Hi I’m 75 and have severe stenosis is what my mri shows plus I have a bad curve right at my waist band where my pants are at I’m not going through surgery because I have COPD so now I’m going to try pain clinic again it’s been 10 yrs since I’ve been cause I just kinda gave up on them but here I go again hoping they have anything new they can do for me I am pain all day but thank God when I lay down the pain stops ... was wondering what the albations mean ? I do take 33 mg tramadol and Tylenol plus Mexicam and muscle relaxers