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Severe neural foraminal stenosis
I had a MRI done recently that indicated multi level moderate degenerative disc disease of the cervical spine showing most significant at C4 through C6 with moderate spinal canal stenosis at the same levels.  Severe right neural foraminal stenosis at C6-7.  The MRI was ordered by my neurologist because of tingly (pins and needles) in hands and some neck pain as well.  After he saw the MRI he said surgery was imminent because of the severity of the stenosis and my extreme arm and neck/back pain.  Went to the Neurosurgeon and he said surgery is the last resort for me and suggested pain management and Physical Therapy.....which now I am confused.  Will P/T help and isn't pain management just a bandaid for this condition?  My fingers are numb all the time and my neck and arm pain is being managed already with Vicodin and Gabapentin which is not helping just making me sleepy.  Should i do P/T or get a second opinion since the Neurologist said I need surgery and that P/T would not help???
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Severe neural foraminal stenosis
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