Doctor insights on:
How Does An Annular Tear Typically Occur
Twisting: Movements, especially twisting cause microscopic tears in the collagen fibers (tiny structural elements like the fibers or threads of a fabric) of the annulus (part of the disk). The body has some ability to heal such tears, but there is a limit. When the amount of microscopic tears becomes large, the tears connect, causing a larger tear. Sometimes those tears are painful. ...Read moreSee 2 more doctor answers
Perhaps: As we age so do our disks. They dry out and can develop cracks or fissures. Most of these don't cause patients symptoms. Your disk may dry out or crack more with time but the real question is if that is important to your symptoms. That's why the test has to be correlated with your pain by your doctor. ...Read moreSee 1 more doctor answer
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
Yes: Anything is possible but what you say is not likely in experienced hands. ...Read more
Disk injury: Technically is not not a tear of the vertebra (a bone), but the disk between two bones. The outer disk (annulus fibrosis) is made of layers of collagen (a material). Think of them as threads woven in layers. They allow for some flexibility and movement between the bones. With aging and time some of the fibers can tear. If nerve fibers grow into the area, it might be a source of pain. ...Read moreSee 1 more doctor answer
Degeneration: An annular tear is a radiographic term for a bright zone on certain MRI sequences performed of the spine. It is not necessarily a torn annulus, but more likely a delamination of the fibrous rings of the annulus fibrosus (the outer ring of the disc). It is usually associated with degenerative changes to hydration of the disc. With discography, a true tear shows leakage of the radiographic dye. ...Read moreSee 1 more doctor answer
Depends on symptoms: If these are findings on your MRI hopefully the doctor who ordered it has shown you the pictures and discussed how it could relate to your problems. If not, get a better doctor. The annular tear is a fissure in the outside of the disc. Spondylolisthesis is when 1 vertebrae slips forward or backward on another. Google both terms and you'll get a lot of info. ...Read more
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 moreSee 2 more doctor answers
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