Pelvic pain lasting for two years should not be ignored, especially if it affects your sleep and daily life. Since you also have IBS (Irritable Bowel Syndrome), the pain may sometimes be related to bowel spasms, bloating, constipation, or increased sensitivity of the nerves in the abdomen and pelvic area. However, other causes such as urinary problems, muscle strain, nerve pain, gynaecological conditions in women, or prostate-related issues in men may also lead to long-lasting pelvic pain. Try to identify anything that worsens the pain, such as certain foods, stress, prolonged sitting, or constipation. Eating light meals, drinking enough water, walking regularly, and avoiding spicy or gas-forming foods may help reduce IBS-related discomfort. Using a warm heating pad over the lower abdomen and doing gentle stretching exercises may also provide relief. As the pain is severe enough to disturb your sleep, it is important to consult a doctor for a proper evaluation. You may need tests such as a urine test, an ultrasound scan, or other investigations to identify the exact cause and receive the right treatment.

I understand this is frustrating, but lumbar spasms are very common and highly treatable. For immediate relief, over-the-counter anti-inflammatory medications like ibuprofen or naproxen can help reduce pain. For the muscle spasms specifically, a doctor can prescribe muscle relaxants such as cyclobenzaprine, tizanidine, or baclofen. Combining these with heat therapy (like a warm compress) and gentle stretching can significantly ease your discomfort. Please consult a healthcare provider for a proper evaluation and prescription, as they can tailor the treatment to your medical history. With the right care, you should find relief soon.

For chronic back pain lasting years, standard pain relievers like NSAIDs (e.g., ibuprofen) may offer temporary relief but are not ideal long-term. Instead, doctors often prescribe medications that modify how your nervous system processes pain. These include SNRIs (like duloxetine) or gabapentinoids (like gabapentin), which are highly effective for long-term pain. Muscle relaxants (like cyclobenzaprine) can help with spasms, and topical lidocaine patches can target localized discomfort. Since prior consultations haven't resolved this, I highly recommend seeing a pain management specialist to discuss these tailored pharmaceutical options or interventional therapies like nerve blocks.