Hernited disc c7 t1. pc forminotomy surgery option. no pain now, but extreme weakness in fingers, l hand, started 40 days ago. surgery window of time?

3-6 months if at all: Many surgeons will avoid surgery for radiculopathy (an irritated nerve in the spine) if there is no pain, the weakness is not worsening, and you are not having any bowel, bladder, or balance problems. Careful exam to make sure weakness not worsening over next few months. Will take a long time to improve. Pt to maximize function. Physiatry eval for management.

With this scenario : Of pain resolution and no further progression of weakness outcome most likely the same with or without surgery in terms of any neurologic return with surgical outcome more predictable in terms of pain relief v return of neurologic deficit.

See below: Painless weakness from a disc herniation is unusual. But if it can be correlated with the MRI findings, surgical decompression would beindicated when there is gross weakness as you mentioned. Prognosis is usually good when the decompression is done early.