Hi, welcome to our site. I am Dr Saumya Mittal, MD. Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query Frankly, I would have liked to see the films of the MRI. You see the report you have mentioned needs a definitive surgery. That would be the best thing that can relieve him from the pain and discomfort. Still, if you insist on not getting surgery, I would suggest finding a very good physiotherapist who can work on the back muscles and the soft tissue of the back This will take care that while the bony disorders cannot compensate, the muscles tissues will gradually become strong enough to support him entirely. He should not lift heavy weights, should definitely avoid bending, and should rest a good bit. Medicines like pregabalin and methylcobalamin may have some effect, but the effect will be temporary and not long lasting. In fact, with that report, I have doubts as to how much relief can be obtained. I still suggest moving in for surgery. I also suggest an NCV of both lower limbs. If the test shows compression of nerves, one should really think carefully about refraining from surgery. It may be better to go for surgery. What exactly is bothering you about surgery? why dont you want surgery? I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this) Best of luck. Dr Mittal. MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology) Consultant Physician and Diabetologist JS Hospital Ex Apollo Hospital, Delhi Ex Kailash Hospital, Noida