Please help. I have been told by my Spinal Consultant that I have at L4/L5, a large circumferential disc bulge, bilateral facet joint degeneration and significant ligament hypertrophy are causing severe spinal canal stenosis with early thecal sac nerve root. I am being told that surgery is now the only option. Has any one had similar problems and is there an alternative to surgery at this stage. I have a further appointment on 20th November and I will need to make a decision. Any advice would be appreciated.