So sorry you're having such a hard time! FWIW, Humira did me absolutely no good, so he tried a different type of biologic which includes Cosentyx and Bimzelx (which is what I'm now on), and those work much better. Humira and like biologics are TNF inhibitors, which Cosentyx and the like are IL-17 inhibitors, so they work somewhat differently and one may work better for you than the other type. Also, I didn't REALLY get feeling a lot better until my rheum added methotrexate to the mix, which really helped not only my back pain, but all the peripheral joint pain (like ankles and elbows, for me) as well. Hope that info is something you can take to your next appointment with you -- and best of luck with your journey!