Please help! pain management is getting me nowhere, quality of life sucks! what to do next?

Holistic approach: If traditional pain management is not helping with your pain, you can consider some alternative medicine modalities such as acupuncture, meditation, or yoga. You may also consider consultation with a pain psychologist to address the mental/emotional aspects of your pain experience.

Depends on cause: Typically pain management is undertaken after the cause of the pain is determined. Other options would include physical therapy or perhaps surgery if the underlying condition is amenable to it.

Pain management: I recommend you getting a second opinion, regarding your conditions.