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Paracentral HNP

Paracentral herniated nucleus pulposus (HNP) is a type of spine degeneration in the spinal column that can lead to back or neck pain. This condition frequently accompanies the natural aging process but can become painful if the herniated material from the intervertebral disc comes into contact with the spinal cord or a nerve root. Treatment options vary from patient to patient, but in most instances several weeks of conservative treatment offer sufficient relief. A closer look at the components of the diagnosis can make understanding the condition much easier:

• Paracentral – means situated near the center. More specific diagnoses might indicate “right” or “left” of center.
• Herniated – means that the degenerated intervertebral disc has ruptured through a tear in the outer fibrous wall of the disc.
• Nucleus pulposus– is the gel-like nucleus material in the disc that herniates into the spinal column.

Causes

Paracentral HNP can be caused by an injury, but more often than not it is a result of the natural aging process. As an individual ages, the intervertebral discs that naturally cushion the spine begin to wear out. As the discs weaken, small tears can develop in the walls and the disc material can extrude into the spinal column. In the event that this material comes into contact with the spinal cord or one of the nearby spinal nerves, back or neck pain can be experienced.

Treatment

Treatment for paracentral HNP is almost always first attempted nonsurgically. Some of the most common conservative, noninvasive treatments recommended include:

• Heat therapy
• Acupuncture or massage
• Physical therapy
• Pain medication or injections
• Rest

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If these treatments do not offer the pain relief you are looking for, contact Laser Spine Institute to learn about our safe and effective outpatient endoscopic procedures. These minimally invasive techniques may be just what you need to treat your paracentral HNP and help you rediscover your life without back or neck pain.

Please note: Laser Spine Institute currently does not perform endoscopic procedures on the thoracic spine.