This treatment is being suggested on bases of the information provided. However I would like to examine & investigate you  in detail. -Control  Hypertension, Diabetes or  metabolic disorder, if there is any. --. Sleep on a hard bed with soft bedding. --. Keep no  pillow under the head. --. Avoid painful acts & activities. --. Fomentation with warm water/ Gel pac . Let the part not be exposed to cold. -- .Do mild exercises for back and lower limbs. --.visit my YouTube channel 'DrN C Gupta' and watch 'Me & My Yoga' and 'Yoga Simplified'. Kindly subscribe to the channel to get continuous guidence & notifications. https://youtube.com/channel/UCPEQc6B1ywzwin048JSu6rw IT IS FREE. --or else contact a physiotherapist. -Any way it may be tried, --. Ugesic (Piroxicam) 20mg 1 tab once a day x 5days --. Caldikind plus  (Mankind) 1 tab Once  a day x 10 days. -(You may need help of your local doctor to get these medicines.) Kindly make sure, there is no allergy to any of these medicines. --For emergency treatment visit nearest hospital. --Wish you a quick recovery & good health. Thanks. Dr N C Gupta MS (ortho.) DMC no.3624

Extruded disc.. if reporting is correct, then need to remove that extruded disc..

Hello need to ask few more questions MRI film would be better than report to decide how severe it is If no relief from medication then surgery shud be considered Contact me for further queries

It's difficult to determine the exact healing process without examining your medical history and reviewing your X-rays. However, in most cases, bone union should still occur even without bone grafting. The IM titanium nailing with screws that you received in your second surgery is designed to stabilize the fracture and promote healing. The bone may take longer to heal without a bone graft, but it is possible for the bone to unite. You should follow up with your doctor regularly to monitor the progress of your healing and address any concerns or complications that may arise.

Consult me search browse on goggle practo website Dr Rajinder sharma senior Orthopaedic neurospine joint Replace surgeon ,42 years expertise chandigarh health Department Govt Multispeciality Hospital retired Chandigarh(U.T)

Please provide MR images

I would first want to examine you and then see Mri films… depending on that I would suggest further treatment. Kindly consult.