A herniated disc that leaks material into the right-central portion of the spinal canal is known as a right paracentral disc extrusion. The spine’s vertebrae are separated by cushions known as intervertebral discs. These are composed of a gel-like inner material known as the nucleus pulposus and a fibrous outer wall known as the annulus fibrosus. Discs begin to lose their elasticity and height as the body ages. Increased pressure from the nucleus pulposus forces weakened portions of the annulus fibrosus out of the disc’s normal boundary. These disc “bulges” often develop fissures, or tears. Nucleus material then leaks out of the tears into the spinal canal, endangering the neural activities performed by the spinal cord and nearby nerve roots. Traumatic injury also can cause a herniated disc.
If a right paracentral disc extrusion irritates or compresses an adjacent nerve root, symptoms such as pain, tingling, numbness, or muscle weakness can be experienced on the right side of the body. The location of the nerve compression determines the areas of the body that experience symptoms. For example, nerve compression in the cervical (neck) region produces discomfort on the right side of the neck, the right shoulder, the right arm, and the right hand. In the lumbar (lower back) region, symptoms can be felt in the lower back, buttocks, right leg, or right foot. Symptoms typically can be managed with a regimen of conservative treatment methods, including:
- Pain medication
- Corticosteroid injections
- Behavior modification
- Physical therapy
- Alternative treatments such as acupuncture or chiropractic manipulation
If Conservative Treatments Fail
If chronic symptoms persist after several weeks or months of conservative treatment, the orthopedic specialists from Laser Spine Institute may be able to help. Tens of thousands of patients have found relief through our minimally invasive, outpatient procedures performed using safe, effective endoscopic technology. Contact Laser Spine Institute to receive a complimentary review of an MRI or CT scan.