When I hurt my back doing concrete, I kept going to back doctors for 3 years. Every time they would take an x-ray and say I was not injured on the x-ray so there was nothing they could do.
One doctor recommended Advil. He said when he has a headache he uses Advil, as if my 9 or 10 lower back pain were similar to his headache.
This went on for 3 years and all that time I was still going to work because I had to. Doing concrete flatwork.
Finally, one doctor ordered an MRI and holy shit! My lower back was really screwed up. My L4 and L5 were herniated and 2 more were bulging just before herniation. That finally qualified me for opiate pain relief.
Now here we are 3 years and 2 open back procedures later and now I'm surprised at how much they give me. I get regular urine tests to make sure I'm using the pills - imagine that! When I was a kid I got in trouble and had to piss for probation to make sure there was nothing in me, and now I have to piss to prove it is in me!
Back when I was working, I knew a guy who suffered from lower back pain and didn't have insurance, so the few doctors he could afford to try to ask for help declined to give him any. He commited suicide. Guess it's a good thing he didn't acquire a nasty drug habit.