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Thank you for the reply Dr. Corenman. I truly appreciate your time. The last MRI revealed that all other discs above L5 were in normal shape and good condition. I have had numerous epidural injections to attempt to calm the area down at L5 S1. Other conservative treatments have included, spinal decompression, message/physical therapy. In my experience, these only provided temporary relief. I am scheduled to have a RFA performed on the nerves. Is this the same as rhizotomies that you mentioned? I’ve read on forums that many people are worse off after having this done. Any truth to this? I’m just wondering if all of this is just a temporary solution to the problem. With the DDD and retrolisthesis at L5-S1 is it not correct to think that fusion surgery is inevitable at some point?