Help!

I have been suffering for quite some time with low back pain. April/09 I had and MRI wo contrast lumbar.

Results-Interval worsening of the disc herniation at L4-5 posteriorly, centrally, and paracentrally to the right. Mass effect over exiting right L4 nerve root and over traversing right L5- S1 nerve roots. Bilateral spondyloarthritis L4-L5 L5-S1 and L2-L3.

Does anyone know-is this bad? I am very uncomfortable but have opted not to take pain meds with the exception of OTC. I have had several Medrol Dose Packs and have done the series of three epidural pain/steroid injections with no relief.

I see my pcp tomorrow for a referral to a neuro surgeon. Does anyone have any idea of what the next step could possible be? Or possibly what a Neuro may opt to do? Any ideas would be appreciated! Thanks