Microdiscectomy for muscle weakness ?

I agree conservative measures are a first step; however, I would be a bit cautious wating too long through the process. In other words, you need to have good certainty via PT's and others in that community to ensure that you will regain your motor deficit (weakness) through conservative measures. In my opinion, recovering weakness through conservative measures can be somewhat difficult as opposed to a conservative approach just for pain. Ultimately another opinion with MRI in hand would help QC your decision. I had a microdisc in my lumbar (L5-S1) and regained all of my ability to plantar flex within 4 weeks post-op. Again your decision needs to be directed to the size of the herniation because a ruptered or herniated disc segment can dehydrate to a degree; therefore shrink and decompress. But, this takes much more TIME conservatively and as such could limit or impair a full weakness recovery.