How Many Back Pain Patients Really Need Surgery

In MRI with back pain, disc bulges found. Do you think surgery is the right algorithm? Most back pains these days are due to: Speed breakers (Automobiles )  Improper working posture, Obesity   Vitamin D deficiency Trauma etc Most of the people with back pain get cured with vitamin D injections. In my view, these days 50 % of back pains reduce with Vitamin D injections, without surgery.

I suggested this to many of my patients, and they got relieved. 25% need a good Physiotherapist, avoiding speed breakers,  Epidural Injections of Bupivacaine 0.5% and Butorphanol 4 mg along with Triamcinolone acetate 80- 160 mg. Only remaining 25%, after thorough assessment, require surgery. The algorithm is adequate vitamin D injections, Lifestyle modification, Epidural injection and then Surgery but not the reverse.