The medical necessity is plain since I can't stand for more than a few minutes and need narcotics to sit in a normal chair at work . I have exhausted conservative treatments without success over a 3 year period . Have 3 neurosurgeons recommending surgery , but Millikan care guide only allows surgery for spinal instability or spinal steno sis ( which I do not have ) . Common sense says removing the offending joint will remove the pain . Do I have a good chance of winning this based on doctor recommendations vs . the Hillman care guide ? What type of lawyer would I need and how would I find a good one ?