The new MRI does not note recurrent disc herniation so that is good news. You do have a spur at the hernation level which is not uncommon. This spur forms due to the “tugging” on the bone from the herniation. It could be new or previously there from the original herniation.
The radiologist notes this spur does “contact the right intrathecal nerve root” but does not use modifiers to indicate the amount of compression (mild, moderate or severe). I assume this spur is small and does not create too much compression. If this is the case, then your root was injured by the initial very large herniation and needs time to heal.
I use NSAIDs (non-steroidals) in my practice as well as membrane stabilizers to help control the symptoms until the nerve heals on it’s own. See the section under medications to understand how these work.
Dr. Corenman
PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
