I agree start with a reputable orthopaedic spine specialist. You are very young but pain can wear you out physicially and mentally.
Hopefully he will recommend some physicial therapy and perhapys epidural injections. As long as you do not have nerve impingment which not all tests can reveal (unforunately) you may be able to get through this with occasional flareups.
A second opinion never commits you to anything. Don't be afraid to ask questions. Being an informed patient is important.
good luck
I am 57 years old and have suffered from back (mild) pain for many years.
And I have have had muerous MRI's and CT scans.
And you are right this is mumbo jumbo.
The MRIs are gnerally read by a radiologist.
I live in NYC and a family fiend- an orthopedist suggested I see his friend who ran the back/spinal suregery center at Joint Disease Hospital in NYC, He told me to bring my last two MRI films with me-he did not want the report. Why? Because he could read them and understand these much better becasue of his experience. I did and asked him what the report (I did bring it) means- and he explained all to me. No surgery.
Find a reputable spinal/back surgeon , bring your films, and "demand" he explain everything to you.
And this before pain management, becasue they will suggest PT and give you narcotics.
That is my opionion and advice
I wish you the best. My younger daughter is your age.