Off to the ER I went after waking up in extreme excrutiating pain in lower back & left foot. Foot hurts worse. Had mri 2 weeks prior which showed annular L3-4, next to where i had tlif on L4-S1. Also have scar tissue lump on L4-5 level. Doc said tear will heal alone or herniate. Well ER doc thinks i blew it. Mri showed also a partial facet joint fusion at L3-4. Had iv fentanyl, dilaudid, ativan,zofran. No problems w/ pain pump as far as I know. Little to no reflexs on neuro check, pain in leg during straight leg raise. Have f/u appt today, should know what the treatment plan will be. Always done terrible w/ ESI.