 [ Symptoms ] what medications can i talk to my pain management doctor about to help with my sciatica and constant migraines  i am 24 years old with really bad sciatica and migraines i am seeing a pain management doctor and for now he has me on a compound cream which does nothing he talked about doing steroid shots and from everything i have read it is all been negative because they are not fda approve for the use of epidural pain relief i hate that my doctors look at me like i am a drug seeker because of me age i want to play with my son again without pain thanks in advance courtney [ Disease ] aggressive treatments are merely designed to remove the cancer get it out of your body if it is aggressive and we pursue a conservative approach we may fail and the problem with this is there is no second place in this race you either survive or you do not so aggressive treatment is surgical removal for many years it was a fairly horrendous big operation a lot of blood loss time in the intensive care and you were miserable for a long time weeks if not months but with advances in surgical techniques new laparoscopic techniques the operation is a couple of hours you are in and out some men are home the next day and feeling great they can not believe they had anything done in fact the biggest problem is that we want men to take it easy and they feel so good they want to resume normal strenuous activity so aggressive surgical management removing the cancer is still the gold standard it is still the primary way to get the cancer out of your body so you can live a normal life if you are not a candidate for aggressive surgery or you do not want aggressive surgery which is always your option then there are outstanding conservative approaches in fact some of the new techniques in radiation have revolutionized so some people think it may actually be as good as surgery that includes some of the new radiation techniques radioactive seed therapy hormone therapy are also becoming far more positive with some of the chemotherapy options and now with some of the new approaches with vaccine and gene therapy so things are very exciting in a conservative way so that you can benefit from the treatment but not suffer from the side effects of the treatment