I have l5 nerve root compression.emg showed l5 radiculopathy.i have been referred to a surgeon. i have very little pain and my symptoms are mainly constant twitching and paresthesia in both legs. not sure if surgery is necessary since my pain is low?

The usual surgical indications involve intractable pain, unstable spine, progressive muscular weakness and atrophy, bladder dysfnctn. Many ruptured discs appear to desiccate and shrink if 8-9 months pass without additional damage. An epidural injection might decrease symptoms. A second opinion may be needed.

Surgery might help pain radiating down the legs but would not say that the surgery is necessary.