Having become symptomatic of severe lumbar stenosis, I was about to deal with the problem, from the standpoint of my primary care physician. Their office provided two referrals, but one was local and the other in major city not far from where I live. The local physician, a orthopedic surgeon, seemed helpful at the time, and set me up with a non surgical intervention, pt. Since then, I went to see the other who was difficult to see, taking nearly 4 months for a appointment. Since I had PT already, he stated that I would need surgery and stated that he agreed that I would need a laminectomy. Since, initially, I was not getting the help I needed, the best advice I can give, is to do the best you can to see a specialist and take his advice seriously. Its been part of the way, this is suppose to go, but at this point, I wish I had more insight from a specialist's perspective, since mentally, its taking a good amount of time to look toward this as what I need to address to help my problem.