I feel your pain (literally). I have DDD, bulging disc, bone spur, severe low back issues and SI joint pain bilaterally for the past 3 years. I use warm water therapy, chiropractic care, deep tissue massage, TENS unit, acupuncture and for meds: fentanyl patch, dilaudid for breakthrough pain & daily ibuprofen, acetaminophen and naproxen. I also had 2 injections in my low back and a shot in each SI joint (not at once of course, but over a year). Those shots were bittersweet.