Post Surgery Mid and Lower Back Pain

[stopdpainpls]

Hello everyone,

A bit about my back pain history.  I have been diagnosed with chronic back pain.  The pain started about a 1.5 year ago.  I spent nearly 4 months, with pain which fluctuated between my lower and upper back and hip areas.  I have been an athlete most of my life.  I couldn't quite pin point the injury that caused the pain to start.  Also, at parallel to this injury I had been diagnosed with a slap tear Type II on my right shoulder, this pain was also ongoing at the time of the back pain.  After, four months of MRIs, bone density tests, Physical therapy, massage theraphy, chiropracters, and eastern medicine, my pain had only worsen.  Then, my appendix bursted on the 5th month, forcing me to an appendectomy.  My appendix had grown to the size of a baseball, and it was sitting on my psoas muscle.  I don't know how much damaged that caused all together, but after I had recovered 2 months, I thought my back problem had ceased.  I then proceeded to have my shoulder repaired.  2 months after surgery, my back pain returned at the same intensity as before the appendectomy.   I have been undergoing physical Theraphy for both, shoulder is about 85%, but my back just won't return to normal.  It is absolutely frustrating.   I am hearing the following about possible causes;
1) scar tissue around the appendectomy area
2) lack of abdominal support ( which has been targeted by PT)
3) lack of curvature around the upper back section ( also addressed by PT)
4) improper sleep patterns, and posture ( which I'm also on top off)
5) hip motion (also addressed by PT)
I am considering conrtisone shots this week.  I've them before, but know the relief is only for a couple of weeks.
Is there anything else that you guys can think off?? MRIs show no problems involving bulging disks.... I have tried two different back specialist highly recommended.

I would really appreciate any information.

[stopdpainpls]

Thank you all for your answers.  God knows I am trying to find the source.  @mscynthia1969,  I have tried the combo of chiropractic and PT,  it worked well with the upper back alingment, which reduced the spasms in that area.  However, mid-back and lower back continue to be an issue.  @ ATCgirl, I will consult with the PT to check whether thats part of the regimen they are working on.  I know they are trying to address my usage of lower abs and movement of the hip area.  Thanks.. @far25, yes it was  performed.  

[far25]

do you had a hiv test before

[ATCgirl]

Have the doctors checked your SI joint alignment?
do you have any radiating pain (burning, numbness) down your legs?

[mscynthia1969]

you could try a chiropractor that is skilled in A.R.T.   It's like Physical Therapy combined with Chiropractic.  It can realign your spine and also includes streching some muscles while shorting others.  I went to a chiropractor who used it for a pain between my shoulder blades, the base of my neck and chest muscles.  He used certain repetative movements and pressure points to work out the kinks.  Posture, carriage and proper movement is also stressed.  It worked for me.  I go back to him occasionally but I don't have the pain I used to have.  Also, don't forget about something called referred pain.  Sometimes nerves get pinched between bones or trapped in tightened muscles.  The location of the pain is not always the source of the pain.  I hope that helps.  I would hate for you to have to get surgery again.