<human>: Hi, I was having pain in my mid-lower back and I have got MRI done. Following is highlighted in it : Small central disc herniation at L4-5 indenting the thecal see without any neural compression.A fairly large central/right paracentral extrusion with partial sequestration of disc at L5-S1 compressing the thecal sac and impinging right S1 traversing nerve root.Mild hypertrophy of ligamenta flava and facetal arthropathy at these levels. Can you please suggest how bad it is? is surgery is the only solution for this or i can take medicen / exercise for relief.how serious it is ?? Thanks in advance, AAAA
<bot>: Hi, Thanks for using Chat Doctor. Since to have disc herniation, paracentral extrusion with partial sequestration of disc and compressing the thecal sac and impinging right S1 traversing nerve root., the best management will be surgery. This may prevent you from permanent damage. For time being to relieve pain you can take analgesic, stretching exercises. If you leave it to progress then the chances of nerve compression and loss of few functions are there. So consult your doctor for examination and management.  Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards