Just diagnosed in April but symptoms long before

I was diagnosed in April of this year with non-radigraphic axial Spondyloarthritis, DISH and psoriasis. I have had 3 lumbar spine surgeries in the past 7 years. Multitude of injections and even a shoulder surgery in December of last year. I have severe spinal stenosis in ares of my spine. My problem is that my doctors don't seem to communicate with each other. I was only tested for lupus or RA in September of last year. The pain management clinic is fairly useless. I can't take nsaids. The rheumatologist wanted me to take cimzia but insurance wouldn't approve it. The insurance suggested humira or rinvoq but now won't approve either. I just don't know what to do. My hips hurt so much more lately but the pain clinic can't get the order right for a CT scan.

Sorry for the long post! I'm just so frustrated.