Final answer:
The treatment of choice for isolated paracentral disc herniation usually starts with conservative methods, including pain management, physical therapy, and epidural steroid injections. If symptoms persist or worsen, microdiscectomy surgery may be considered.
Step-by-step explanation:
The treatment of choice for an isolated paracentral disc herniation typically begins with conservative methods. These non-surgical approaches are considered first-line therapy and can include a combination of pain management with medications, physical therapy, epidural steroid injections, and activity modifications. The emphasis is on relieving symptoms and promoting functional recovery. However, if these conservative treatments fail to alleviate symptoms over time or if the herniation leads to severe neurological deficits, surgical intervention may be pursued. Microdiscectomy, where only the herniated portion of the disc is removed, is commonly considered a treatment of choice for patients who require surgery for isolated paracentral disc herniation. It's important for each patient's treatment to be tailored to their specific condition and symptomatology by a healthcare professional.