I am in so much pain and I just had a MRI performed by the VA, and it shows sever nerve damage and spinal stenosis. My testicles hurt all the time, my back is excruciating , my neck, and siatic nerve issues. VA just wants to put me on Pain Mgmt for all of this...

Report:
PROCEDURE: MRI LUMBAR SPINE WO
CLINICAL INDICATION: evidence of lumbar stenosis on EMG
TECHNIQUE: Multiplanar, multi-sequence MRI images of the lumbar spine were obtained without the use of intravenous contrast per protocol.
COMPARISON: DX LUMBAR_SPINE 10/10/2023
FINDINGS: The conus medullaris is normal in appearance, and it terminates at approximately the level of T12/L1. The cauda equina is unremarkable.
Lumbar spinal alignment is normal.
No acute fracture or aggressive marrow replacing process is identified. There is subtle anterior wedging of multiple
consecutive vertebral bodies in the visible lower thoracic and
upper lumbar spine, which could be congenital/developmental or degenerative in nature. There is no marrow edema to suggest acute fracture.
Degenerative changes are discussed level-by-level as detailed below:
T12-L1: Moderate degenerative disc disease with mild chronic endplate degenerative changes. There is anterior disc osteophyte formation. There is mild facet arthropathy. There is no
significant stenosis.
L1-L2: Moderate degenerative disc disease with chronic endplate degenerative changes and small anterior disc osteophyte formation. Mild facet arthropathy. No significant stenosis.
L2-L3: Mild degenerative disc disease and mild facet arthropathy. Mild narrowing of the lateral recesses. No significant neural foramen stenosis.
L3-L4: There is mild degenerative disc disease with a small broad-based posterior disc protrusion. There is mild facet arthropathy and ligamentum flavum thickening. There is mild spinal canal stenosis and mild narrowing of the lateral recesses. There is moderate bilateral neural foramen stenosis. The disc abuts the extraforaminal portion of the right L3 nerve root.
L4-L5: There is mild degenerative disc disease and moderate facet arthropathy. There is mild narrowing of the left lateral recess. There is moderate right and severe left neural foramen stenosis.
L5-S1: There is a right subarticular disc protrusion causing slight mass effect on the transiting right S1 nerve root. There is severe facet arthropathy causing severe bilateral neural foramen stenosis, worse on the left. There is suspected impingement of the exiting left L5 nerve root.
Visible paraspinal soft tissues are unremarkable for examination technique.
Impression:
1. Multilevel neural foramen stenosis, including moderate bilateral stenosis at L3/L4, severe left and moderate right stenosis at L4/L5, and severe bilateral neural foramen stenosis at L5/S1, worse on the left. There is suspected impingement of the exiting left L5 nerve root.
2. Small right subarticular disc protrusion at L5/S1 causing slight mass effect on the transiting right S1 nerve root.
3. Additional multilevel degenerative changes with less pronounced spinal canal or neural foramen stenosis as above. No high grade spinal canal stenosis at any level.

Primary Diagnostic Code: Abnormality Follow-Up Needed

Where can I go to get this fixed surgically? Who's the best?