<s>[INST] No releif from lower back pain for 2 months except in bed, age 83.  Physio no help. xray ct lumber spine january 2012: DSH.L2/3 and L5/S1 degenerative disc disease.  Cauda equina compression L2 through L5 more prominent on the left at L3/4.  Do i have to live with this pain?  Take panadol osteo. [/INST] You have two options remaining. You may go for local injections like  Epidural Steroid Injections,Selective Nerve Root Blocks (SNRB) and Facet Joint Injections,Facet Rhizotomy and Sacroiliac Joint Block Injections. These are given by specialised anesthetists dealing with pain management. If these fail and/or you are apparently healthy to bear an anesthesia (as decided by anesthetist) you may undergo surgery.You consult an spine specialist and/or pain clinic. Do not give hope. </s>