
Disc improved, back pain much worse
Left is after (today), right is before (1.5 years ago)
Context: diagnosed with spondylolysis (pars fractures) with a very trace slip (borderline grade 0-1). Pursued conservative approaches to try to avoid surgery for a year before being offered a pars direct repair which failed to fully fuse (surgeon did not graft the entire fracture). However CT still shows the screws in correct position and not loose at all so they should not be causing pain.
Despite all this I am still in a lot of constant 24/7 pain only in my low back, not radiating to my legs (which I used to have a year ago, no longer have) which feels like a horrible deep burn and ache that does not improve with any position - even laying down does not help. It is bad enough to the point I have been to the ICU twice in the past few weeks and IV Dilaudid (hydromorphone) + Toradol, and oral oxycodone and Celebrex etc did almost nothing for the pain. There are some days where the pain is bearable (drops to a 5-6/10) but 99% of the time my pain is a 9-10 and the best way to describe it is it feels as bad as the pain I had after my last surgery after the nerve blocks wore off.
I've been to multiple surgeons and doctors and pain management clinics to try to figure out the source of my pain and no one can figure it out. My muscles are weak and tight from 1.5 years of movement restrictions for my fractures and surgery and I am desperate to get back to strengthening them but just basic living is unbearable, and all PT I've been to just makes me do basic core stabilization / isometrics which don't help me at all.
My pain is worse now than it was 1.5 tears ago when I had the fracture and disc and sciatica. Asking on here for some hope as a last resort because no other professional can figure out what's wrong with me. Check my post history in the r/Spondylolisthesis subreddit to see how badly this has impacted my life. Thanks in advance.