Hi, decision for surgery depends upon clinical outcome or symptoms, in case with physiotherapy and mild pain killers, if pain is controlled and she is able to do routine work, one should avoid surgery but if pain is unbearable and weakness in legs is affecting her routine, one should go for surgery.
. “Often people who experience a herniated disc already have spinal stenosis, a problem that causes narrowing of the space around the spinal cord and spinal nerves. When a herniated disc occurs, the space for the nerves is further diminished, and irritation of the nerve results”. Taken from
Treatment involves physiotherapy, pain killers, hot compression and surgery like microdiscetomy. Visit this website for surgical details http://www.spine-health.com/Treatment/Back-Surgery/Surgery-Overview/Lumbar-Surgery/Microdiscectomy-Microdecompression-Spine-Surgery.html
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