Zach,
Just a thought: Reflecing on you in prayer this AM and thought, "Gee, this man must be young enough to enlist, so why the pain at this young age?"
Given your location, and being outdoors oriented, have you been checked for Lyme??
Sure enough is one of the gnarly hidden symptoms of that miserable malaise... mimics so much else!
At my decrepit age, I know Art Ritis well, but often used to suspect Lyme, but they tell me not.
Prayers continue.