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What Does "small Right Paracentral Disc Herniation" Mean?

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Posted on Fri, 11 Jul 2014
Question: I have been experiencing pain in my lower back for the past two years. MRI showed herniated disc at L5S1. I saw a neurologist who said that pain was caused from facet not from disc. I took anti inflammatory meds, had facet shots and have done pt. Pain is worse in the morning after sleep (on left side). Recently I have been experiencing a severe burning sensation on the right side. New MRI results showed disc desiccation at every level and a small right paracentral disc herniation which abuts S1 nerve root origin. Disc space narrowing at L5S1.Can you explain what this means and what the best course of treatment would be?
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Answered by Dr. Vaibhav Gandhi (4 hours later)
Brief Answer:
nerve root decompression may help

Detailed Answer:
Hello
I have studied your case.
As per your new MRI there is nerve root compression which may be important reason for pain.
Only disc space reduction at l5 s1may not be important reason for pain.
If all conservative therapy do not help then surgical decompression may help.
Another root local injection can be tried.
Neurotropic medication like pregabalin may help you can take them consulting your doctor.
Physiotherapy plays important role in treatment.
l hope i have answered your questions. If you have further questions please feel free to ask. I will be happy to answer your question. Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Vaibhav Gandhi

Orthopaedic Surgeon

Practicing since :1998

Answered : 5164 Questions

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What Does "small Right Paracentral Disc Herniation" Mean?

Brief Answer: nerve root decompression may help Detailed Answer: Hello I have studied your case. As per your new MRI there is nerve root compression which may be important reason for pain. Only disc space reduction at l5 s1may not be important reason for pain. If all conservative therapy do not help then surgical decompression may help. Another root local injection can be tried. Neurotropic medication like pregabalin may help you can take them consulting your doctor. Physiotherapy plays important role in treatment. l hope i have answered your questions. If you have further questions please feel free to ask. I will be happy to answer your question. Take care.