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I will start with what this is. "Disc desiccation" means the intervertebral disc (the cushion between the vertebrae) is drying out and hardening. L5-S1 is the location: between the fifth (last) lumbar (back) vertebra and the first sacral (pelvic) vertebra. "Central herniation" means the core of the disc is starting to prolapse out of position; "extending somewhat into the neural foramina bilaterally" means the bulging is starting to compress the nerves on both sides of the vertebral column.

Treatment for a herniating disc can be conservative or radical. Conservative treatment is corticosteroid shots along with rest, chiropractic manipulation, posture correction and/or physical therapy or training to strengthen the muscles around the bulging disc to help stabilize it. You may also be prescribed pain medication for as needed use.

Radical treatment is surgical repair of the area. This may involve removing the bulging disc and fusing the joint, limiting your ability to rotate at this point of the spine. Surgery carries more risk, since the doctors are cutting around delicate nerves and blood vessels as well as in effect pulling out a squished donut from around your spinal cord.

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Q: You have disc desiccation more so of the l5-s1 disc with a central herniation extending somewhat into the neural foramina bilaterally what is the treatment for this?
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