@gailb, I understand your frustration and confusion. I have the same thing you have and I’ve searched for 1 1/2 years for the right thing to do. Physical therapy did nothing after going 3 times a week with this pain is horrible. My second pain Dr helped a lot because she’s not a pill pusher. I wanted treatments of some kind. She gave me several ablations, many injections of cortisone and a prescription of low-dose hydrocodone. I’ve had nerve testing by a neurologist who said if left untreated with surgery I could lose bowel and bladder control. I finally got to the right Dr, a n orthopedic psiatrist (spelling?) who is into sports medicine. He showed me on X-Ray how my spine is actually in two sections just held together because the spinal cord isn’t broken. But it is being damaged by the loose vertebrae sliding into it. He said my choice is to keep living like I am, in bed or an orthopedic chair, and using a walker to get around my house. The only alternative is surgery. This will be my fifth spine surgery and all have gone well so I’m going to have it asap. You must research your surgeon, ask to speak to some patients he/she has treated, find nurses who work in the same hospital and ask who they would go to. Tell your primary Dr you want the best neurosurgeon available, not somebody he golfs with or owes a favor to. Good Luck!