My MRI from Sep. 07 says at L3-4 broad base disc buldge,with a small central tear,early facet arthropathy and ligament thickening. L4-5 broad based disc buldge early posterior arthropathy at L5-S1 broad based disc buldge bilateral facet arthropathy narrowing of the bilateral neural foramen secondary to facet arthropathy, posterior osteophytosis and disc buldge.Active modic-type endplate degenerative changes. Dr. says my results weren't bad and that I can try nerve blocks which I did and it helped for a limited time. When I cough i scream in pain,as soon as I lay in bed and then cough the pain shoots down both legs and the back pain is unbelievable.Rolling over is also very painful. my only daytime relief is when i am active, but then I can only be active for so long because i know the nighttime pain will be worse. Over the years I have done therapy, traction,and water therapy. only gave limited relief. What are my options now? I am a 48 yr old female.