Your physio deals with the failures and is trying to keep you from being one. Great outcomes spend little time with him. I appreciate the sentiment that spine surgeons may be too quick to act upon pathology observed in the imaging, but that does not mean that the imaging will not be useful. It is not the be-all, end-all decider. Not doing a scan because it may lead to surgery is absurd. It is only another one of many tools that will be used to help you make a more informed decision about your treatment.
Having said all that... spine surgery sucks and should be avoided if possible. My little rant above is very useful info... but if you find yourself with failed back surgery, it will seem like very bad advice.
Mark
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