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Doctor insights on: Bulging Disc With Annular Tear

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Dr. Thomas Dowling
846 Doctors shared insights

Bulging Disk (Definition)

Wear and tear can cause degeneration in the vertebral column, and cause discs to deteriorate. The supportive basket, nucleus fibrosis develops small tears. A bulge is minimal perhaps a few millimeters, and is clinically insignificant, but additional disc displacement such as protrusion or herniation may compress ...Read more


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Cervical and lower lumbar intervertebral discs are dessciated, diffuse disc bulge with annular tear at l4-5 level. How can be cured?

Cervical and lower lumbar intervertebral discs are dessciated, diffuse disc bulge with annular tear at l4-5 level. How can be cured?

Integrative care: A herniated disc can cause back pain as well as foot pain by physically pressing on the nerves that travel to the foot and by irritating them through the extrusion of pro-inflammatory disc materials. Physical therapy and other conservative measures, including medication management, are considered first line treatment. If these fail, your physician may recommend epidural steroid injections. ...Read more

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Have had severe back pain for a few weeks. Mri shows broad- based disc bulge with annular tear at l4-l5. What are the ways of dealing with this?

Have had severe back pain for a few weeks. Mri shows broad- based disc bulge with annular tear at l4-l5. What are the ways of dealing with this?

Many options: For someone your age, most mds try nsaids and a course of physical therapy first. If not, stronger pain meds (dep on symptoms, radicular pain), perhaps epidural streroid injections to reduce inflammation near the nerve root. If the pain persists and you are unable to function, an orthopedic may consider surgery (hopefully min. Invasive). Most docs try to hold off on surgery if at all possible. ...Read more

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MRI shows l4-5 posterior disc protusion with annular tear indenting the thecal sac and at l5-S1 posterior central disc bulging with annular tear?

MRI shows l4-5 posterior disc protusion with annular tear indenting the thecal sac and at l5-S1 posterior central disc bulging with annular tear?

Disk bulging: Based on the severity of these findings he treatment modalities will be different. .. Many folks have some mild degree of disk bulging that can be managed with physical therapy and pain control and special exercises...you may need an orthopedic clinic visit. ...Read more

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Is an annular tear the same as a bulging disc?

Is an annular tear the same as a bulging disc?

Different: Annular tear is similar to a sprain--a torn ligament, and not normal. It's presence does not equate to pain. In fact, upon healing the MRI will show a persistent abnormality. Bulging is best described with squeezing the top and bottom of marshmallow. The edges bulge to absorb shock of body weight. This is the job of the disc. If nerves not pressured, completely normal. ...Read more

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Circumferential disc bulges with posterior central annular tear at lv3-lv4 and lv4-lv5 intervertebral disc levels causing narrowing of both lateral re?

Circumferential disc bulges with posterior central annular tear at lv3-lv4 and lv4-lv5 intervertebral disc levels causing narrowing of both lateral re?

Symptoms?: These findings may or may not be responsible for your symptoms which are not listed but presumed to be pain. Your doctor will correlate these findings with your symptoms and physical exam to help identify the pain generator as best as possible after which time a directed treatment plan can be formulated. ...Read more

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At L4-L5 annular tear and diffuse disc bulge causing narrowing of left lateral recess and neural foramen and abutting ipsilateral exiting nerve root.?

At L4-L5 annular tear and diffuse disc bulge causing narrowing of left lateral recess and neural foramen and abutting ipsilateral exiting nerve root.?

L5 radiculopathy: This sounds like an MRI report. There is anatomical evidence of the left L5 nerve root being irritated. This may cause numbness of the lateral lower left leg, weakness of bending the ankle upwards, and possibly a tingling or burning sensation. ...Read more

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What is the maximum weight that I can lift/carry with a L4/L5 disc bulge and L5/S1 disc herniation with an annular tear?

What is the maximum weight that I can lift/carry with a L4/L5 disc bulge and L5/S1 disc herniation with an annular tear?

Impossible to say: You should ask the doctors who are treating your back issues, not someone who has never examined you or seen your MRI. ...Read more

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Can I do forward bending after 2yrs of natural healing from herniated disc. I have L1 & L2 bulging, L4 very small annular tear, L5 & S1 hernited?

Can I do forward bending after 2yrs of natural healing from herniated disc. I have L1 & L2 bulging, L4 very small annular tear, L5 & S1 hernited?

Exercise: Most problems with low back pain from degenerative disks are improved with a careful exercise program and trunk-strengthening, The key element is gradually increasing your exercise and range of motion. ...Read more

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Mri results. Degenerative disc disease with spinal stenosis 3 bulging discs 2mml 5 mml and 7mml on left forminial 3 bone spurs annular tear debilitati?

Mri results. Degenerative disc disease with spinal stenosis 3 bulging discs 2mml 5 mml and 7mml on left forminial 3 bone spurs annular tear debilitati?

Abnormal MRI?: Mri results mean absolutely nothing in the absence of symptoms. You can have every finding you've described with zero symptoms. So with the info provided, your problem? Too many birthday cakes! Typical MRI for age. ...Read more

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I have a bulging disk with annular tear at L1 and S5. surgery is not an option and I did consider epidural shots not sure on that. In so much pain.

I have a bulging disk with annular tear at L1 and S5. surgery is not an option and I did consider epidural shots not sure on that. In so much pain.

Don't give up: Focus on physical therapy and a progressive stretching and exercise program. You may be a candidate for a McKenzie exercise protocol. Avoid convalescence and rest, as this can make things worse, instead, get active. ...Read more

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Just had MRI after 4 months of low back pain. Mri shows annular tear and mild disk bulge. About how long does this take to heal.

Just had MRI after 4 months of low back pain. Mri shows annular tear and mild disk bulge. About how long does this take to heal.

What's the treatment?: You have an injury, what are you doing to fix it? It is possible the problem isn't disc pain and could be musculoskeletal pain in which case physical therapy and a home exercise program would be most beneficial. Most back pain heals within 3 months so if its not healing try something else, like anti inflammatories or pain management. Don't get discouraged and follow up with your doctor. ...Read more

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Mri show buldging disc suggest annular tear. Mostly low central radial back pain slight sciatica. Does mostly back pain suggest cause ann tear not bd?

Mri show buldging disc suggest annular tear. Mostly low central radial back pain slight sciatica. Does mostly back pain suggest cause ann tear not bd?

Disc pain: Disc pain is primarily in the back without going g down the legs. Unfortunately most people have more than one reason to have back pain. You shod discuss the full results of the MRI with the ordering physician so a comprehensive plan of care can be developed. ...Read more

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What is the difference between diffuse annular bulge, bulging disc, and central disc profusion?

What is the difference between diffuse annular bulge, bulging disc, and central disc profusion?

Different Contours: Bulge = >50% circumference = diffuse annular bulge

Protrusion = < 50% circumference with AA

Herniation includes both protrusion and extrusion ...Read more

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Would walking cause an annual tear or bulging disc in the low back to be worse or cause pain?

Would walking cause an annual tear or bulging disc in the low back to be worse or cause pain?

Unusual: We often try to discern cause and effect to understand how injuries occur, but standard walking does not cause annular tearing or protrusion of discs. However, once present, the gravity effect of prolonged standing or walking, and the jostling on uneven ground can result in exacerbation of the symptoms. ...Read more

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Does a disc annular repair itself in a l5-s1 bulging disc case?

Does a disc annular repair itself in a l5-s1 bulging disc case?

Yes!: We never see them in older adults.

Even for full blown herniations, the discs repair...

http://casereports. Bmj. Com/cgi/content/full/bcr-2013-201037. ...Read more

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What can be done for a posterior annual tear with a bulging disc at L3/4? Finished pt, taking lots of meds for pain. Disc bulge abuts the thecal sac.

What can be done for a posterior annual tear with a bulging disc at L3/4? Finished pt, taking lots of meds for pain. Disc bulge abuts the thecal sac.

Back pain: For annular tears a back brace and medial branch blocks at the L3/4 level may help. Core exercises to strengthen back and abdominal muscles will provide an internal brace. Chiropractic care may provide a benefit where physical therapy did not. If the nonoperative treats fail to relieve the pain and there is significant disability then surgery would be the next option. ...Read more

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What types of symptoms other than back pain could occur with a bulging disc with a posterior annual tear at l3/4?

Several actually: The other symptoms you note including weakness, pain shooting down the leg and back pain can occur with a bulging disc. In addition, one may see muscle spasm or imbalance. Therefore core strengthening as you probably did in PT should be continued in an ongoing exercise program. This could include swimming, elliptical, restorative yoga, tai chi, bicycling or pilates. ...Read more

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I have herniated. Disc protrusion and a anular tear and a bulging disc been off work 4 two years still nothing happened taken meds will I be able to work again?

I have herniated. Disc protrusion and a anular tear and a bulging disc been off work 4 two years still nothing happened taken meds will I be able to work again?

Ear problem?: Did you have an ear ache recently. Do you have water in your ear from swimming?, have you had a recent head injury? These are questions that need answers? If the dizziness persists, go to local er for evaluation as soon as possibile. ...Read more

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I have herniated. Disc protrusion and a anular tear and a bulging disc been off work 4 two years still nothing happened taken meds will I be able to work again?

I have herniated. Disc protrusion and a anular tear and a bulging disc been off work 4 two years still nothing happened taken meds will I be able to work again?

Not the same Job: There is correlation that if you have been off work for greater than 6 months from low back pain issues, you will likely never return to that same job again. I would suggest you consider a job change or get vocational rehab involved to discuss your options or need for new training for a job. When one door closes another opens up. Never give up! ...Read more

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Had MRI after lumbar puncture due to pain. No leak/hematoma. Bulging disc, tears, cysts. No pain/symptoms before puncture, did it cause/irritate this?

Had MRI after lumbar puncture due to pain. No leak/hematoma. Bulging disc, tears, cysts. No pain/symptoms before puncture, did it cause/irritate this?

Probably: The epidural needle goes through an area that is sensitive and can irritate the nerves in your spinal cord as well. Should resolve. ...Read more

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If you have an annular tear on one side does that mean on load bearing the nucleus propulsus will bulge out more on that side?

If you have an annular tear on one side does that mean on load bearing the nucleus propulsus will bulge out more on that side?

Possibly: The nucleus will often bulge on the side of the greatest load and if a tear exists the disc material will protrude through this weak spot. ...Read more

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2 Lumbar ESIs, 2 months PT. 2 Broad based bulge, posterior annular tear. Increase paraspinal signals L2/L3&L3/L4 concerning myositis. Need Help!

2 Lumbar ESIs, 2 months PT. 2 Broad based bulge, posterior annular tear. Increase paraspinal signals L2/L3&L3/L4 concerning myositis. Need Help!

Surgery: Unfortunately, it seems like you have failed non-operative care. The epidural steroid injections are the most powerful intervention other than surgery; so if they dontvworkbanf if the pain is bad enough, you may have to sit down with a surgeon and discuss surgical options. ...Read more

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What is a diffuse bulging disc?

What is a diffuse bulging disc?

See below: Bulging discs are seen in normal individuals. As we age we lose the fluid in our discs which makes them more susceptible wearing out. As pressure is applied to these discs they start to bulge a little. ...Read more

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How do you treat a bulging disc?

Too vague: Bulging disks are natural. We as surgeons do not treat bulging disks unless they are causing nerve irritation. In these cases we start with therapy, and progress treatment depending on response. The most invasive treatment is disk decompression which is surgical. I would suggest you see a spine specialist if you have a specific spine or nerve complaint. ...Read more

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I have bulging disc in back, what to do?

Don't assume its symp: I think of these findings as asymptomstic findings disc bulges are frequently asymptomstic nontreatment needed for this finding don't assume it is the cause of pain, file it as interesting but not conclusive. ...Read more