Pain Chronicles: About That Persistent RLQ Pain

I've been experiencing some NEW dimension to my plethora of pain issues. This time on my left side.

Chiropractor and physical therapist have been on the task both trying to figure out the causes. Given so many things going on in the vicinity, at first we all thought it was related to the L5/S1 herniation, the Spondylolisthesis I, possible adhesions from the adenomyosis. They both have said the psoas and iliopsoas are involved, with a possible nerve compression/radiculopathy.

And then yesterday, the light bulb went on in my head. I reminded myself of the persistent RLQ pain, which was idiopathic, or so we thought, as nothing popped up on any of the MRIs or ultrasounds I've had (for other issues).

I thought about how both, this pain on the left (which is somewhat newish) and the RLQ pain, which I have been enduring for years (I can't be precise about how many years, but let's just say I feel confident it has been since my gastric bypass in 2011).

It's entirely plausible that the psoas pain on both sides is due to straining to move my bowels, from either constipation or the occasional impaction. 

I find it interesting that my chiropractor and physical therapist have been able to isolate that it is a muscle involved, and I find it sad that my GP (who is a gastric guy), as well as my endocrinologist (who regularly palpates my abdomen), neither of them have come to this conclusion, and as a result, I have spent years in unnecessary, additional pain.

*ETA: My (now former) GP, poo poo'd my pain, and didn't even bother with a colonoscopy, which I had to wait 2 more years for, to find out what the source of this pain was. He's no longer my GP. No Regrets.

Struggling To Peel My Orange

Most days, my skull is a bowl of alphabet soup, chock full of words forming haikus, prose, as well as other mundane observances and articulations; however, this morning, the soup bowl that is my noggin was full of nothing but a bevvy of Qs and Xs, insufficient to formulate even a basic idea of what I wanted to discuss with my analyst. 

I felt like a sinner who is clearly slacking, going to confession without much truly worthwhile (or even sinful) to confess. Is this progress, or am I just too depressed to talk about (ad nauseum) the things that continue to chap my ass? Am I in denial? Or is this ACTUAL progress? 

Everything is holding its own until mid-August when we do a crazy test on me. The Great Silence/my persona non-grata status continues without change. Work still sucks, but is a means to an end. I feel inert, yet not necessarily stagnating. I feel as if this MIGHT be progress, but I'm neither moving forward nor retreating backwards. What is this?

*ETA: I always viewed my therapy sessions as difficult to start, just like trying to peel an orange, it's always that first little bit that is tricky, but once you get started, it gets easier. Sadly, this must have been my subconscious self trying to tell me to find a new therapist.