Based on your MRI and symptoms, surgery is not mandatory at present. Even if the L5âS1 disc shows significant narrowing on imaging, the decision for surgery depends more on symptoms than scan measurements. Since you have only mild leg pain on prolonged walking, no severe back pain, no weakness, numbness, or bladder/bowel issues, conservative management is appropriate. Many disc prolapses look severe on MRI but remain clinically stable or improve over time. Surgery is usually advised only if there is progressive neurological weakness, intolerable leg pain despite treatment, or red-flag symptoms. Regular follow-up and symptom monitoring are key.
Answered2026-01-07 07:13:58
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