Can anyone help with MRI report

[TMD124]

I have been having low back pain for a couple years now.. I am not understanding where my pain is coming from unless something has changed since this report is since 9/28/2011

L4-5 disc space is positive for a central broad-based disc herniation. A well-defined protruding disc fragment measuring 5mm in depth and 8mm in width extends into the anterior spinal canal,There is a slight right lateral predominance. There us dustirtuib of the thecal sac but no definite nerve root compression

L5-S1 is positive for a central focal disc herniation that extends into the anterior epidural space. There is no nerve root displacement or compromise.

My doctor said since it is not touching a nerve i should have no pain. I do understand what he is saying, but I do have pain, everyday..
He said he would send me to pain management, but i am terrified of pain medication, and if this is not the problem , what is??
I am not miserable everyday, but somedays i can't work it hurts so bad.. Does anyone know if he is correct in explaining my report? He is just my regular GP?
Anyone who can offer me any help or advice I would really appriciate it
thank you

[rocketfeller]

I would recommend a CT scan and an MRI to check for other soft tissue problems.

[S. Kaul, MD]

Hi there!

It is not true that is there is no neural compression there cannot be pain. Pain can occur from degeneration of the intervertebral disc and associated inflammation as well; however since there is no neural compromise, a conservative management consisting of bed rest and anti-inflammatory medications to be followed by physiotherapy would be preferred in the situation. I would suggest consulting an orthopedician for a detailed evaluation and suggestion of an appropriate management plan.
Hope this is helpful.

Take care!