Nearly always, when a patient presents with discomfort in their extremities, we advise them to first have a primary care physician evaluation. When someone complains of neck or lower back discomfort, we normally monitor them over time and advise them to continue engaging in healthy, steady physical activity to see whether the problem goes away. The next step would be to contact a doctor for an evaluation if the problem is not resolved with physical exercise, over-the-counter remedies, or pain management and anti-inflammatory medications. The treatment of many people with spinal issues does not require surgery. Before considering surgery, physical therapy, at-home exercises, medication, and frequent spinal injections are advised. Surgery becomes a viable choice if the issue is still not remedied. For instance, surgical intervention is the recommended course of action if a patient has severe neurogenic pain in the extremities and non-surgical therapy has failed to offer relief. When non-surgical treatment fails to relieve symptoms caused by spinal cord or nerve root compression, such as severe weakness in an arm, leg, or limb, doctors may advise surgical surgery.
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