### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have genetic spine problems. 30 years with lumbar pain, herniated disc L5,S1. Since few years ago also neck problems. Went into three mild car crashes among the years which resulted in whiplash. Diagnosed with neck straightening and retrolisthesis in C4-C5.  I like to dance salsa, but I am Pilates instructor, as well. Three years ago, after dancing I have got a neck strain, after a month of no improvements I was suggested that I needed surgery to release the tension caused by the disc compression. I decided to go for the radiofrequency, which was applied in three discs. Despite of this surgery, hours of physiotherapy and my own Pilates, the pain in the neck still not only present, but is worse now, it is all over my neck, shoulders (also have a slap surgery in one of my shoulders) and now  even feel pain in the thoracic area. It is a 24-hour pain. The doctor suggested I need a titanium disc replacement. No nerve damage yet.I thought I have strengthen my muscles, but maybe not enough. Clearly I dont want to go into the surgery process, but..Is this the only option now? Do I have the chance to get stronger musclewise and keep away the operation and diminish the pain? If going through the surgery, which percentage of movement is going to be recovered? Realistically, how long is the recovery time? Will I be able to keep dancing?Sorry for the long message, but I dont know if this is enough information to make a judgment, buy want more opinions before doing this, since I need to plan it properly since I would need to fly to the place in which the surgery would be done.I will truly appreciate your answer in advance.Kind RegardsSusana C.

### output:

Hi Susana, In your long history I need your investigation report like MRI, X-Ray to comment better. But according to your history you definitely require an operative decompression with/without fixation surgery it leads to ankyloses of adjacent vertebrae so requires a disc prosthesis implanted such that u can perform dancing activity as earlier even after your surgery.  So in my opinion visit orthopedic center where this surgery is being performed as it is very skillful surgery. Hope this ll help. For any medical queries feel free to ask. Thanks n regards