Hi All, I find myself at a bit of a crossroads & I'm hoping for some input from this community. I'll try to recap the whole situation without a novel: • Age 22 - suffered for 18 months with severe low-back pain until discovering Dr. Sarno. Office visit, lectures, reading = back pain 100% GONE. Shortly thereafter, the underlying TMS transformed into Panic Disorder (read: 'symptom imperative'), which I eventually overcame through education & practice. • Age 36 - back pain returns, quickly becoming a 'chronic' issue. Quickly identified as TMS; quality of pain suspiciously similar to what I experienced 14 years prior. After acknowledgement of the psychological cause & countless attempts to duplicate my previous success, the pain persists. After noticing a clear pattern relating significant emotional trauma to flareups of the underlying autoimmune condition (Crohn's disease), I thought I'd banished any lingering doubt that anything other than repressed stress was causing my pain. • Age 40 - back pain has turned my life upside-down, limiting all physical activity, including just about every 'hobby' I previously enjoyed. I begin to focus on the differences between my present situation & 18 years ago. I'm confident I've identified all of the sources of repressed rage/stress, yet acknowledging the role it plays in my pain is clearly no longer enough to have an effect. • Age 42 - reached the end of my rope. Consulted 2 surgeons who seem to agree that they can 'repair' the 'structural issue' that is causing the impingement, but what they cannot do is tell me how much of my chronic back pain is directly related to this 'abnormality'. The risk/reward ratio just seems off, and the recovery, no matter how rosy they make it sound, is sure to be brutal. - Last time around, the pain would shift between the left & right side - it is now only on the left, in the exact place the 'pinched nerve' has been identified (though this discovery happened after the fact, so it's not a diabolical TMS-trick). - Occasional numbness/tingling in my left foot has worsened dramatically, and my entire leg can be temporarily useless after sitting for a short while - There's definitely more of a 'nerve' quality to the pain as opposed to the 'crushing' quality that felt as though I'd just been sitting in front of a computer for too many years & my lumbar spine was just unable to support my body weight - Prednisone/injectable steroids no longer have any effect - I'm dangerously anemic, have elevated CO2 in my blood, and have testosterone levels lower than I've ever seen. Now it makes sense why I'm so low-energy & have had so much trouble maintaining an exercise program. At this point I think I've decided I agree with my old chiropractor in that my back pain has multiple causes. Muscle tension/oxygen-deprivation is definitely part of it, but whether this is psychologically induced or inflammatory/Crohn's-related, sitting at a computer for 20 years, or what - I'm much more concerned with what to do about it now, because more books & psychoanalysis isn't going to cut it. So finally - my point! I've been contacted by a clinical trial I inquired about, called the "Intracept Intraosseous Nerve Ablation System". I've heard about similar procedures before, and it involves burning some nerve endings to block the pain signals. The only problem is that I'm having trouble finding patients who have undergone the procedure. Has anyone here tried this or anything similar?