I am surprised your physical therapist 1. Did not tell you to modify exercises that cause extreme pain and 2. To lie down and rest your back for 20 to 30 min. a day. I hope you can get your body and core stronger without so much pain.
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I think steroid shots are dangerous protocol treatments that doctors are required to give before actually attending to your real back problems.
I would find an expert neurosurgeon in scoliosis for another opinion. In 40 years, I would hope a talented surgeon could find a way to really help you.
Research online and be careful of the dates and sources you read. The newer & more scientific, the better .
I suggest you find out from an “expert” neurosurgeon , or your own, exactly why fusion is required. Find out exactly what pain or pains it will be relieving and how the surgery will accomplish that relief. If he or she has detailed replies, ask about your doctor’s experience and success rate with spinal fusion.
Also, inquire about PT as soon as you are able to keep your core strong. Too many doctors are operating under the add hardware system and keeping patients in the dark about their standard protocols for “curing all back pain.” Ask a lot of questions about what physical therapy you can do to avoid surgery – not steroid shots which can cause arachnoiditis. The best of luck!