Saw my neurosurgeon yesterday and we discussed treatments for my L5-S1 disc rupture. However I have significant bulging in L4-L5 also according the the MRI report. My question to you is my Neurosurgeon didn't seem to be concerned about the L4-L5 and just wants to focus on the L5-S1 issue as it is causing the lower leg pain which is constant and foot numbness. I can still get up on my toes on the affected leg so she wants to do one steroid injection first. Should I have her address the L4-L5 issue if the steroid injection doesn't work and she ends up doing the discectomy? This is the same surgeon who did my ACDF on C6-7 and I'm totally confident in her ability.