A member asked:

If the source of my low back pain is infact from damage to an annulus fibrosis, how is that typically treated?

3 doctors weighed in across 2 answers

Newer techniques to repair the annulus,which is the outer layer of an intervertebral disc, are, in my opinion, still in their infancy. They don't seem to repair the nerves within the annulus and thus I'm unsure how much pain relief they achieve. Anti-inflammatory meds, physical therapy,epidural corticosteroid injections are tried first in annulus tear A spine clinic can discuss the other options

Answered 8/22/2021

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Small tears in the annulus fibrosis can lead to progressive disc protrusion and even herniation, and it is best to approach such an issue conservatively. Have consistently found physical therapy to be of great value, and eventually McKenzie Back Exercises will allow all of this to "turn the corner".

Answered 8/22/2021

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