Aside from the physical therapy, has anything else been tried for this?
But have you not been tried on any oral medicines?
Thank you for the additional information.
There are several options in the management of spine disease. Spine surgery has many successes, but also many people with an inadequate response. Therefore, surgery is usually only considered after other more conservative options have been tried and failed. If there is evidence of significant compromise of a nerve, such as with significant focal weakness or numbness, then surgery would be considered more urgently. Conservative treatment options include anti-inflammatory medicines, muscle relaxers, pain medicines, antidepressants (such as the Cymbalta), seizure medicines (such as the Lyrica), physical therapy, and steroid injections into the spine. It appears that you have been tried on these options without success, so yes, the next option to consider would be surgical intervention.