You don’t need surgery unless:
- You have severe or progressive neurological symptoms (e.g., weakness, foot drop, bladder/bowel issues).
- You’ve had no relief with 6–8 weeks of conservative treatment (physiotherapy, medications).
- Severe radicular pain that is not manageable with conservative treatment.
Next Steps
Suggested Plan:
- Consult a spine specialist (orthopedic/spine neurosurgeon) for clinical correlation.
- Start/continue physiotherapy focused on core stabilization, posture correction, and neural mobilization.
- Pain management with medications, if required.
- Consider injections (like epidural or nerve root blocks) if pain is persistent and surgery is to be avoided.