As someone who does this for a living, I can assure you the chance of that is slim to none:
-first off that’s an MRI not a radiograph or X-ray. Axial (top down view) cut on right, saggital on left. T2 weighted to show nerve roots and cord best
- that’s a very small herniation with some but not a lot of foraminal stenosis. Hardly impressive at all. That being said, treat the patient not the image
- I’m not aware of all the non operative treatments he’s had. I’d recommend selective nerve root blocks till the cows come home because that’s not overly impressive. But if he’s done all that and is still miserable then maybe
- what are his symptoms? Can he not do a push up due to actual triceps weakness? Or is it weakness from pain. If it’s actual weakness and he’s done all the non op stuff then yea he’s probably a surgical candidate
- what type of surgery should he get? Fusion is the standard answer. But disc replacements have grown in popularity, especially in young active people, due to their faster recovery. I’ve had patients return to power lifting (against my recommendation I should point out) at 8 weeks post disc arthroplasty. A fusion needs 3 plus months before you can do anything over 10 lbs of lifting. A final option would be a minimally invasive foraminotomy. Think a mini rotorouter around the nerve root. Recovery time on that is the quickest of all. He could be back to activity at 4 weeks, and training at 2-3 months. But, this is what Peyton Manning initially tried and we all know his turned out...