<s>[INST] h hellow sir, my MRI scan report as follows, loss of lordosis. disc osteophytic bulge seen at C6-7 level causing spinal cord indentation and moderate bilateral existing nerve root compression Modic type 2 marrow changes with endplate irregularly and morginal osateophytes seen at C6-7 LEVEL C6-7 =0.73 cms what are the treatments without surgery. i am male. 47 years [/INST] Hi , First of all I would like to know whether you are symptomatic due to this.If you are having pain in C6C7 dermatome ,You need surgery for this as canal diameter is very narrow.Treatment options without surgery are -Tab pregabalinOral steroidsEpidural steroidsNeck exercises Other pain modalities </s>