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HomeHealth QueryNeurosurgeryMy L45 disc shows a right paracentral focal disc e...
  • male
  • 50 Years
  • 14/08/2025

My L45 disc shows a right paracentral focal disc extrusion that's 14 x 10 x 12 mm, pressing on the thecal sac and cauda equina roots. There's mild central spinal canal stenosis, moderate right and mild left lateral recess stenosis, compressing the right L5 root and touching the left L5 root. The L5S1 disc has a posterior central protrusion too. Do I really need surgery or are there other treatments that could help?

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My MRI shows disc desiccation and a large posterocentral disc protrusion at L4-L5 compressing nerve roots and effacing the thecal sac with mild facetal arthropathy. Does this require surgery or can it be managed with medication? Also noticed focal hemangiomas in D10 and D12 vertebrae should I be concerned about those? The rest seems normal but I'm worried about the compression

Disc protrusion with nerve compression may need surgery if symptoms are severe—hemangiomas are usually harmless unless symptomatic.

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I've had a slipped disc at L5 S1 for the past year and recently developed sciatic nerve compression on my left side. The EMG NV test confirmed nerve compression, and now I have swelling, numbness, and tingling in my left foot. My doctor recommended surgery, but I'm currently taking multivitamins, calcium, and methylprednisolone. Are there any alternative therapies that could help with recovery?

for P/E ORTHO specialist opinion is advised to the patient.

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My MRI showed an arachnoid cyst and I've been getting headaches on the top of my head should I be worried about needing neurosurgery

A detailed evaluation will help decide the best course of action.

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.