I was recently diagnosed with a large herniation at C6/C7 due to a acute injury. The initial pain started back in 03/09 and was steady until 06/09. Then it went from moderate to severe with pain radiating all the way to my fingers. I have since gone to physical therapy and a chiro and the pain has gone back to its moderate level. With the physical therapy the pain subsided by a new host of problems have surfaced, namely moderate weakness, localized pain in my shoulder and back, numbness and tingling (Nerve Symptoms). My doctor has advised me that I need to have ACDF in order to ensure that the nerve symptoms don't become permanent. I want to know what will happen if I don't do the surgery. Will the weakness get worse? If I resumed by normal extremely active lifestyle would the pain symptoms return? These are all questions that I have asked my doctor, but his answers have been evasive at best. I know there are no guaruntees, but I would like to hear that there is at least some chance of returning to normal. Will I continue to damage the nerve if I do nothing?