Conversation: The conversation between human and AI assistant.
[|Human|] I have some low back pain causing severe pain with ambulation and standing. I have had several epidurals and feel it it is time to get something done however I m very reserved about having any spinal surgery as I have seen over the years more hard done than good. Unfortunately here I am needing something done I m only 55 and was looking at neurosurgeons Dr .Gregory Nazar and Steven Reiss being new to Louisville I have no idea who has a successful surgery rate so I do have many questions. YYYY@YYYY
[|AI|]  Still I would suggest that surgery on spine should be the last resort. Have you exhausted every other alternative. Have you exhausted Ayurveda's Agni karma treatment without invasion? Have you tried to manage by herbals or it's simply giving up? Pl. Do not give up. Hope is still there. Pl weight the pros and cons of spinal surgery. I would not allow my patients for this till other available channels are also exhausted. Hope it guides you even a bit !