If the issue is not resolving with physical activity, over the counter treatments, or pain management and anti-inflammatory medication, the next step would be to see a doctor for an evaluation. If a person is experiencing low back pain or neck pain, we will usually watch them over time and encourage them to maintain good, stable physical activity to see if the issue resolves. When someone comes to us with extremity symptoms, we almost always suggest they first get an evaluation with their primary care physician. How do you know when you need spine surgery? Smith, MD, an orthopaedic spine surgeon at Penn Medicine, discuss factors to consider before pursuing spine surgery and how Penn Medicine is positioned to deliver a wide array of spine care needs. Malhotra, MD, a neurosurgeon at Penn Medicine, and Harvey E. Is surgery necessary to treat the issue or would a non-surgical method be more appropriate? If surgery is required, is it better to have traditional spine surgery or minimally invasive spine surgery? What is minimally invasive spine surgery and how does it differ from traditional spine surgery? Neil R. There are many questions to consider before pursuing spine surgery.
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