What are the treatment options for spinal stenosis and bulging disc? i have had an mri and a pg done. the doctor doesn't want surgery. i am in severe pain.

Risks VS benefits: As you are already under going physical therapy , not helping you , if you have weight problem control that , speak to your doctor again , for available options , if you are not satisfied go for second opinion , actually your doctor will help you get one , then the decision is unto you, .

Spinal Stenosis: Conservative therapy is the first line treatment of this pain - physical therapy, nsaids, and possible injections if indicated. You should ask to be referred to a pain management specialist.

Pain: Epidural steroid injections and physical therapy.

2 conditions: It would be important to know whether your symptoms are due to spinal stenosis of the lower back(pain, numbness of legs when walking) or due to the bulging disk(back pain radiating to the buttock or leg). For the latter, epidural steroid injections may help. For the former some specialists are treating the stenosis with laser instead of surgery.

Treatment So Far?: Have you tried any shots or physical therapy? Getting a good physical evaluation to determine how advanced the spinal stenosis has gotten is extremely important. If you have severe pain, it is not something you should ignore. If you would like any more information or questions answered, please feel free to let us know. Deuk spine institute.