Been there, doing that for years, dude. I feel your pain, literally, as I type this while laying down on my nightly ice-pack. I think you’re a bit older than I am, but is PT an option at all? I was staring at a fourth back surgery about 6 years ago and just at the end of my rope after two different PTs did nothing for me, but finally found someone who did the trick. Didn’t make me whole again (that’ll never happen) but made life so much more manageable. It just can take a lot of trial and error to find the right person… which I understand is probably is more difficult if you’re in a rural area.