Improvement is usually seen after course of medicine is completed, or in rare cases might require neuro-surgery for releasing pressure on the spine and correcting the problem.
Few cases do not heal and might require Physiotherapy for helping with the pain.
Most doctors will require chronic follow up to keep a check.
Patients have problems when TSH levels go higher than expected indicating a hormonal imbalance called Hypothyroidism when the thyroid gland doesn't produce enough thyroid hormone.
If diet and exercise aren't enough to manage your blood sugar well, you also may need diabetes medications or insulin therapy.