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I've recently been diagnosed with a 6mm central disc herniation at L4/5 level and a disc bulge at L3/4. I have been suffering with back pain for the last 7 years, but my doctors only ever ordered xrays and said they only see some disc space narrowing and inflammation. I was T-boned by a car while on my bike in February, and had been getting chiropractic and massage therapy for 3x a week for a month. After a month of treatment, the chiropractor did a re-evaluation and ordered an MRI because I have had a sharp, stinging, pinching feeling in my back with radicular pain down my right leg and also some foot tingling. That's when they found the herniation and bulge, and I was referred to a spine center. They gave me only two options: injections or surgery. (I have already done PT and that made the pain worse, massage therapy seems to be helping with the muscle spasms). I was evaluated by an ARNP, who said I could try the injection and if it doesn't work I can do surgery. She didn't explain the surgery at all, but I'm assuming this would be a discectomy? Anyway, I'm just wondering why surgery is an option so early on in this? There is nerve root compression, I can hardly bend over without pain, and my back is so weak that I can't lift my legs on my own when in a sitting or lying position. When it was at it's worst, I'd have to lift my legs into the car with my arms because if I tried to use my back it would just spasm out. I'm 23 so I'm wondering if this surgery is really the only "permanent" solution? Will this get worse over time?