Thanks for the query,
Before I respond to your questions, let me tell you that the management of disc problem whether medical or surgical depends upon the clinical and investigations findings. It should never be based upon the MRI
findings. If a patient has pain and neurological deficit (documented by a neurologist
) and pain has not responded to medical management and MRI shows problem with clinical correlation, then surgery is the best option. How ever, if a patient has pain alone and there are no other neurological deficits, initial treatment should always be conservative with medicines and physiotherapy
. Persistent pain despite treatment is another indications for surgery.
If you feel that you have tried medications and physical therapy
and the pain still continues you may opt for surgery the way your doctor has advised. I agree with your doctor in the sense that this will not result in any permanent damage of the nerve
. You may even wait if you do not have any other symptoms except pain. Waiting will not cause permanent damage to the nerves in this type of situations.
Hope this clarifies
Dr Gopal K Dash MD, DM, Post-doctoral fellowship (Epilepsy
Consultant Neurologist and Epilepsy specialist
Nrayana Hrudayalaya Hospital, Bangalore
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