<s>[INST] Hello I have DDD, congenitally narrow spinal canal and disc protrusions at C5/6 & C67 with nerve compression. This has been going on for months. I am on endep & celebrex but this doesn t seem to help much. I am 47 years old. I have a Neurosurgery appt. coming up, do you think they will operate or just send me for more useless physio? Thank you. [/INST] Hi, thanks for your query.As you told that you  have congenitally narrow spinal canal and discs protrusions.Treatment planning requires Clinical and radiological exam.If there is severe canal stenosis and cord compression this needs surgery.Mild canal stenosis is managed conservatively.Paracentral disc with radicular pain are treated by anterior cervical dissectomy.Thanks </s>