Top
30
Doctor insights on: How Do Physicians Treat Annular Tear In Your Disc

Share
1

1
How do physicians treat annular tear in your disc?

How do physicians treat annular tear in your disc?

With some challeges: An annular tear is essentially a tear in the cartilage of the disc. Once present it may cause pain but usually one can control it with physical therapy. If the tear is severely painful one can consider a spinal injection and rarely surgery. It all depends on how long one has been in pain and to what degree. ...Read more

2

2
3esi, doctor wants to do nerve burn, throbbing lower back pain and burning down left butt and pain in foot. Annular tear and buldge in l5/s1what to do?

3esi, doctor wants to do nerve burn, throbbing lower back pain and burning down left butt and pain in foot. Annular tear and buldge in l5/s1what to do?

Nerve burn: I assume you had epidural injections. With regard to the nerve burn you have to have had a regular local anesthetic block first before the burn. Also the results should have been good in order to proceed with the burn. You need to ask more questions. If you go ahead nerve burns are quite straight forward. ...Read more

4

4
I have lymphedema and my doctors told me it was treatable. Where can I go to find more info. On lymphedema?

I have lymphedema and my doctors told me it was treatable. Where can I go to find more info. On lymphedema?

Lymphedema: I would investigate the topic on the Internet, as there are numerous patient focused websites dealing with this issue. ...Read more

5

5
Hi doctors, was just wondering what is a fissure on your colon and is it treatable?

Hi doctors, was just wondering what is a fissure on your colon and is it treatable?

Anal fissure: Anal fissures are essentially cracks in the lining of the anal canal that develop due to trauma, most commonly passage of dry hard stool. It is definitely treatable. Many topical medications have been tried with varying success rates. A short surgical procedure called tailored lateral internal sphincerotomy has the best success rates. ...Read more

6

6
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

7

7
Can you tell me what is a broad based disc protrusion with paracentral annular tear?

Can you tell me what is a broad based disc protrusion with paracentral annular tear?

Herniation with Tear: The disc is like a jelly filled donut. If the donut is compressed too much the jelly leaks out through a break in the donut's bread. The same is true with a disc, the tear is caused by the compression resulting in a herniation (protrusion) and the jelly (inside portion of the disc) is either leaking out or trying to get out. ...Read more

8

8
There is annular tear in my l4-l5 disc when I had a fall 2months ago and only got MRI done is the tear from the fall?

There is annular tear in my l4-l5 disc when I had a fall 2months ago and only got MRI done is the tear from the fall?

Not Sure: There is no way to know for sure if the fall caused the tear. To prove it beyond a shadow of a doubt, there would need to be an MRI right before the fall that looked normal. ...Read more

9

9
What does it mean that I have a large central annular tear w/out focal disc hern in l4-l5&a small cen annular tear in l5-s1 w/out focal disc hern?

What does it mean that I have a large central annular tear w/out focal disc hern in l4-l5&a small cen annular tear in l5-s1 w/out focal disc hern?

Annular tear: A disc is like a jelly donut. A herniation means the jelly is squirting out. An annular tear means there is a crack in the donut but the jelly stays inside. Annular tears often lead to back pain especially with sitting. ...Read more

10

10
What would have happened to the annular tear of the lumbar disc that I suffered two years ago? Would it have healed or will it remain torn forever?

What would have happened to the annular tear of the lumbar disc that I suffered two years ago? Would it have healed or will it remain torn forever?

Usually heals: They will usually heal, but they don't always and as such can sometimes cause chronic back pain. A followup MRI would reveal if it is healed or not. ...Read more

12

12
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

15

15
Protruding disc lumber5 chronic pain and nothing is helping, what kind of procedure could fix this? Also have an annular tear in the protrusion.

First, you need to: Confirm that this is the cause of your symptoms and that you have exhausted all the appropriate treatments for that diagnosis. These might include injections through pain management, pt, medication and time. Lifestyle changes are important like weight control, regular exercise & not smoking. To have a protrusion, there is an annular tear. Surgical options are dependent on correct diagnosis. ...Read more

16

16
Post. Disc herniation w/ assoc. Annular tear, completely effaces ventral thecal & produces mass effect upon cord, Max AP 7 mm mod. Foramen encroc@ C4-5?

Post. Disc herniation w/ assoc. Annular tear, completely effaces ventral thecal & produces mass effect upon cord, Max AP 7 mm mod. Foramen encroc@ C4-5?

Spine Specialist: By definition you have spinal stenosis in the neck due to the disc herniation. If it is causing problems, see a spine specialist to discuss your options. Epidural steroid injections may relieve the pain, but the disc will take time to heal. If its getting worse or your are noticing weakness see a surgeon to discuss your options. ...Read more

17

17
I was recently diagnosed with several herniated discs, with the l4/l5 disc having an annular tear. Is using a hottub safe? I have struggled with herniated discs for several years, and frequently used a hottub to relax muscles and ease pain. Ten days ago I

The: The spine is made up of bony vertebrae and disks. The disks act as shock absorbers between the vertebrae. When the disks dry out and wear out this is called degenerative disk disease. Degenerative disk disease appears as black disks, collapsed disks, bulging disks, herniated disks and annular tears on mri. Annular tear is a little tear in the outside rim of the disk called the annulus. This appears as a white dot on t2 weighted mr imaging. This may cause pain by leakage of disk chemicals and/or ingrowth of little pain nerves.

Herniated disks may compress the spinal nerves and cause back and leg pain called sciatica. The leg pain is usually worse then the back pain. Black, collapse, bulging disks and annular tears may produce back pain and sometimes leg pain, but the back pain is usually much worse.

Treatment of herniated disk causing sciatica (leg pain worse) is the removal of the disk from pinching the nerve. This can done by open surgery with or without microscope, or endoscopic surgery. Open surgery there is a large skin incision, retraction of paraspinal muscles and bone removal (of lamina and part of the facet joint). Endoscopic surgery is done through a tube the size of a pencil inserted into the spine through a skin incision the size of a fingernail. The muscles are not retracted and injured. They are literally pushed aside to allow this small tube to enter the spine. From there a “high-def” camera allows the surgeon to see into the spine and “un-pinch” the nerve under direct view.

Painful degenerated disks and annular tears are traditionally treated by fusion surgery after failure of conservative treatment and confirmation of the painful disk by discogram (dye is injected in the disks to confirm which disk is causing pain). A newer endoscopic technique is partially disk removal with burning of the annular tear.

The decision of discectomy vs fusion surgery is based on may factors and you will need to discuss it with your spine surgeon. Usually discectomy is the first treatment for severe sciatic pain which has not responded to conservative treatment (time, anti-inflammatory, physical therapy, steroid injections). The presence of an annular tear does not Prohibit the use of a hot tub. ...Read more

18

18
Is it possible for a 2mm disc protrusion with annular tear to cause severe sciatica in entire leg?

Is it possible for a 2mm disc protrusion with annular tear to cause severe sciatica in entire leg?

Herniation with Tear: The disc is like a jelly filled donut. If the donut is compressed too much the jelly leaks out through a break in the donut's bread. The same is true with a disc, the tear is caused by the compression resulting in a herniation (protrusion) and the jelly (inside portion of the disc) is either leaking out or trying to get out. This can result in chemical inflammation of the nerves causing pain. ...Read more

19

19
Does a annular tear, and disc herniation, at L5-S1 ever go away, and what is the best treatment for it?

Back pain treatment: Subacute and chronic lower back pain are very common in primary care. For patients with acute pain, rapid improvement in pain is the norm after a month.

Remain active, and limit bedrest. Try yoga. Use short courses of nonopioid analgesic medications (acetaminophen or NSAIDs like ibuprofen or naproxen) for acute exacerbations of subacute or chronic low back pain ...Read more

20

20
What does this mean? A 13mm transverse annular tear w/disc protrusion extends 3.5 mm dorsal from the vertebral body end plate?

What does this mean? A 13mm transverse annular tear w/disc protrusion extends 3.5 mm dorsal from the vertebral body end plate?

Radiology terms: You have a moderate disc extrusion, not compressing a nerve rootlet. This could be managed conservatively. ...Read more

21

21
What is Chloride Diarhea? What's is causes? Is it treatable? My child 4 years old have this, Doctor says it untreatable. Guide me Please..

What is Chloride Diarhea? What's is causes? Is it treatable? My child 4 years old have this, Doctor says it untreatable. Guide me Please..

.? cyclosporidium: Classic chloride losing diarrhea, e.g., cholera, is amenable to fluid and antibiotic treatment. Diarrhea by cyclosporidium in normal children often clears by itself, however, immunocompromised individuals continues to have diarrhea for an indefinite period. ...Read more

22

22
Doctor diagnosed me with hiatus hernia. Is it curable or treatable? Some advice on what to do and what will be done with me?

Doctor diagnosed me with hiatus hernia. Is it curable or treatable? Some advice on what to do and what will be done with me?

Very treatable: You have a hiatal hernia. You are 19. This is a very treatable abnormality. Your doctor will treat your symptoms and follow with you. If you are feeling well with medications then he/she will follow. As you age you may require more intervention. You may need a diagnostic study. You will need to manage your weight and to exercise. Watch what you eat. Be well. ...Read more

23

23
Just got my MRI results back and I have 3 herniated disc, and also a posterior annular tear, is that serious? Thank you, kristy.

Some concern: When you have 3 herniated disc and annular tear I will be concern because that tear in the annular could lead rupture of that disc, check it out. Good luck. ...Read more

24

24
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

25

25
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

26

26
What is the usual dose of indomethacin for moderate to severe OA, and herniated disc, and annular tear? How long does it take to work?

What is the usual dose of indomethacin for moderate to severe OA, and herniated disc, and annular tear? How long does it take to work?

Dosage is 150-200mg-: -day, divided doses, usually start 25mg 2-3times/day. Onset is fairly soon, by the end of day 1, but 2-3 days needed 2 build up proper blood levels. It's next 2 steroids as the best, but also next 2 steroids has the highest complications & side effects. It is rarely the first drug 2 B used, due to Rx OA. It is however the best 4 ankylosing spondylolitis. Take it with care. ...Read more

27

27
How long does it take for Indocin to work for pain, also is 25 or 50 mg appropriate dosage for moderate OA and herniated disc and annular tear?

How long does it take for Indocin to work for pain, also is 25 or 50 mg appropriate dosage for moderate OA and herniated disc and annular tear?

Fairly quickly: Indocin is an older antiinflammatory as isn't used very often for OA for more than a short course of treatment. Usually 50mg of the standard (not extended release) is used. Must be followed carefully ...Read more

29

29
MRI- "l/4-l-5 disc desiccation. Small central protrusion w/ tiny posterior annular tear. No canal stenosis or sig. Foraminal narrowing". What it mean?

MRI- "l/4-l-5 disc desiccation. Small central protrusion w/ tiny posterior annular tear. No canal stenosis or sig. Foraminal narrowing". What it mean?

Some pain: The disc is between two vertebrae, the spine. They act like shock absorbers. When they have a problem they bulge out of their space. It sounds like it sticks out and touches some nerves. The disc has a band around it. It may tear like yours did. The point where nerves leave the spinal cord, the exit foramen is ok. ...Read more

30

30
Should I see a doctor for chronic sinusitis? I was diagnosed with chronic maxillary sinusitis while I was in the military and at the time they said there was not much they can do about it - is chronic maxillary sinusitis treatable? If so is it through otc

Should I see a doctor for chronic sinusitis? I was diagnosed with chronic maxillary sinusitis while I was in the military and at the time they said there was not much they can do about it - is chronic maxillary sinusitis treatable? If so is it through otc

Chronic: Chronic sinusitis includes nasal obstruction, sinus pain and pressure around the eyes, nasal drainage, chronic cough, fatigue, headache, nose bleeds and several other symptoms--you do not need them all. These symptoms are persent more often than not for at least 3 months. You may also get exacerbations that worsen all of the symptoms temporarily making it feel more like an acute sinusitis. Chronic sinusitis is treated with several meds at the same time: nasal steroid spray, antihistamine, nasal saline irrigations, prolonged antobiotics (4-6 weeks). If you don't feel better, then a sinus ct scan can solidify the diagnosis. Those that do not respond to maximal medical therapy may be candidates for sinus surgery. Surgery is normally very successful but often is not a cure but help alleviate many of the symptoms, making them easier to treat. ...Read more