Often times the answer is find the right variant of the treatments that you may have tired in the past and provided no relief. So for example the right combination of medications, the right type of injection treatments, the right variation of physical therapy, the right variation of alternative treatments (chiropractic, acupuncture etc...)
Of course, all this hinges upon getting the accurate & correct diagnosis. I was given the wrong PT based on the wrong diagnosis and when I finally was correctly diagnosed my doctors informed me that the improper treatment "set back my recovery by at least a year if not multiple years." So how do I know they got the correct diagnosis this time?
First, my symptoms fit perfectly with their diagnosis. But more importantly, I am seeing improvement from the treatments they have prescribed based on that diagnosis. So, if it feels like you are getting worse or just spinning your wheels, that is an indicator that you aren't getting the right treatments. Which could very well hinge on whether or not they have the correct diagnosis.