Do you ever refer patients for surgery with significant peripheral neuropathy and lumbosacral radiculopathy?

A few factors should be considered to help with making the decision such as asymmetry of distal weakness related to lumbosacral radiculopathy, presence or absence of active denervation on needle EMG especially denervation in the proximal muscles of affected root/paraspinal muscles or asymmetric denervation in the distal muscles, symptoms related to lumbosacral pathology especially presence or absence of cauda equina symptoms, treatment failure with PT and/or epidural injection, imaging finding and also surgeon's input, of course, other medical comorbidities. A patient of mine with severe neuropathy with superimposed L5 radiculopathy underwent surgical decompression of a large herniated disc by a skilled neurosurgeon after he has failed PT a...