Pain was 11 on a scale of 1 to 10, I had to chew my hand to keep from screaming.
I would go with Coyoteman (Palmer) + painkillers / muscle relaxants.
If that doesn't work head straight for microsurgery, which wasn't invented when it happened to me.
2 days in hospital, 1 month in recovery...
BTW, the funniest thing was the night after surgery they had me in a semi-private room with my own TV above the bed and a self-directed morphine drip.
I was watching "Rocky and Bullwinkle" at 2AM and while each sentence was completely clear, by the time I heard the next line I had completely forgotten what the preceding line was.
Full Disclosure: long spells sitting at a computer (FReeping) can put a lot of stress on the lower back.
Cheers!