### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello, I had a microdiscectomy surgery done on my L4- L5 done on 1 August, 2013. Next day after surgery had an excruciating pain in my lower back and all the way down my right leg. MRI showed the recurrence/re herniation of at L4- L5. Had another microdescetomy done next day on 3 August, 2013. Since then and now almost 6 month later the pain has been getting worse and worse along with the numbness in my right leg. Basically I had no pain free day since the surgeries, and its been just getting worse, Now I have a stabbing pain in my back with any type of motion, even the slightest. Been on aniti- inflammatory, and pain killer med every single day after the surgery, including the gabapentin, methylprednisolone, norco, etc . It doesnt help at all. My doc. just keeps saying I dont need another surgery and the pain is a specific anatomy reaction of my body, and basically can not provide a good medical explanation of my worsening condition and/ or help me in this case. The last MRI says: L4-L5: Previous right laminotomy. There is an annular fissure posteriorly within the disc. Small right foraminal/extraforaminal disc material. The canal, lateral recess, and foramina are patent. L5- S1: Focal left subarticular disc protrusion without significant mass effect. The canal, lateral recess, and formaina are patent. If you have any other questions to clarify this, I can provide more info. PLEASE HELP ME!

### output:

Hi there. From my experience. ...the pain relief after a disc removal surgery is immediate. Such sort of residual pain ca be due to :1. Remnant disc material compressing the nerve roots2. Intro operative damage to the nerve root3. Infection. Kindly get MRI evaluated by a different orthopedic for any of these possibilities. It may be annoying, but you might have to undergo another surgery for complete relief. I hope my advice has helped Good luck