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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI Report Shows Disc Protrusion Causing Indentation On Nerve Roots. How To Treat It, Surgery Required?

MRI report findings:-Posterior and left paracentral disc protrusion at L5-S1 level causing indentation on exiting nerve roots. I have severe low back pain and could not sit ,stand for even continuos 15 minutes. Is it require any surgery???? or how it can be treated...???How long it will take as I am totaly bed rest presently.
Thu, 8 Nov 2012
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Spine Surgeon 's  Response
Thanks for the query. Lumbar disc herniation usually cause back pain with radiating leg pain. If its the first episode then it is initially treated with conservative treatment like medicine and physiotherapy and some times nerve root block. In most cases the pain subsides. However if you have huge disc herniation with severe nerve root compression (seen on MRI) and non resolving pain with above treatment in about 4-6 weeks then you may need surgery. Most people afraid of surgery and they said its not effective but I would say microdiscectomy is very much rewarding surgery. Nowdays with newer surgical techniques it has become simpler and quicker surgery with minimal risks. To tell you exactly about the treatment in your situation I need to see your MRI. Thanks.
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MRI Report Shows Disc Protrusion Causing Indentation On Nerve Roots. How To Treat It, Surgery Required?

Thanks for the query. Lumbar disc herniation usually cause back pain with radiating leg pain. If its the first episode then it is initially treated with conservative treatment like medicine and physiotherapy and some times nerve root block. In most cases the pain subsides. However if you have huge disc herniation with severe nerve root compression (seen on MRI) and non resolving pain with above treatment in about 4-6 weeks then you may need surgery. Most people afraid of surgery and they said its not effective but I would say microdiscectomy is very much rewarding surgery. Nowdays with newer surgical techniques it has become simpler and quicker surgery with minimal risks. To tell you exactly about the treatment in your situation I need to see your MRI. Thanks.