Hi Carson -
First - if you lose control of your bowels or bladder you have to get help immediately in case it's "cauda equina." Falling down might be in that category too. You absolutely need to see a doctor.
I've got scoliosis and it eventually does cause pain. Of course I've got some lordosis and kyphosis too. All together they cause the discs to compress and that and the twisting and bending of the spine puts pressure on the nerves. I've now got arthritis in my spine, nowhere else much at all, and that adds on to the nerve compression. But you may have a bit of arthritis too, even if it hasn't been mentioned to you.
All the pain contributes to insomnia. The only pain meds I tolerate, that I've found so far, are tramadol and vicodin, and I am a bit tolerant to vicodin. The problem with tramadol is it only works for 4 hours. I don't tolerate the extended release form - gets me in trouble with serotonin syndrome.
I see a pain doc who's been having me try all sorts of things. PT didn't help at all, but insurance likes to see you've tried it. MRIs help find the points where the nerves are getting squished. There are a few types of spinal nerve injections - epidurals, facet joint, nerve root blocks - look them up. The first type helped me for about a year. After my doc and I figure out if there is any med that will help more (I'm not hopeful after 2 years of trying everything) I'm going to be getting a facet joint injection.
Surgery is the last thing I want. I'll wait until I can't walk because it's not a terrific alternative to meds and injections.