Welcome to Neuro Talk. I can remember when I came here with the same kind of questions. I can help just a bit. Your MRI does warrant another opinion, no matter what treatment options have been talked about with you and your Neurologist. The one thing that stands out is the disc protrusion that impinges on left S1 nerve root. This means the disk is pushing against the nerve and that hurts. Sometimes to the point where medications no longer are effective. All conservative treatment options should be explored. Next time you go in, bring a friend with you so you don't miss anything the doctor says to you. Surgery is always a last resort. I so did not want to do my own surgery, but in the end it was the best decision I could have made. I hope you find some options that work for you. Let me know how you do. I will keep you in my thoughts. ginnie