Re: c5-6 Disk Bulg with compresion of spinal cord
I recently had a C5-C6 laminectomy and fusion after years of issues, but three years of pain on a scale of <6 of 10 daily. Also involved were DDD, stenosis, and bone spurs.
We went conservative for a very long time: P/T, medications, exercises. I wasn't a candidate for spinal injections due to having an ACM-1 diagnosis (on top of being allergic to the medications typically used for the procedure.)
I had a few nerve conduction/EMG studies that indicated no permanent damage, however, as soon as the pain increased and I started having regular numbness and tingling in the lower arms and fingers, that's when my neurologist referred me to a neurosurgeon. His worry was that frequent numbness would be an indicator of permanent nerve damage.
I held off surgery for a very long time, but the numbness was the deal breaker for me, as it prevented me from doing my job effectively. Your situation may be different, but my NS was still rather conservative in approach (C4-C7 are all herniated), opting to do one level first.
On my limited experience with two different neurologists and one neurosurgeon is that your doctor will probably give you the most conservative solution he or she can, because surgery really limits you for a while afterwards.
I ended up asking my NS if it was him, which route would he follow, and I'm glad I did. The single level seems to have resolved many of my issues, with only one new one cropping up.
Best of luck to you in getting answers