Hi Paul,
In my opinion the first step is to verify your pain generators. Through diagnostic tests such as scans and more invasive procedures like discograms and steroid injections. A good doctor/surgeon will help you to do this and not just tell you, you need the surgery that they do best.
Then when to the best of the tests abilities you have found your pain generators you can then make a more informed decision as to which way to go.
Whether it be conservative measures like a physiotherapy rehabilitation plan (which in my opinion one should always try first) Or more invasive procedures like surgery. That way you can know that you are fitting your condition to the best procedure for you. It is no use for example getting ADR if you have scar tissue adhesions or facet problems or the extra movement may make your pain worse.Then I suggest getting plenty of opinions from the surgeons that have the most experience at that particular surgery.
Good Luck!
Michelle.
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