MRI Report At C5/6 level, there is a small left foraminal protrusion indenting on the anterior theca and causing left mild neural foraminal stenosis. At L3/4 level there is posterior annular bulge indenting on the anterior theca and causing mild neural foraminal stenosis. At L4/5 level there is posterior annular bulge with posterior annular tear indenting on the anterior theca and causing bilateral moderate neural foraminal stenosis (left > right). At L5/S1 level there is posterior annular bulge indenting on the anterior theca and causing bilateral no significant neural foraminal stenosis. I am not having any neck or lower back pain but only pain in my arms on and off mostly on the left side. And also burning sensation in wrist and hands please help is the surgery only option left for me??