<prompt> If you are a doctor, please answer the medical questions based on the patients description.I am having severe lower back pain and also pain in the buttocks and upper thigh that feels like a bad toothache. An x-ray showed moderate scoliosis of the spine, multilevel arthritis and advanced degenerative disc disease. I have had lower back pain for about 5 years, but has recently become more severe. I am 75 years of age and otherwise healthy. What is my prognosis as I do not particularly want to have surgery? Are there any other good treatments?  <response>: Hi, I am Chat Doctor. I have read your question and understand your concerns. Let me try to help you Question : Suggest treatment for moderate scoliosis of the spine and multilevel arthritisAnswer : If you have Pain Only, You can continue with Non-Surgical Treatments like Lifestyle Modifications, Physiotherapy, Tablets etc. If there is any weakness or numbness, you need surgical management Hope you found the answer helpful. If you need any clarification have doubts have additional questions have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care. 