My ongoing issues are causing problems

We've been married 3 years, together nearly 14. I was able bodied until 25, my main pain is scoliosis, which did cause problems in early life with a 22 degree lumbar curve, thoracic compression and a 10 degree cervical curve. But I could power through due to my age. Osteoarthritis in my left knee which is getting worse lately, self self-explanatory, it comes and goes and is worse in cold weather. I had an emergency c-section 2 years ago and I've got adhesions in the area, not great but not the worst of it, but the stress of my very traumatic delivery triggered an autoimmune response which has caused peripheral neuropathy, My legs get randomly tingly, numb and feel weird. My consultant surgeon thinks it is neurogenic thoracic outlet syndrome, I'm being tested for cervical radiculopathy and they want to rule out VTOS and ATOS which would require my first ribs being removed, part of my scalene muscle removed + hydro injections into my nerves. I'm currently undergoing a whole array of tests and imaging over the next few months.

I also get cluster tension headaches because I was born half blind. I have three impacted wisdom teeth, one of which is leaning on my facial nerve which is causing trigeminal neuralgia intermittently. Amitryipline is my new best friend.

On top of all of this I have CPTSD from various things I will not go into detail that have happened in my life mostly as a child. Our child is in daycare so we can both work, I often can't lift my son, and find it hard to bend down to change his nappy, it's getting harder as time goes on.

What I'm doing to fix things: I swim as often as I can, without injury to myself. I do all of my physio daily, I rest when my body needs to, ice/heat therapy, epsom salt baths, hot showers etc. I walk 2-3 kilometres daily to keep my knee mobile. I use a standing desk.

My husband is supportive, caring and ultimately wants what is best for me but my issues are driving us apart, he wants a gym buddy, I can't work out in the way he does. I stretch mostly, do the prescribed physio daily I need to do to function. We are butting heads like never before because his approach to life is martyr through it, it will improve, exercise like mad and you will get better. As you all can probably attest, it's hard to know the pain of another person, it's hard to describe exactly what you experience day to day especially if you fluctuate so much. Some days I clean the whole house, some days I can barely go up the stairs. We argue over how to manage my pain, I stop exercise when my body tells me to slow down, I know my body's limits, he tells me to soldier through it, no pain no gain. If I power through osteo pain, and go too far, I won't be able to walk... if I power through back pain, I throw my back out and will be on strong painkillers for weeks. I am strengthening my muscles without injury, as the physio therapists tell me to do and carefully but he doesn't seem to understand this approach.

Our sex life is awful. I take Amitryipline to sleep through my nerve pain and general discomfort, this knocks me out until 6:30am. I am as intimate as my pain will allow and it's clearly not enough for my husband, I can't without going into detail, do certain acts due to my facial nerve pain.. and this is causing some massive friction in our marriage honestly. There is no pressure from him just to be clear, he accepts this is what it is for now. I'm just not the acrobatic 18 year old I once was and I think that reality is hard for him to accept...

Any advice going forwards is appreciated.