Hi.
I am Dr Mittal.
I have read your message.
I think I can help you.
However I will need further information.
You see, the decision for surgery is most often based on the clinical needs of the patient.
The symptoms like difficulty in walking, degree of pain, bowel bladder complaints are the contributory factors to decide the need for surgery.
MRI is not the only criteria for surgery.
So, you need to tell me more about the patient before I can make a comment on the need for surgery.
Besides, you can always meet another
spine surgeon and get a
second opinion.
Meanwhile, you can get a prescription for
pregabalin, and
methylcobalamin. Make sure that the patient takes rest and does not bend or lift heavy weights.
Physiotherapy will have to wait till I know more about the patient, unless the doctors who have seen her there do recommend it.
I have tried to make it as simple as possible.
Please add the information requested so I may be able to help you further.
Best of luck, Dr Mittal