What would you do?

I’ve had chronic low back pain and recently had a flare that took me tf out. Even after high dose steroids I’m in tons of pain, experiencing muscle spasms, sciatica, and numbness in my leg. They finally did an MRI (first picture is of my MRI results and second is of my X-rays 2 years ago). The doctor emails me and basically says I’ve got normal wear and tear and to continue conservative treatment (meaning Tylenol and ibuprofen, of which I told him do nothing for me).

What would you do if this was your MRI? I work a super active job where I am bending, lifting, holding strange positions for 10 hours a day (I’m a vet tech).