ericms

Hi, As a health care professional, I would highly recommend that you see an orthopedic MD. If neurological disorders are also present, then a neurologist should be consulted as well. In your case, you should not rely on non-evidence-based approaches because they are very common in Thailand. The same goes for alternative or holistic (pseudoscience) approaches such as acupuncture, chiropractic, dry needling etc... because these have less evidence, and in some cases could make things even worse. Same for the content on YouTube! Stretching, strengthening or mobilisation of structure without knowledge, why and how etc. makes less sense as it can make things also worse! Also, a physiotherapist would be a good choice, but as far as I know of some friends of mine and some clinics around bkk, they sell packages like a 30 minute diagnosis for some hundreds of baths, or they treat such issues with electro or ultrasound therapy, which can have a short time for a soft pain modulation but does not treat the main issue. You need to get a proper physical examination and, as a consequence, a diagnostic which can lasts at least 3 to 4 sessions. I think you will hardly get such a physiotherapy quality here, as the education is not the same as outside of Thailand Surgery should always be the last option, and do also keep in mind that many studies have already shown that spine degeneration is likely to be a part of normal aging and is NOT associated with pain (Disk bulge, protrusion, spondylosisthesis etc.) You might consider going outside of Thailand to get a proper therapist, who is qualified to provide a professional physical examination, to understand if the conservative is the right way for you or not. A professional therapy takes a long time and is not easy, but showes in many long follow-ups the same and in some cases also the better results than surgery. Ps. "He suggested to live with it", sorry but that shows everything about being professional! Hope that helps you, wish you all the best. Eric