I've been struggling with the ongoing pain from my congenital spinal stenosis and disc bilges. The pa u n management Dr has had me on Butrans 15 and Norco 5 4 times a day. As I've posted earlier the Dr is of the opinion that any more or different medication wouldn't be appropriate . I have a bilobed disc bulge in my upper thoracic spine that I've gotten 2 conflicting opinions on. one says surgery too risky. the other Dr said risk of paralysis high if i do nothing.neither of the neuros are board certified. at the time of dx on this i didn't know the importance of getting a board cert Dr. Inmy community there is only one board cert neuro. The conflicting recommendations have weighed on my mind. I'd like to have a dr who specializes in thoracic give an opinion. Id have to travel to St Louis to see one. it's only about a 2 hour trip but the expense of seeing another Dr is considerable. I guess my question and request for opinions here is. ..how common is it to get 2 conflicting opinions? is effective pain control impossible when you you are talking spinal?