Ive done all non invasive options mostly. I need medical help now. I will try the least scary meds but would sign up for surgery in a heart beat if it even minimized this pain by 40%. I have been like this for almost 2 years and can hardly bare it. But I definitely will try instillations and meds before surgery and diet. I plan to meditate daily again and be as active as I can even if its just a 20 minute walk outside with music. That used to really elevate my mood. I would walk for hours. I can't walk for hours now but that doesn't mean I can't walk at all! :D