Although l4/l5 torn annulus, first symptom 15mo ago was rt ankle/heel pain from sitting. was runner too. sciatic or ankle nerve treatment needed?

Both are the same.: If after all the conservative modalities you have had and you are still having problems, then you have 2 options: 1: if symptoms are not too severe and you are able to tolerate them, then continue as you are; or 2: if numbness is getting severe ;/or weakness has developed, in the leg/foot, then you need to be seen by a spine surgeon urgently.