Treatment decisions are based on thorough examinations and history. A doctor would need to know if the nerves are working properly or just unhappy. If the nerves are all working properly including bowel and bladder control, then a conservative, non-surgical approach (medications, epidural steriods, and physical therapy) would be fine. If the nerves are damaged, then a surgical approach to your problem should be discussed. It is just so hard to tell someone what to do based on one picture. Pictures are only worth a thousand words not a person's entire life story.
Dr. Christina Lasich, MD
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