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

Answered by 1 Apollo Doctors

Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

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

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Answered 14/08/2025

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Is laparoscopic surgery a safe option for recovering from a disc bulge or are there other treatments I should consider

yes ,laparoscopic is advised.

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my mri report shows disc desiccation with mild diffuse disc bulge and a posterocentral disc herniation at l5s1 level pressing on the thecal sac what does this mean i had spinal surgery back in april 2017 for a tumor in my spinal cord could this be related or something new to worry about

since there is a disc herniation , a neuro surgeon opinion is advised for report review and further management of the patient

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My brother has been diagnosed with disc desiccation changes and an annular tear at L4-L5. The doctor recommended surgery but we're unsure if it's the best option. Could you explain what this condition means and whether surgery is really necessary? We're quite worried and would appreciate your advice on alternative treatments or what to expect if he goes through with the operation

Discectomy is advised.

Answered by 1 Apollo Doctors

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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.