A midline disc protrusion, also called central disc protrusion, usually occurs at the lower back and is mostly painful, since it typically impinges the nerve root directly. The technical word midline is used to specify the position of the protrusion in relation to the disc.
appeal. 1  a call upon some authority or person for a decision, opinion, etc. 2  an urgent request for help, sympathy, etc. 3  a quality in a person or thing that arouses interest, sympathy, desire, etc.; attraction. 4  Obs. an accusation. 5  Law the submission of a lower court's ruling, verdict, etc. to a higher court for review. a request for this.
In Texas, and in most other states, an appeal is taken to a state court of appeals. In Texas, there are fourteen courts of appeals (view them here). Like the federal system, an appeal is decided by a three judge panel of the particular court of appeals that hears the case.