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If you had that MRI report and the pain never went away with conservative treatment...they should have had surgery. Not to mention that it sounds like your MRI is old. Things change. I had my 2nd surgery Feb. 20 2007 and after 2 weeks post op was in wayyy more pain..just like I had another herniated disk......they kept saying there was no way cause I just had surgery. Well, the surgeon wasn't happy but he ordered a new MRI, which did show I had a NEW herniated disk pressing on nerves. So i saw my family doc. yesterday and he said get ready for surgery. BUT...2 days after that last MRi and one day later than we just got the results (stat)...something terribly went wrong with the rest of my back..so I will have to have ANOTHER emergancy MRI before surgery. So what I am saying....if your doc has tried conservative treatment and you are still in disableing pain...insist on another MRI. I had the option of PT etc...last time and I said NO WAY. I been through it before as well as injections and it all made me worse. Just cut it out.
And be careful of what tests the doc. orders. My first injury showed nothing in normal x-rays, cat scans, mylograms etc....I would go straight to the MRI now.