Hi Cricketke,
I to am sorry about the pain that your friend in.
You need to discuss the results of your friend's MRI directly with her spine surgeon.
Ask him/her to explain what the results mean, and what his /her interpretation is of the MRI as well.
And, also ask why her doctor why he/she says there is nothing that can be done for her pain.
I would also be sure that the spine surgeon is able to read an MRI and is not just relying on the information that is provided with the MRI report that was read by a radiologist specially trained in reading MRIs.
Another important thing to remember, as well, is that the interpretation of the MRI by the radiologist is just that, his/her interpretation.
The spine surgeon's interpretation, if he/she can read the MRI, is also just that, his/her interpretation.
It is not necessarily correct.
It is always good to have more than one opinion from a spine surgeon, especially if surgery is suggested or if you can not get treatment that helps from the spine surgeon that is being used.
If you get no satisfaction in your answers from your friend's spinal surgeon, or no treatment and/or pain relief is offered, it would be in your friend's best interest to seek out another spine surgeon for another opinion.
You may need to see several spine surgeons before she finds one that can help her.
Good luck and let us know how things go.
Fran