I've done PT, had dozens of epidural steroid injections, and had six neck and back surgeries. You should not be in a hurry to have back surgery. My treatment plan with any orthopedic doctor or neurosurgeon was always to favor the most conservative and least invasive approach as long as possible. The risks associated with neck or back surgery are much greater than the risk associated with epidural steroid injections performed under fluoroscopy. If the injections don't provide relief or nerve compression is risking permanent damage, then surgery should be considered. And keep in mind that an MRI, epidural steroid injections, and back surgery will most likely all require insurance pre-authorization.