When this abnormal compression causes unnecessary pain, Dr. Pablo Pazmino may recommend a Microsurgical Lumbar Foraminotomy to decrease pain at this area. Removing painful arthritic areas, thickened ligaments and bony spurs which cause painful encroachment in a specific area of the lumbar spine should decrease pain and provide an environment where the nerves can begin to heal. Upon successful decompression and after a course of physician guided physical therapy patients can return to their activities of daily living . Dr. Pablo Pazmino is currently collecting data researching the outcomes of patients who have undergone decompressions alone and his early results are promising. Patients have noted early return to work , driving, sports and sexual activities following surgery.