30 years ago an orthopedic surgeon told me MRI and back surgery. When I told him I had poor insurance he sent me to physical therapy, thank goodness, and even though I've had episodes over the years exercise and giving the problem time to work out and taking Ibuprofen for pain and as an anti-inflammatory I'm in relatively good shape for being almost 69. I cut, split and stack 5 to 6 cords of wood each year for heat, do carpenter work along with other household chores....nock on wood!