Hello, Treatment for herniated disc disease includes lifestyle adjustments (losing weight, avoiding excessive physical activity, avoiding weights and smoking), antineuralgic drugs use, physical therapy, spinal injections. When these modalities fail to improve the condition, surgery (microdiscectomy)is indicative. I think that the foraminal disc is most likely the cause of your symptoms and since there are three years of ongoing symptoms, surgery should be considered. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Erion Spaho, Neurologist, Surgical