<s>[INST] Good day..my boyfriend was diagnosed with the problem in his c6 and c7 herniated disc in his mri result..,His now on his 5 months of therapy but his problem still not experiencing relief..HE DOESNT WANT SURGERY BUT IN  IS SURGURY COULD BE HIS LAST RESORT TO HIS DISEASE.?THANK YOU [/INST] Hello, thank you for your concern and question regarding your boyfriend. My opinion is that the surgery should be the last step for herniated disc and only after all other treatment alternative have been used and failed. I do not know the grade of the disease and what are the complaints (pain, numbness of arms or weakness of muscle and reflexes) but usually I start the treatment with pain relieve and some sort of collar for immobilization of the neck for few weeks. Then continue with physiotherapy procedures such as ultrasound magnet therapy and tens but not manipulations. Most of the time the hernia will shrink down and absorb. If your situation is the same or worse after 6 months you can start to think about the surgery which nowadays is done with small incision and the complication rate is very low. I wish you a quick recovery. </s>