I am 34 and I have almost exact same story as you. Constant pain in spine, hips, buttocks. I also have GERD and heart palpitations. It was all really sad for t

I am 34 and I have almost exact same story as you. Constant pain in spine, hips, buttocks. I also have GERD and heart palpitations. It was all really sad for the last several years, but I started to make a huge progress recently. Here's what helped me a lot: - Cure my depression (as others already suggested). It's extremely hard to do when you have every moment of your life filled with physical pain, but you should concentrate and separate your mental state from your body. One thing that helped me tremendously were psychedelic mushrooms. Under skilled supervision, this thing do wonders. - Realize that there is a thing called fascia in our bodies alongside muscles and bones. That is often the primary physical reason for chronic pain. Here is a good video with explanations: https://www.youtube.com/watch?v=v54l3wDTJHg&t=638s https://www.youtube.com/watch?v=v54l3wDTJHg&t=638s. There are lots of strategies to treat your fascial syndrome, simplest and cheapest of which is foam rolling (helped me a lot). Acupuncture and massages are also great. Consistency is a key. - Write everything down. This was the most important thing for me to solve the puzzle. You think you know your pain and your symptoms, but in reality they constantly change. And you perform different activities, feel different emotions. You need a place where you log all your pain symptoms, record any activities and track your progress towards healing. I use Obsidian for this. We software engineers tend to be too good at organizing software and too bad at organizing our own health records. Hope any of it helps