Hello Dr. Siegel. My recent CT Myelogram indicates Multilevel degenerative changes of the lumbar spine including facet arthropathy, and severe intervertebral disc space narrowing at L5-S1. There is also mild right and mild to moderate left neural foraminal stenosis at this level. Degenrative changes of bilateral hips was described on the preceeding scoliosis survey; pain of which is beginning and worsening over the last 2 months. Failed back surgery has also resulted from L5-S1 laminectomy and discectomy 12 years ago. I am an otherwise healthy 50-year-old male, with unpredictable (seemingly inflammatory) nerve pain down both legs, which I thought was Adhesive Arachnoiditis (described as a possibility on my 1st MRI, 7 months postsurgical. However, the recent CT also indicates my lumbar nerve roots are not clumpped. I occasionally have the sensation of water dripping down my legs below the knees, incessant tinnitus, and the nerve pain down both legs is unimaginably horrible beginning just 7 months after the above noted surgery, 12 months ago. All seems hopeless, and I'm wondering if I should even bother seeking neurosurgical help for the 5th time, and/or is there a nationally renowned specialty clinic you might know of?