I think what endofsummer said was very smart.
Has this been a problem only since your injury or since you started with the cortisol? If so, that could be the problem.
Also, if you are not able to give your body time to heal because of work demands, and you masking and working through the pain - I'm not surpised your emotional balance is off. Often when we have a physical ailment, it affects us mentally, and the other way around. Did you go to a company doctor by the way?? Rememer that repetative stress injuries usually don't get completely better unless you lay off what caused it in the first place for a while.
I'm pretty sure you don't have andropause. You're too young. Andropause is real for some guys, but not all. Not to be a pig, but I wonder if it isn't life and the wife that enhances some peoples perception of a decline. I've seen some guys 47, 48, with a 24 year old girlfriend, and a good job. These guys don't seem to be having any problem with andropause. You know what I am saying.
IMS, yeah I'm sure its real. It's something, even if it is just a collection of symptoms that can be relieved by a certain phamaceutical company's
(or supplement manufacturor's) product. Do you really think that's what you have though?
Here is something interesting to think about. Millions of people suffer back pain. Of the percentage that think they need back surgery, only 25% actually do according to their doctors. Sometimes the patient is right, but often, these people will never feel satisfied until they get a diagnosis, drug, surgery, treatment of whatever it is they feel they should get. The back pain is real, and just having that aknowledged is sometimes helpful
No one will ever be able to convince you IMS is not what you have, if you are already convinced you do. You'll have to take the treatment and find out if that is the case. Otherwise you'll never be sure if it is a case of you knowing your body best, or of your mind playing tricks on your body and itself by the power of suggerstion.
Can I tell you what your symptoms really sound like though?
Sleep deprivation. Sleep deprivation, and maybe from that, just not taking as good care of yourself as you normally do? Have you been having any trouble with this. Has there been any changes in your sleeping habits?
Often 9 hours of sleep cures what ales us.