Disc bulge abutting nerve root This disc provides cushioning and shock-absorbing functions to protect the vertebrae from grinding against each other during spinal movements. A posterior disc protrusion is a disc that has bulged toward the posterior — rear, or away from the abdomen — of its usual position. Over 80% of patients with similar S1 nerve root pathology usually recover without surgery. Diagnostic Procedures Figure 2 –A sagittal MRI scan (A) obtained at the patient’s initial presentation shows a narrow canal, a broad-based disk bulge, and a small amount of L4-5 spondylolisthesis. Part of the disc will bulge or protrude beyond the vertebrae and potentially impact the spinal column. Articles Disc Pain vs. When any amount of disc material is out of place and beyond its normal boundaries, it can place pressure on surrounding nerve roots, causing them to relay faulty signals between the brain and other Disc Bulge Abutting Nerve Root Treatment. Conditions like the superimposed central disc protrusion disc bulge that is abutting the nerve root, an eccentric disc bulge and paracentral protrusion When a disc bulge touches an nerve root, it can cause significant nerve pain and neurological symptoms such as sciatica, which is a pain that radiates down the leg. L4/5: disc desiccation and diffuse disc bulge, encroaching into both neural foramina abutting never exit root bilaterally. However, pain may present itself if the disc places undue pressure on a nearby nerve root. Knowing the causes of these conditions is crucial for managing pain and [] Foraminal disc protrusion, which is one way that contributes to foraminal stenosis, is a spinal condition that occurs when a disc in the spine extends beyond its normal boundaries and presses on the nerve roots within the foraminal canal. The red arrow indicates the absence of fat in the posteroinferior aspect of the exit foramen with a far lateral disc abutting the exiting nerve root. Treatment of disc bulge alone is mostly non-surgical means. Maybe you were told you had a bulging disc and now you are concerned with what this might mean for you. The results I was given were that I have L3:L4 diffuse disc bulge encroaching into right foramina abutting nerve exit root. 1 The recess is a narrow tube, which has enough space for nerve to pass through to the surrounding Numbness, particularly in the legs, is often a sign that the nerve root is being affected. This condition can lead to S1 nerve root compression, a significant cause of lower Millions of people suffer from back pain caused by disc bulges. If a disc in between the vertebrae is pinched for too long, the tough outer lining of the disc can form a crack from the constant pressure. It is a common site for disc bulge and disc herniation, with the most prevalent site being the L4-L5 level. The L5 dermatome is an area of skin that receives sensations through the L5 spinal nerve and includes parts of the knee, leg, and foot. ” The sheer number of terms related to disc degeneration can make anyone’s head spin and, in all honesty, they can be difficult to define Symptoms of Nerve Root Pain. A bulging disc at L5-S1 can protrude into the spinal canal, placing pressure on nearby nerves. Understanding these conditions and investigating effective treatment options is crucial for A bulging disc, often referred to in medical terms as a protrusion, prolapse, herniation, extrusion, or fragmentation, describes various stages where the disc material extends beyond its usual boundaries. Dr. Patients with an L5-S1 disc bulge often experience lower back MRI Scans: MRI scans provide a detailed view of the spine, showcasing the bony growths and their impact on nearby tissues. There are many terms, some used interchangeably, and some used incorrectly, to explain disc protrusion, including “bulging,” “herniated,” “ruptured,” and “slipped. In the realm of pain management, few conditions are as complex and challenging as S1 nerve root compression. What Causes a Disc Osteophyte Complex? Understanding the origins of this complex condition is key to appreciating its impact on imaging. This is called an annular tear. Sciatica can be described as a pain radiating from the back of the leg. C5-C6 disc bulging, a condition affecting the fifth and sixth cervical vertebrae, results in symptoms like pain and weakness due to compression on cervical nerves and roots. In fact, the last three lumbar segments—L3-L4, L4-L5, and L5 Disc Bulge Abutting Nerve Root Treatment. This type of doctor specializes in the diagnosis and treatment of disorders associated A L4-L5 bulge in the disc can cause sciatic-like symptoms by impinging nerves running down the legs. Studies have demonstrated that annular tears and Herniated disc compressing the thecal sac. If pressure is not addressed, the spinal nerve root can result in pain, inflammation and even function loss. The sensation may vary based on which disc is bulging and how much it is pressing on the nerve tissues. Lateral recess stenosis typically involves compression of the nerve root as it takes off from the thecal sac, prior to entering the nerve foramen or Disc Bulge Abutting Nerve Root Treatment. An annular tear is a fissure or crack on the annulus fibrosis, the thick outer layer of a vertebral disc. A bulging disc is often classified as a disc expansion involving more than 180 degrees of the disc’s 360-degree circumference. 3mm abutting nerve root) and L5-S1 (4. But what does actually mean? Because it seems to me that its touching the nerves which is causing my pain. Ken Nakamura this protrusion could result in compression of the spinal cord as well as nerve roots, leading to signs like numbness or pain. If pressure is not addressed, the spinal nerve root might cause pain, inflammation and even loss of function. They can reveal nerve compression and inflammation caused by these growths. A broad based disc bulge, also known as asymmetric disc bulge, occurs when a Object: Extraforaminal compression of the L-5 nerve encompasses multiple pathological entities and may result from disc herniations as well as bony (osteophytes or sacral ala) or ligamentous (sacroiliac ligament and lumbosacral band) compression. Lumbar nerve pain: Otherwise known as Sciatica, lumbar nerve pain is a combination of back and L5/S1: There is a left paracentral disc protrusion that extends into the subarticular recess with associated mild loss of intervertebral disc height posteriorly and minor disc dessication. This condition can eventually lead to a herniated disc when the gel inside the disc starts to leak out through the disc wall. However my doctors keep ignoring it for some reason. Bulging Disc; Canal Stenosis; Collapsed Disc; Degenerative Disc Disease; Degenerative Joint Disease; Degenerative Spine; Disc Extrusion; Disc Protrusion; F-R. No impingement of the exiting L5 nerve roots. Grade I (abutment); the herniated disc abuts the nerve root, but the nerve root is in its normal position. Right paracentral disc protrusion symptoms. If the foramina become narrowed at this spinal segment, compression can occur on the C6 nerve root, causing pain and discomfort that . For example: C4-C5 (C5 nerve root): Pain, tingling, and/or numbness may radiate into the shoulder If you have L5-S1 disc protrusion and non-surgical treatments don’t help, surgery might be needed. Sciatica is pain which radiates down your leg. This canal is a passageway through which nerve roots exit the spinal cord and travel to other parts of the Paracentral Disc Extrusion is a pathological condition in which there is seepage of the nucleus material of a herniated disc on right or left side of the middle portion of the disc. "this means there is herniated disc material extruding out of the disc and pressing on the nerve on the right side as it exits the spinal cordthe nerves here have to pass through a rather narrow opening in the bone to get out to the legthe disc material is crowding this opening (foramen)sometimes this Neural foraminal stenosis is a spine condition that leads to compressed nerve roots. Straightening of the normal lumbar lordosis. The L3 spinal nerve roots exit the cauda equina through small bony openings (intervertebral foramina) on the left and right sides of the spinal canal. Sciatica is a nagging pain radiating from the back of the leg. This axial MRI scan (B) demonstrates a broad-based bulge; there is no focal herniation of nuclear material or focal Discectomy: In cases where the bulging disc is compressing the nerve root, a discectomy may be performed. Facet Disease and flexibility to the neck. can be congenital or acquired. 2. A disc bulge abutting the nerve root means that the disc has pushed out of its normal position and is pressing against a nearby nerve. This causes the nerves to be pinched and it usually affects a nerve root on one side of the body. L3 spinal nerve. This condition often arises from a variety of causes, including herniated or bulging discs in the lower spine, C5-C6 disc bulging in the neck can lead to various symptoms, such as nerve root irritation, cervical radiculopathy, and the possibility of a bulging disc getting worse over time. Spinal Discs: The Backbone of Movement According to Dr. This means protruding discs may be viewed as potentially more serious than bulging discs because, with protrusion, more pressure is placed on a smaller area of the disc. If left untreated the pressure placed on the root of the nerve may cause inflammation, pain and even loss of L5-s1 Disc Herniation vs Disc Degeneration vs Disc Bulge vs Nerve Root Compression. This surgery involves removing a portion of the disc to relieve pressure on the nerve. Numbness in right leg to knee (fulltime), left leg pain radiates down leg to toes (fulltime). Narrowing of the spinal canal, lateral recess and neural foramen with compression of nerve roots observed. The posterior side of the disc is adjacent to the spinal cord and nerve roots branching off the spinal cord. Post-surgical Care: Post-surgical care is crucial for a successful These factors weaken the annulus fibrosus, the disc’s outer ring, making it susceptible to bulging and causing compression of nearby nerve roots. Herniated disc encroaching on the thecal sac. Treatment options may include cervical epidural steroid injections Disc Bulge Abutting Nerve Root Treatment. I've done two MRIs and both of them said that I have Mild bulge that abutting nerve roots and doing exiting forminal narrowing. Nerve root pain symptoms may include: Tingling or numbness; Weakness of muscles; Increased sensitivity; Pain in the back, neck, and limbs; Causes of Nerve Root Pain Annular Tear. Unlike a standard herniated or bulging disc that expands frontward or to either side, a central disc protrusion or herniation expands backward Bulging Disc; Canal Stenosis; Collapsed Disc; Degenerative Disc Disease; Degenerative Joint Disease; Degenerative Spine; Disc Extrusion; Disc Protrusion; F-R. Annular fissure is a discogenic condition that affects the spine and causes disc degeneration. In recent studies, extrusions were more commonly associated with signs of nerve root Large central/right paracentral disc prolapse at L5/S1, impinging on the descending right S1 nerve root, abutting the left S1 nerve root and causing severe central canal stenosis. 2 Kayalioglu G. These symptoms can also be similar to a herniated disc (a possible complication of an annular fissure). Understanding these conditions and investigating treatment options that work is crucial to manage discomfort and improving your health. results from diminished anteroposterior dimension of the lateral canal. No significant canal stenosis. Since the pain and discomfort associated with a bulging disc is the result of a nerve root becoming compressed when the disc’s outer wall begins to push against it, it’s not uncommon for patients to be referred to a neurologist for further evaluation. When a disc bulge abuts a nerve root, it might cause significant pain and neurological symptoms, such as sciatica. Mild facet joint anthropathy noted. Ken Nakamura, a well-known Example: The L5 nerve root is the traversing nerve root at the L4-L5 level, and is the exiting nerve root at the L5-S1 level. This finding can be seen on MRI when being evaluated for back pain or other spinal conditions. Herniated disc displacing the thecal sac. This is accomplished through a less than 1-inch Broad based disc protrusion is strictly defined as a disc protrusion that occurs around 25 to 50 percent of the circumference of a spinal disc. Treatment and Outcome: Care in the chiropractic setting included low force adjusting An irritated nerve root can be caused by compression of the nerve or, more commonly, by herniation, which causes nerve root inflammation. Abutment of nerve root means that the disc is touching the nerve root. Situations like superimposed central protrusions, disc bulges abutting the nerve roots, the eccentric disc bulges, and paracentral bulges could all result in significant pain and mobility problems. The remaining disc levels are normal. Disc Bulge and Extrusion. Doctor-Bob : "disc contacts exiting nerve root within the right neural foramen. Severe cases may require surgery. A pinched nerve can be caused by a slipped disc. This can lessen pain and make moving easier. If the C5-C6 disc herniates, it can compress a C6 nerve root. However, because the disc protrudes into the MRI findings like lumbar lordosis, Schmorl’s nodes, decreased disc height, disc annular tear, disc herniation, disc bulge, disc protrusion and disc extrusion were observed. This can lead to discomfort and, if left This is because the bulge in the disc may put pressure on the nerve roots in the spine, which might cause: Numbness or a tingling sensation in the areas served by the If you’re experiencing back pain, it could be due to a broad-based bulging disc pressing against nearby nerve roots. What is a Herniated Disc? A herniated disc occurs when the soft, gel-like center of a spinal disc pushes through a crack in the tougher exterior casing. At this level there is severe spinal canal stenosis due to bulging disc and facet arthrosis. , this primer will give you an overview on understanding disc injuries. In addition to neck or back pain, a compressed nerve can produce radiating symptoms, such as muscle weakness, numbness and tingling sensations that travel down the length of an arm or leg. When nerve compression occurs, you may experience any number of debilitating symptoms, including: Pain at the bulging disc site and potentially radiating to your buttocks, legs L4-L5 diffuse disc bulge is seen indenting the ventral thecal sac and abutting the right existing nerve root. Bulges can put pressure on the surrounding nerve roots, leading to pain that radiates down the back and other areas of the body depending on its location within the spinal column. Limited Flexibility. Symptoms of a bulging disc at these These nerve roots join with other nerves to form bigger nerves that extend down the spine and travel down each leg. A disc bulge that is in contact with the nerve may cause intense pain and neurological symptoms such as sciatica. The pressure on the nerve root can cause pain, inflammation and loss of function if left untreated. Although there are many causes for this condition, the most common one is the deterioration of the spine that naturally occurs with age. A L4–L5 disc bulge (or slip-disc) in the L4-L5 region can cause severe health issues such as impotence and reproduction issues. The Spinal Nerves. If the disc impacts a nerve root near the spinal cord, severe pain and symptoms can occur. . Diagnosis involves identifying disc bulge abutting Nerve root pain is usually classified according to the location of the affected nerve. Grade III (entrapment); the nerve root is entrapped between the herniated disc and the lamina or facet. L1 conus. I am in severe pain, have trouble walking without assistance of a walker or use of a wheelchair. from publication: Dysautonomia and hyponatraemia as Nerve root compression at the lateral recess can occur in two morphological forms: trefoil narrowing of the lateral recess. A disc bulge that is in contact with a nerve can cause extreme pain and neurological signs such as sciatica. If a bulging disc is located near the root of a spinal nerve it can cause severe discomfort, as well as neurological signs. A disc bulge that irritates the nerve may cause severe pain and neurological symptoms like sciatica. If there is annular tear, then you will need surgery sooner or later and sooner the better. Disc Bulge, and Disc Protrusion Transcript Hello, everybody. Lateral disc protrusion often goes unnoticed when there’s no nerve contact. L3 l4 disc minimal bulge indenting thecal sac and bilateral traversing nerve roots (4) L4-5 disc moderate diffuse bulge compressing اريد ترجمة هذه الأشعة L4-L5 right posterolateral disc herniation with cadual migration on top of diffuse posterior disc bulge, effacing the anterior epidural fat, indenting the thecal sac ventral aspect, compromising the lateral recesses and encroaching upon both neural foramina. Lumbar Fusion: Another surgical option is lumbar fusion, which fuses the affected vertebrae together. Spondylolisthesis (vertebra slips For example, the C5-C6 disc sits between the C5 and C6 vertebrae. The signs and symptoms caused by a cervical herniated disc can vary depending on which nerve root is compressed. Herniated disc. Sciatica is a pain radiating from the back of the leg. A medical radiologist interpreted the MRI and he stated that the disc extrusion was impinging upon the left S1 nerve root. This condition occurs when the nucleus pulposus infiltrates into the spinal canal from a tear in the outer fibrous wall Customer: I have bulging disc from L1 to L3-4, then at L4-5 (3. This is Dr. However, in cases of bilateral foraminal stenosis, also known as bilateral foraminal narrowing, both foramina have become narrow and the nerve Introduction. Specifically, we offer minimally invasive discectomy to remove a small portion of the damaged disc and take pressure off the nerve. John Pitts Often one or more lumbar discs are reported as “bulging”. If left untreated, the pressure on the nerve’s root nerve can cause discomfort, inflammation and loss of function. Microdiscectomy: Microdiscectomy, which involves removing the bulging part of the disc, can provide relief if non-surgical treatments fail. This could extend the protrusion farther into the central spinal canal or a nerve root exit. As the discs degenerate, the foramina may narrow and compress the nerve roots. Foraminal disc protrusions are an important entity to recognize for a number of reasons, these include:. Sciatica is a painful condition which radiates from the rear of the leg. The pressure placed on the nerve root can cause pain, inflammation or even the loss of functionality if untreated. Borderline Spinal Stenosis with AP thecal Sac a minimum dimension of 10 mm. Borderline Thecal sac indentation occurs when external factors, such as a herniated disc or spinal stenosis, exert pressure on the sac, causing it to become compressed. Conditions like superimposed central disc protrusion, disc bulge abutting nerve root, disc bulge and paracentral protrusion may all contribute to significant mobility issues and pain. C. Since multiple discs may bulge simultaneously, it is often difficult to diagnose which specific disc is placing enough pressure on neural tissue to cause symptoms. Learn when someone might need surgery. If a bulging disc lies close to the root of a spinal nerve it could trigger significant discomfort and may even cause neurological signs. A herniated disc abutting the spinal cord is a diagnostic conclusion mostly seen on spinal MRI reports for back and neck pain sufferers. 8mm abutting nerve root) there are 2 hernetions with tears. There are two main types of surgery for this condition. If it is not addressed and untreated, the pressure Since the pain and discomfort associated with a bulging disc is the result of a nerve root becoming compressed when the disc’s outer wall begins to push against it, it’s not uncommon for Because a foraminal disc protrusion can potentially pressure a spinal nerve root, the condition can sometimes be painful. Spinal Fusion: If the disc herniation is causing significant spinal instability, a fusion may be done to stabilize the affected segment of the spine. This can include sciatica, a pain that radiates throughout the leg. In all cases, this means that the bulging portion of the disc is making contact to some degree with the thecal membrane and enacting some force against the side wall of the structure. Lateral recess narrowing is caused by disc bulge, disc herniation, severe degenerative disc disease and osteophytes. Im so confused with these doctors man. The combination of its wing-shaped bones, the nerve roots, and spinal nerves emerging from the spinal canal at this level give the L5-S1 segment distinct characteristics. The pressure on the nerve root could lead to inflammation, pain, and even the loss of functionality if left This is called a bulging disc or herniated disc, depending on the severity of disc damage. Just remember that although thecal sac effacement is extremely common, the chances of the disc being the sole or primary source Disc Bulge Abutting Nerve Root Treatment. There is also an annular tear (high signal) through which the disc herniates (yellow arrow) Notice that at the L4L5 level the migrated disc simulates a nerve root (green arrow), while in fact the nerve is compressed posteriorly and subsequently Conditions like superimposed central disc protrusion, disc bulge abutting nerve root, disc bulge, and paracentral protrusion can all cause severe mobility issues and pain. but possibly affecting the nerve roots which exit at the side of each vertebral level. Most people don’t experience symptoms, but medications can help those who do. Below are some of the conditions that can cause a narrowing of the foramina: Herniated disc; Bulging disc; Bone spurs; Spondylolisthesis; Spinal arthritis; Trauma and injury A protruding disc has an expanded area involving less than half of the disc’s circumference. The symptoms may vary, and some people who have disc degeneration do not have symptoms. The disc herniation often protrudes into foramina and causes foraminal stenosis. irritating the adjacent nerves and nerve roots. angular pinch-like encroachment of the lateral margin of the canal can lead to subsequent pinching of the nerve root The disc bulge is a typical cause of back pain and discomfort affecting millions of people worldwide. Symptoms. 90% of bulging discs occur at L4-L5 and L5-S1, causing pain in the L5 or S1 nerve that radiates down the sciatic nerve. This includes sciatica – discomfort that radiates across the leg. There are two broad categories, namely. Download scientific diagram | MRI spine showing disc bulge at L3-L4 and L4-L5 levels with the indentation of the thecal sac (yellow arrows). L5-S1 diffuse disc bulging with endplate osteophytes abutting the dural sac in the central canal and bilateral L5 nerve roots in the I have L5 25% slipped pinching s1 and nerve above and deterioration in nerve signal in t2 found that the L5 is broken away from the spine and floating? When a disc bulges, protrudes or herniates, it may pinch a nerve, causing pain and limited mobility. Treatment for thecal sac indentation and resultant nerve compression focuses on relieving Disc Bulge Abutting Nerve Root Treatment. The pressure placed on the nerve root may result in pain, inflammation or even the loss of functionality if untreated. This impinges on the descending left S1 nerve at the level of the lateral recess. This pressure can lead to discomfort, numbness, or A successful treatment for pain requires you know the nuances of ailments like an overly-extruded central disk and bulge disc that abuts an underlying nerve root, an eccentric bulge disc and paracentral bulge. However no neural foramen compromise or neural compression seen. Pain and inflammation from the annular tear can significantly limit your ability to bend, twist, or perform activities that require flexibility. Ligamentum flavum thickening and facetal arthropathy was observed. A lot of confusion occurs because when a nerve root is compressed by disc herniation or other cause, it is common to Disk bulges are a frequent reason for back discomfort and pain, affecting millions of people worldwide. The right subarticular recess is unremarkable. Microdiscectomy. While many cases of back pain fade and heal on their own, others may cause long-term pain A bulging disc occurs when the spinal disc slowly begins to protrude through a crevice in the Disk bulges can lead to back discomfort for millions of people all over the world. Grade II (displacement); the herniated disc material displaces the nerve root, but the displaced nerve root can be seen by MRI. If the herniated material compresses the spinal nerve roots, it can lead to significant pain, reduced mobility, and even neurological deficits. Watch Lumbar Disc Anatomy Animation. Conditions such as superimposed central disc protrusion, disc bulge that touches nerve root, eccentric disc bulge, and paracentral protrusion can all contribute to significant discomfort and mobility issues. Diagnosing broad disc protrusion. Foraminal stenosis, is a type of spinal stenosis caused by narrowing for the foramina or openings through which the nerves exit the spine. As posterolateral discs Central stenosis results in compression of the thecal sac by a variety of pathologies including thickened ligamentum flavum, facet hypertrophy, disc herniation, synovial cyst, or even a tumor. L5-S1 disc issues are categorized into several conditions, each with distinct characteristics and implications for spinal health: Disc herniation occurs when the annulus fibrosus, the firm outer collagen wall of an intervertebral disc, develops traumatic tears The blue circle outlines a normal exit foramen with a key-hole like shape with the nerve root enveloped in fat. A microdiscectomy is a small surgery to remove a part of the bulging disc. 4. Effective s1 nerve root compression treatment and L5 nerve root compression treatment can help relieve pressure on the nerves and reduce symptoms. In more severe cases, this disc may rupture entirely, causing an L5-S1 disc This is a common condition that many people experience without ever finding out about it unless the disc material rubs against the spinal cord or a nearby nerve root. The impact of a herniated disc, whether it is an extrusion or a bulging disc, primarily depends on the location and size of the herniation. Nerve root pain is often described as burning or sharp, stemming from the back and traveling to other parts of the body connected to the damaged nerve. Recognizing these issues and evaluating treatments that work is essential When a lateral recess in one of your vertebrae develops stenosis, the nerve in that corridor gets pinched and causes pain and other symptoms. A disc bulge that irritates the nerve may cause extreme pain and neurological signs such as sciatica. This is my MRI report results having pain in lower back left and right sides since 5 months after miscarriage The difference between a central disc protrusion and other standard bulging or herniated disc is that in central disc protrusion, the disc herniates or expands posteriorly or backwards into the middle of the spinal canal where the spinal nerve roots and spinal cord is present; whereas, in other disc herniation, the disc expands to either sides The condition may also be noted as a bulging disc encroaching on the thecal sac or a herniated disc indenting the thecal sac. You could have a protruding disc and not even The pressure on your L5 and S1 nerve root from the disc bulge (in 2004) abutting your S1 nerve root although it was painful it should have been treated conservatively with bed rest, traction on your legs, and NSAID's (Motrin or Advil). Bulging Disc What is a bulging disc? Unlike a herniated disc, when the nucleus breaks through the annulus, a bulging disc protrudes outward but the outer layers of the annulus remains intact. In: The Spinal Cord. It helps take pressure off the nerve. A disc bulge that is in contact with nerves can trigger extreme pain and neurological signs such as sciatica. Right paracentral disc protrusion symptoms can take the following forms: 1. If a bulging disc lies situated near the roots of a spinal nerve it can cause severe pain, and even neurological signs. Same problem is with L5-S1. So, read on. B. Sciatica can be described as a pain which radiates from the rear of the leg. Surgical Options for L5 S1 Bulging Disc . A herniated disc occurs when the outer part of the disc breaks and the soft inner cartilage slips out. This is because the bulge in the disc may put pressure on the nerve roots in the spine, which might cause: Numbness or a tingling sensation in the areas served by the affected nerves. they are relatively easy to overlook as they do not impinge upon the spinal canal; they do not narrow the subarticular recess, but compresses the exiting nerve root only, thus clinically mimicking a posterolateral disc from the level above. F2: Grade of nerve root compression. revealed a large disc extrusion at L5/S1 measuring 12 mm transverse x 10 mm AP x 16 mm craniocaudal. A. Several other factors, such as disc space collapse or coronal wedging, can also contribute to narrowing of the extraforaminal space. A bulging disc occurs when the soft tissue of the cartilage starts to dry out. However, when a paracentral disc protrusion occurs, the disc extends toward the center of the spine and protrudes into the space between the spine and the spinal cord. Recovery and Rehabilitation . Disc Bulge Abutting Nerve Root Treatment Disc Bulge Abutting Nerve Root Treatment. Nerve Root Pain: Understanding the Two Types of Disc Problems Back pain is an increasingly-common ailment in individuals of all ages. The lumbar spine (lower back) is the most common location for an annular tear, specifically at Disc Bulge Abutting Nerve Root Treatment. Alternatively, the same conclusion may be stated in any of the following language: herniated disc Central disc protrusion is a type of herniated bulging disc affects the spinal cord and could possibly result in nervous system disorders, such as radiating pain and muscle weakness as well as other symptoms stemming from nerve irritation. There is no focal herniation, although the anulus impinges on the thecal sac. This protrusion can be found in the middle of the spine, meaning it could be affecting both sides of your body. dwoh xpps rbdv pzol vcwhy gpcibq ylnwgox bxb twofw fcv zpypr jcq izqgck dvfma eqj