<s>[INST] My MRI scan came back as central focal disk hernia that is indenting The anterior Theca but no evidence of nerve compression. Also a vestigial disc. But it also says not causing any sequelae but I have lower back problems with some sciatica . Can you explain? [/INST] Hello, I have studied your case. Due to indentation on theta there can be central cord compression leading to diffuse pain. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care. </s>