<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hello good evening. My name is Robert. I have a previous history of TLIF spinal fusion L5-S1 in 2011. I was involved in an auto accident in 61113 while at work. I was struck from behind by a Frito Lay delivery truck and a sedan. I went to the ER, and was referred for Neuro Surgery. Neuro surgeon referred me to a neurologist who conducted EMG NCV which indicated Chornic Bilateral Radiuclaphty. I requested Lumbar MRI which reported small central disk bulge at L5-S1 area, and Cervical MRI which indicated C4-C5 of a small subligamentous disk hernation at left ventral touching cord. I have felt moderate to severe pain for almost 5 months. I am scheduled to see a Neuro Surgeon in 2 weeks. I had previous bad experience with pain management, and I am wondering if I should reconsider having surgery again for the back and most likely neck. Any feedback is greatly appreciated. I do have a workers comp third party attorney working on case recently.Thanks  <response>: Hello Mr Robert, you mentioned that EMGNCV studies indicated chronic bilateral radiculopathy. Is this report for upper or lower limbs? If it is for lower limbs, with your previous history of TGIF fusion for L5-S1 and present MRI showing small central disc bulge at the same region you need not worry about this as it is already a pre-existing problem. Do you have such a severe neck pain n articular pain in both hands incapacitating your daily activities now ? Do u have any difficulty in gripping things with hands or do u have any difficulty in combing your hair or buttoning n unbuttoning of shirt? If u dont have any of the above-mentioned, small ligamentous disc herniation at C4-C5 region, I always advise you conservative treatment in the form of wearing a hard cervical collar when u r at work, analgesics like tab diclofenac 100 mg twice daily after food, one tablet pantoprazole 40 mg on empty stomach in the morning half an hour before breakfast, a pregabalin tablet 75 mg per day and physiotherapy IT n one week of bed rest is advisable. 