23m 5mm paracentral bulge @ l4-5 & l5-s1, 4mm retrolisthesis at both levels as well. s/p l5-s1 discectomy/hemilaminotomy & 3 epidurals. still have daily pain at least 4/10 & getting worse. what next?

Whats next: You are doing the right thing by asking questions as you will be better informed about the decisions you'll have to make. One has to first realize pain is a subjective perception which can be altered in a positive or negative way through outside forces. Think good & it should be good. It is best to discuss this in person with a doctor who is not "trigger happy" with their rx or scalpel.

Talk to MD: There is a possibility that you will need a surgical option . Talk to a spine surgeon for a consult and discussion of alternative treatments.

Call MD office: If your pain is worse after surgery, please call the surgeon's office and try to see him again or try to get a second opinion.