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MRI shows subarticular disc protrusion causing mass effect on S1 nerve root. Have pain and discomfort. What to do?

This is the results from my MRI. Having a great deal of debilitating pain and discomfort. I struggling with either getting a lumbar injection or to have a discectomy ...I know you can t tell what to do, but any input would be appreciated. At L4-5, there is annular fissure . There is a diffuse disc bulge and mild facet hypertrophic changes. There is no significant canal or foraminal narrowing. At L5-S1, there is a large focal left paracentral/subarticular disc protrusion, measuring approximately 1.8 cm TV x 1.0 cm AP, causing mild deformity of the thecal sac and mass effect on the traversing left S1 nerve root. There is no significant foraminal narrowing. IMPRESSION: Large left paracentral/subarticular disc protrusion, which causes mass effect upon on the left S1traversing nerve root. Thank you!
Asked On : Sat, 26 Jan 2013
Answers:  1 Views:  1202
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Neurologist 's  Response
Thanks for posting this question in HCM
Basically you have pain iwhich may suggest nerve roor compression . I also don't know your age and sex. Pain related to nerve root compression may improve with medicines like Gabapentine, pregabaline, Duloxitine etc. Please try this medicines after discussing with your neurologist.
You basically need a detailed clinical evaluation by a neurologist who will determine if you have any deficits or not. If there are deficits and pain are still persisting, surgical treatment will be another option.
Please get examined by a local neurologist and in the mean time you can discuss with him regarding the medicines that i have suggested

Hope this clarfies
Answered: Sat, 9 Feb 2013
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