I have a L3-4 herniation with the vertebrae rubbing bone to bone. I also have some degenerative changes in L4-5. I suffer from some severe sciatic pain with pain running down my right buttock and thigh, anterolaterally extending down to my right foot. I have had multiple episodes of losing the feeling in my leg completely resulting in a couple severe falls. Does this situation usually end with a discectomy or fusion? I have had this for 14 years now but much significantly worse after I was rear ended with the driver going 50 and I was stopped when he hit me. Previous to that incident a couple of years ago I had two slip and fall accidents, damaging my c spine to the point that they did a fusion, which took very well.