Thanks for the welcome, Jennifer. I have successfully navigated the Barrows system and easily uploaded all of my records including images. However, the Mayo system is not quite as streamlined ; after speaking with Holly in Central appts I think I have now supplied the needed information. To put in mildly, yes, I have multiple lumbar spinal issues that are the result of 2 pregnancies and decades of lifting, backpacking, mountaineering, skiing, running, etc. Those hobbies have allowed me to be very healthy except I have severe degenerative arthritis-good old wear and tear. I have 2 knee replacements as well as a hip replacement: all doing well. Wouldn't it be great if we could get a spine replacement? At 77 years of age I'm trying to avoid spinal surgery and my spine orthopedist in Yuma indicated that I might be able to delay surgery by continuing to do water aerobics, yoga, walking and continue to work on my core. I'm looking for some other opinions on conservative treatment and a minimalist approach. I'm looking forward (or not) from hearing from Mayo. Fran