The facet joint injections have helped. Usually only for 2 days. These injections to me are diagnostic. I’ve never gotten lasting relief from them. Most people don’t. They are a necessary step on the pain management journey. Insurance companies won’t approve anything until you complete them.
Heat causes muscle spasms. Ice packs are probably the most effective temporary treatment. Ketamine was super helpful in the past, but it didn’t help the last time I tried it. Any medication is only temporary and usually very problematic. A whole food, plant based diet helped in the past, but not anymore. Exercise is usually helpful, but I’ve been unable to get exercise because of the pain. My inversion table helped a lot in the past, but it has stopped helping for some reason.
Distractions help get me through the day. Video games, TV shows (I can’t focus on movies), Twitch streams.