Dear sir, I am 64 yrs old man from Tamilnadu, India with following symptom Stiffness, in the neck, shoulders, arms, hands, or legs. Balance and coordination problems, such as shuffling or tripping while walking. ... Loss of bowel or bladder control (incontinence). and MRI report as follows * cervical spondylosis with degenerative disc disease * Posterior disc osteophytes complex at c2-c3 IV disc level causing significant anterior thecal sac indentation with compression over the adjacent spinal cord segment with altered signal intensity of the spinal cord. S/o Myelomalacia. * Significant spinal canal stenosis noted at c2-c3 level and mild stenosis at c6-c7 level * Diffuse disc bulge with uncovertebral hypertrophy at c5- c6 and c6-c7 IV disc level causing anterior thecal sac indentation and mild bilateral neural foramen narrowing right left with possibility of nerve root compression on right side, more at c6-c7 level. Lumbar spine: Posterior disc bulge with annular tear at L4-L5 disc level causing anterior thecal sac indentation I consulted Spine surgeon They advised for surgery but I have fear for surgery. Is there any non surgical management for my condition kindly suggest me with regards selvaraju