I am 33 and have pain which sounds at least similar to yours. My pain hurts most at night...because the nerves are depressed (compressed??) when I lay down. It is NO FUN...I know. We are also trying to fend off surgery as long as possible.
I have had so much luck with injections and anti-flams..really, I have. However, there are times when nothing but a Lortab will knock it out...period. And at those times, I am so greatful to have a doctor who understands this.
I agree avoiding narcotic medication for as long as you can is a good idea...and I don't think age makes a difference on that one. It is a "playing with fire" situation which has to be juggled very carefully. However, when you need refief, it is worth the juggle....