Conversation: The conversation between human and AI assistant.
[|Human|] I was recently diagnosed with Cervical Spinal Stenosis with Mylopathy. I have a moderate broad-based disc bulge with herniation at C4-C5 and a  moderate broad-based disc bulge at C5-C6 with no herniation. I went to see a neurosurgeon. He wants to fuse three vertebrae together. I was hoping for something less dramatic. Can you help me? Thanks. Richardmale aged 55
[|AI|]  Hi, thanks for writing to Chat Doctor. Generally, conservative management for cervical stenosis with myelopathy is only effective in acute presentation and not in chronic cases. Nonoperative treatment for cervical stenosis includes immobilization, traction, physical therapy (exercises, strength training, massage, mobilization) and physical modalities (ultrasound, electrical stimulation, heat), medications (analgesics, NSAIDs, muscle relaxants, corticosteroids). If symptomatic improvement is not achieved with an aggressive nonoperative treatment program within 6 to 8 weeks, surgical treatment may be needed. Hope this information is helpful. Good day