Hi – sorry to be slow in coming back to you.
As well as considering seeking another opinion on your SM, have you thought about seeing an osteopath, physio or chiropractor? I suggest this because my regular osteopath/physio sessions & exercise help me manage my pain. Please bear in mind issues with your upper back ( cervical/thoracic spine) often cause/refer pain into the lumbar ( lower back ) area as the body tries to adjust itself. But of course we are all ( wonderfully) different!!
It sounds like you feel very isolated – partly because of the geography of where you live but I also think- sadly- our diagnosis makes us feel isolated ( well, that’s my opinion……)
I also think this sense of isolation isn’t helped by the massive discrepancy in experience & expertise we encounter in the medical world. I am seen by a conscientious but very general haematologist in a small local hospital in Kent but if I move on from monitoring I will definitely ask for a referral to a myeloma specialist. I am also fortunate as I have an excellent gp. Perhaps it would help you if you could feel more confident about at least one member of your support team?
I hope you get some answers & start to feel better soon,
Love & hugs,
C xx