I find that 95 percent of patients can avoid sugery when a nerve block and reasonable medication is used to control symtoms. I find that patients, in my practice,understand the only reason for surgery is failure of non- surgical methods. The newer technologgies of less invasive procedure also allow rapid return to function with less risk of surgical complications. I learned at recent meeting that spine surgeons have 90 percent less sugery then their patient population! A careful team approach is the best place to start.