cheese_eats

How long do you wait to see if conservative therapies help with pain and nerve compression? I have heard that people wait until there symptoms are greatly affecting quality of life where others wait 1 year to decide if they have significant improvement. Additionally, I have read that disc rupture size will determine outcome for both surgeries and conservative methods, could you elaborate based on your experience? If there is improvement in leg weakness and back pain to 85% functionality, do you recommended waiting to see when improvement plateaus before making a decision on surgery.

What do you believe should be the protocol in treating a ruptured disc prior to making a decision about surgery? What do you think at PRP therapies?

Do you have recommendations for neurosurgeons that practice this way in the Philadelphia or New Jersey area?

Thank you! What are your thoughts on steriod injections into the epidural space? I know each patient is different, but is it worth while and will it help long term management?