Well, I can't offer much help, but I can say I am in the same position. I have had all the blocks, pain meds, PT and my back hurts at some level everyday. I have some good days and I think maybe something happened and I am getting better, but then for no reason the pain will come back. I am now starting to accept the fact that I am always going to have a bad back, and try and enjoy the good times. It is tough because I am a very active person, and often can't do or enjoy some of the things I really like to do(golf, lift weights, ski). Vioxx has been the must helpful, narcotics work on the short term, but don't really improve your functionality. Hang in there.