It sounds like the root cause of all your problems is this chronic pain, and you need to focus all your efforts on solving it first. One option is to sign up f

It sounds like the root cause of all your problems is this chronic pain, and you need to focus all your efforts on solving it first. One option is to sign up for clinical trials at various chronic pain research centers around the country. Stanford is one of them, there are plenty others, hopefully near where you live. https://stanfordhealthcare.org/medical-clinics/pain-management.html https://stanfordhealthcare.org/medical-clinics/pain-manageme... https://med.stanford.edu/pain.html https://med.stanford.edu/pain.html https://med.stanford.edu/pain/about/chronic-pain.html https://med.stanford.edu/pain/about/chronic-pain.html Some years ago I developed chronic lower back pain from poor sitting posture. It was partially debilitating - not to the level yours is, but it significantly negatively impacted my ability to stay active and thus healthy and thus able to maintain peak performance at work. But I joined a Stanford clinical trial on lower back pain, and it cured me permanently, and they even paid me a small stipend for it! So I think it’s worth a try if you can swing it.