### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have c5-6 Foraminal stenosis diagnosed 6 years ago.  I was put on soma and that along with accupuncture, massage and specialized manual physical therapy worked well ( I chose to not take any pain medication for those years).  Unfortunately I was rear ended in September of this year and now the muscle spasms and pain are about to end my life.  Soma and Vicodin (I have always taken small amounts with never any recreational drugs or alcohol used.  I was referred to a pain doctor with his own agenda who decided I was a druggie despite multiple sites of injury in my body due to many years in the healthcare industry lifting heavy patients, walking and neck/shoulder injuries)  I hold dual medical degrees so I am knowledgeable and careful with any pain medication and realize the risk/benefit balance.  I have taken soma on and off for 12 years.  I actually was originally given 4 a day and for many years only took 1.   I did not ever experience withdrawal despite discontinuing 2 times due to a period of relative ease.  Now I am older and my body is no longer able to compensate for the structural defects.  I have been told my condition is not a good one for surgery.  What am I going to do?  I only want to work, quilt and occasionally garden.  Any suggestions? I am sorry.  I read your advertisement/website and I dont think you are an ethical company that will actually do anything. so I am not going any farther.

### output:

Nowadays, minimal invasive spine surgery is possible, consult a spine or neurosurgeon.it seems laminotomy, laminectomy and or fusion of vertebra are apparent remedies. Lyrica, methycobalamin, tramadol may be alternative medicines. If disc issues are also co-existing, epidurals or ozone therapy may be considered alternatively if for technical conditions you can't undergo surgery. Opioids are best taken for acute conditions as a short course. Use of cervical collar and isometric neck exercises may be done if condition permits.Also, cervical traction if this can be done in your position