So, you've lost both lumbar and cervical lordosis...
You're 35 and you have degenerative changes in both cervical and lumbar/sacral vertebrae.
You have pain that wakes you up at night, which may or may not be related to a narrowing of the space that your spinal cord travels in.
None of this would be anything I would classify as "physiological variant of normal", because it's not. You should not have these changes at the age of 35, even if you BROKE your neck in high school.
Rural area or not, it's time to see a doctor.
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