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MRI reveals small posterocentral disc protrusion indenting thecal sac, mild central stenosis. Best treatment option?

I have done MRI scan and reports say I have small posterocentral/ right paracentral disc protrusion indenting the thecal sac, abutting the S1 traversing root and narrowing the right lateral recess. There is mild central stenosis at this stage so I want to know what is best treatment and defects later if I go for surgery.
Asked On : Mon, 8 Apr 2013
Answers:  2 Views:  106
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Diseases and Conditions
General & Family Physician 's  Response
Hi--for now you need to see a physiatrist--a physical medicine and rehabilitation MD specialist--for a customized treatment program that will likely relieve your symptoms. If that is ineffective, you may need a minimally invasive surgical procedure to remove part of the disk. That procedure shouldn't leave you with any long-term defects or problems.
Answered: Wed, 3 Jul 2013
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Orthopaedic Surgeon, Joint Replacement Dr. K. Naga Ravi Prasad's  Response
Jul 2013
Hi, thanks for writing to HCM.
Surgical intervention is necessary in the following situations only
* When there is no response with conservative management even after 3-4 months
* When there are severe radicular pains in the entire leg in the form of tingling and numbness
* When there is severe cord compression leading to "Neurogenic claudication" which leads to heaviness in the leg and inability to walk for a short distances.

I dont think surgery is needed for you. Follow the below mentioned guidelines -
* Avoid excessive forward bending
* Avoid lifting heavy weights
* Sleep on a flat surface
* Physiotherapy for back muscles
* Ocassional analgesic/muscle relaxants

Hope this helps
Answered: Wed, 3 Jul 2013
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