This is the conclusion of my MRI - what do you think the next step would be? mid 30 s female - slightly overweight. Had back issues for couple of yrs managed at home with anti-inflamatories. Hurt back in Feb and pain won t go away. Just had an MRI. There is a large right paracentral hernia of the L4/5 disc which is prematurely degenerate as is the L5/S1 disc. The hernia is likely to result in significant right L5 nerve root compression