When is surgery necessary?

In cases of degenerative disease, surgery is the last resort. Firstly, the possibility of conservative treatment should be considered, which can range from physiotherapy to relax the muscles and improve mobility, to postural hygiene measures, the use of local heat, or the administration of analgesic drugs or injections.

When the disease has progressed and other treatments are not effective, or when there are neurological deficits, the specialist may recommend surgery.

The patient should be aware at all times of the available treatments and participate in decision-making alongside the specialist.