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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.
Thu, 4 Jul 2013
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.
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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
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
I find this answer helpful
1 user finds this helpful
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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