Cortisone injections are a "treatment" for an inflammatory process. I would exhaust all conservative treatment including injections before you entertain the idea of surgery. Surgery is forever "burning a bridge" no matter how you cut it.
I've never experienced saline injections myself, but I have spoken with Spine Patients that have found them helpful.
See this article on Prolotherapy: Prolotherapy: An Expert Interview With Paul H. Goodley, MD. (You might have to sign up / login to see the article.)



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I completely understand about your "time crunch" -- I have been in a similar experience with school. What has helped me is to think long-term, despite artificial deadlines in the way. I do hope you feel better and that you will get back to "living" your life...pain can rob you of so much. Hang in there!

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