At UCSF, epidurals with 3D guided CT scan. They can get around the bone spurs and whatever else in my spine for a more direct “hit” on the compressed nerve in L5-L4/S1. Worked well for me. Lasted 3 1/2 months. Doing another one soon. If i ever do surgery it would be the decompression. I’m very active and will continue all the core work, weight lifting, etc., to strengthen the muscles around my spine. Love being active, hate the idea of downtime if i do the decompression so the CT 3D guided works for me for now. I’m 73. Lower leg pain symptoms, moderate/sever stenosis.