Go back to the doctor who gave you the shot that helped you so much before, and get another shot. You can also ask him for a sleep aid medicine, and perhaps a stronger pain killer drug. He might can also prescribe a back brace for you to wear. You could ask him to do another scan of your back, to make sure there have been no changes, and also inquire if the scan results indicate you would be a good candidate for surgery. In the meantime, could be a professional massage therapist could rub out your back when it hurts, often it is muscle spasm that causes pain. If you are required to lift heavy things as part of your job, you could ask your company to provide a less physical position for you on a temporary basis, until you get your strength back. Also, any physical therapy exercises they taught you to do, to strengthen your back muscles and achieve flexibility, you must keep doing them as part of your regular free activity regime... I'm 40 years out from breaking my back in three places and I STILL do them. Hope this helps.
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