<s>[INST] I had an mri in may that said I had a central herniated disc. I had an epidural injections 3 weeks ago it only lasted for 4 days. Im back in severe pain I got a new MRI and now it says I have a large superimposed annular tear and that has a mass effect upon the existing L5 and s1 nerve will surgery take care of this problem because I really want to get rid of it? [/INST] Hi, Welcome to Chat Doctor forum.  You had a central herniate disc. Had epidural injection, worked for 4 days only. Now M.R.I. shows that there is tear at l5 and s1.  You may need to have a fixing at the spot. So I advise you to consult an orthopedic surgeon for diagnosis and treatment.  I usually prescribe to my patient till he sees his doctor neurotrophic injections for 10 consecutive days, and then periodically.  Ofloxacin and anti-inflammatories for pain relief.  Wishing for a quick and comfortable recovery. Thank you. </s>