<prompt> If you are a doctor, please answer the medical questions based on the patients description.I was injured at work. I was grabbed by a intoxipated patient that was in a chair. She grabbed my left arm and pulled me down and grabbed me by my neck. I immediately had pain and tingling down my left arm. Now I have numbnesstingling and weakness in both armshands. My MRI C-5C-6 right paracentral disc extrusion is impinging the spinal cord and narrowing the AP diameter of the canal to 4 mm. No cord signal abnormality. C-6 C-7 spondylosis with central canal narrowing to 6 mm with ventral cord impingement. Moderate bilateral neural foraminal stenosis. I have done PT and injections. Now they are talking surgery???  <response>: Hi there, thanks for your question at Chat Doctor. Surgery is definitely the last step in treatment ladder of Spine related pain. Since you have already tried pt, injections and medications. And I presume they have not worked. Surgery is also indicated on new onset weakness. On the other hand if u have significant improvement in pain and weakness, maybe you can wait. Hope this helps. All the best. Regards. Chat Doctor. 