What is alternative conservative treatment instead of a rizotomy ? cronic pain sufferer from degeneration in l4/l5

See below!: Massage therapy, physical therapy, accupuncture, and chiropracty as well as antiinflammatories and muscle relaxants all might help. Assuming those have failed, a tens unit (external electric stimulation) or an epidural steroid injection would be other options, as would a topically applied medication such as the Lidocaine patch. Good luck!

EXERCISES: Lose weight, and exercise. Walking is good esp with broom handles used like ski poles when you walk. Also, specific exercises in the bed involving "crunches" to strengthen abdominal muscles and stretch back muscles.

Alternatives: Rhizotomy is typically used for pain stemming from the facet joints, and is only done after confirming the cause of the pain with diagnostic medial branch blocks. There are other procedures that can be done for facet pain, but other more conservative approaches like diet, exercise, avoiding inflammatory foods and alcohol, yoga, pilates, and pt. You also gave to consider other causes of back pain.