I had failed microdisectomy for L4-L5 in August 2011. Long story short, I ended up with chronic pain, chronic pain syndrome and chronic fatigue. Since then I have gone from being suicidal to going through a pain management program and really working on improving my mobility. The flare ups have become almost constant this year. There's been a shift. I got results from my MRI scan on Friday to tell me that the whole of my lumbar is crumbling and I have sciatica on both sides. I am now up to the maximum opiates to take the edge off the pain. Between 2011 and now I have had nerve root injections and facet joint injections which actually agitated my spine and I made a decision not to have any more invasive surgery. Now I am trying to get my head around this latest news. What is the best way forward? I don't want my spine all of the lumbar fused and I have heard about an operation called TOPS which looks like it gives you flexibility. What do you think?