Severe back pain since 2007 which is worsening every day. Today I am a 8/10 on pain scale with meds. 43 year old female, type 1 Diabetic. My most recent MRi was done 3/15/13 on a 3.0 Tesla Ultra High Filed Skyra Wide Bone MRI. I have had many epdurals in these areas as well as many Radiofrequency Ablations
No narcotic pain medication helps. I have been given dilaudid, morphine, oxycontin, oxycodone, Opana IR, Tramadol, Nortriptyline, Pamelor, Cymbalta, Elevil, Zanaflaz, Flexoril, Amrix, Ibruprphen 800, Lidoderm patches, Flector patches, Trigger point injections, and finally Fentanyl patches which I change every 48 hrs on 100mcg. They work but for constant pain they don't and no medications work for breathrough pain.
Considering North American Spine Institute Accurascope all the way in dallas.

Disc desiccation at L2-L3, L3-L4 and L4-L5
At L-23 level there is a disc space narowing and circumferential disc bulging without central canal or neural foraminal compromise.
At the L-3-L4 level there is a circumferential disc bulging with a left forminal disc herniation resulting in narrowing of the left neural formen
At the L4-L5 level there is circumferential disc bulging with a small superimposed central and left sided disc herniation. There is a mass effect upon the descending left L5 nerve root
Impression: Developing disc bulging at L2-L3
Stabble L3-L4 left formaminal and L4-5 central and left sided disc herniation