<s>[INST] Hi: My inquiry is spinal stenosis and arthritis occurring for approximately on and off for ten years. I have hadnon evasive procedures, injections, and have done a physical therapy program and have recuperated from open hear surgery. Pain is now persistant in the lower spine. What are your suggestions. Thank you, Rosanne [/INST] please Rosanne tell us the nivel of spinal stenosis?It is cervikal or lumbar and the origin of stenosis, discopathia or something else? </s>