I like you sharing what pain physicians do when they have pain. I am also a pain physician and here is my experience. Honestly, I do not like patients with central low back pain, degeneration of L5/S1 disc, pain with bending forward and worsening even more when coming back from bending.Modic 1-2. 3 months ago I did cross country skiing – skate and got central low back pain, no radiation to legs, no facets positivity, no SI positivity, bending forward restricted, coming back painful. Resting from sport, pain killers, some own exercises – no help, even worsening the symptoms, rest pain, hard to sleep, pain killers ZERO effect. Radiological image – severe L5/S1 disc degeneration, Modic 1-2 changes, hyperlordosis. I contacted our swedish physio guru Bjorn Aasa – his advice was simple – try correcting your hyperlordosis with exercises focused on abdominal muscles (with special focus on low abdomen, below navel level). And now the interesting part. After 3 month of sufferening, pain killers and incorrect exercises ( my exercises were focused on extension and hyperextension – joga style) – 24 hrs of the correct muscle activation improved my clinical status 80%, within 3 days I come back to sport ( running, cycling, calisthenics) and no pain any more… . To sum up – there are diagnosis where interventions, surgeries, incorrect exercises do not help. Simple correct muscle activation with the correction of the movement disorder can cause a miracle.