that doesn't improve anything, I would in a follow-up appointment, ask for a referral from your primary doctor to a pain management doctor.
Also, explain that the ibuprofen isn't working well and ask if there's any other option. If it's affecting your quality of life, describe that to your doctors. If it's affecting you mentally, you may benefit from seeing a therapist too so ask for a referral there.
If it has you at the cusp of needing to take time off work, work part-time, requesting reasonable accommodations, or stop working all together, explain that to your doctors. Tracking your pain levels and mood can give you good data too and would show you are seriously affected. An app such as Daylio, and using pain scales like this would help you in doing so.
Never ask for a specific pain medication.
Do you have health insurance? If so, why is PT out of pocket?
I also have very severe arthritis in my spine and hips. I know the cold temps makes everything worse but for some reason this does help. I do ensure I have a towel on top of the ice pack between me and it. Also plenty of blankets on top of me to counteract.
This is the ice pack I swear by. Hope it helps!
FlexiKold Gel Cold Pack... https://www.amazon.com/dp/B008A6MM02?ref=ppx_pop_mob_ap_share
I would re-evaluate your pain levels. Something like this. Not to dismiss your pain, but if you're 10/10 you wouldn't be standing or walking long. Suggest you:
- Have a list of doctors seen and their specialty
- Another list with appointments by provider and visit purpose (including all P.T. appointments; if you have had mental health issues related to this document that too)
- Another list with imaging
- Another list with urgent care, ER, hospital visits
- Another list with surgeries
- Have a list of therapies and medications with dates
- Bonus if you chart pain with an app like Daylio
Ensure pain doc's office has medical records forwarded. Give the PM doc a copy of the lists you made outlining what steps you have taken to resolve your issues.
Have you tried ice? I own 6-7 of these and have sent them to my parents and best friends.
It at least numbs your back when you lay on them and I get help for breakthrough pain
FlexiKold Gel Cold Pack... https://www.amazon.com/dp/B008A6MM02?ref=ppx_pop_mob_ap_share
Have you ever used a TENS unit? It's really only temporary relief, but I find it can be really helpful. I have had several, but the one I like best is an older version of this one on Amazon.
I go through my entire month's worth of meds in 7-10 days because they don't do much for me unless I take 4-5 times the dose I'm prescribed. I basically just give myself a week with pain relief to get all the stuff I need done around the apartment.
I'm on extended release morphine - it was working ok until the end of August when it basically just stopped. I suspect it might have something to do with the GI issues I've been having since then. The oral bioavailability of morphine is pretty terrible anyway, but I think something has changed with my body that's made it even worse than it used to be.
I don't know anything the thing mention but sometimes I get back pain.
When I get back pain I use a arnica balm. It feels good on my back. It gets hot on the area . I just use a little.
I get mine from target. This is what I use.
https://www.target.com/p/sanvall-pomada-de-arnica-ointment-8211-white-2oz/-/A-52537651#lnk=sametab
If you don't have Target near you this is it on Amazon
I hope it helps with your pain if our try it.
You can get them on Amazon pretty cheap. I've got a TENS 3000 and it's pretty good. I've got another more complicated one and was not impressed with it.
This is the updated version for about $30. Definitely grab some extra electrodes for it!
I had completely forgotten I had it until two weeks ago and it's helped me quite a bit.