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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI Scan Showed Posterior Central Protrusion Of Disc Causing Thecal Sac Indentation. Do I Need Surgery To Help With Back Pain?

Hello Dr,

I am suffering from back pain. The MRI Scan report says POSTERIOR CENTRAL PROTRUSION OF L4 L5 DISC CAUSING MILD THECAL SAC INDENTATION.

How it will be cured? By medicines and exercises? Is there any need for surgery? How much time it will take for the disc to settle in its original place?
Tue, 3 Dec 2013
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hello,
Thanks for your query.

I understand you have back pain . These symptoms are part of lumbar disc degeneration with PIVD where the nerves get compressed by the protruded disc.
There are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks.
If you don’t get better with these treatment ,I suggest you undergo surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptoms

I do hope that you have found something helpful and I will be glad to answer any further query.
Take care
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MRI Scan Showed Posterior Central Protrusion Of Disc Causing Thecal Sac Indentation. Do I Need Surgery To Help With Back Pain?

Hello, Thanks for your query. I understand you have back pain . These symptoms are part of lumbar disc degeneration with PIVD where the nerves get compressed by the protruded disc. There are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks. If you don’t get better with these treatment ,I suggest you undergo surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptoms I do hope that you have found something helpful and I will be glad to answer any further query. Take care