Ray, @ray666

While it is possible that you have several issues contributing to your gait and how well and balanced you can walk, if you have myelopathy or spinal instability as I did, that alone can cause your gait to be unbalanced and make you walk with a sort of limp. I know this because during the time before my spine surgery I was working with a physical therapist and having a lot of spine related muscle spasms in my neck. The spasms would twist or tilt my vertebrae independently and because I had no space left around my spinal cord because of cervical stenosis, it put more pressure on my spinal cord when the vertebrae were moved. I also has 2mm of movement in slipping of vertebrae past each other (retrolisthesis). Effectively, it just made my spinal canal smaller around an already compressed spinal cord.

I experienced intermittent issues where the spasms caused me to limp and there was nothing I could do to stop the limp, and I had trouble emptying my bladder. Both of those symptoms were from spinal cord compression. As soon as my physical therapist corrected my neck vertebrae alignment, I stopped limping and my bladder functioned correctly again. That is why I would question your surgeon's comments about the cause of your wobbly walking. He may be missing the myelopathy component that is a signal that spinal decompression is needed because you also have other issues that affect walking. If he is waiting for permanent damage like a white area showing up inside the spinal cord, that is waiting too long.

I also had dizziness and vertigo when my vertebrae were shifted along with bad occipital headaches. The vertigo was bad enough one time that I actually fell backward when I looked upward at bird flying overhead. Since my spine surgery, I have had no more vertigo. I still can get just a slight rotating of vertebrae if I do something causing a muscle spasm, but it is very minor and I know how to correct it right away.

You can always get a second opinion from someone else and should if your symptoms are increasing and your doctor isn't concerned. It also sounds like your insurance isn't very generous with physical therapy visits. Hang in there.