<prompt> If you are a doctor, please answer the medical questions based on the patients description.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?  <response>: 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. 