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Review Question - QID 3755

Lumbar Disc Herniation Treatment Nonoperative QID: 3755 (SBQ12SP.57)
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QID 3755 (Type "3755" in App Search)
A 36-year-old man presents to the clinic with right-sided back and leg pain that involves the lateral calf that began after a lifting incident 2 weeks ago. The pain is severe in nature and is making it difficult to sleep and work. Physical exam shows weakness with right great toe dorsiflexion. A right para-sagittal T2 MRI is shown in Figures A. A T2 axial MRI at the L4/5 disc level is shown in Figure B. For treatment, over the past 2 weeks, he has attempted physical therapy, NSAIDs, and gabapentin, none of which lead to significant improvement in his symptoms. What is the most appropriate next best step in management?
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