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Doctor insights on: L4 L5 Annular

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What is the likelihood of having spinal tumors when degenerative disk disease has been assessed at 27? L4-l5 annular fissure has now became herniated

What is the likelihood of having spinal tumors when degenerative disk disease has been assessed at 27? L4-l5 annular fissure has now became herniated

Lumbar disc: Highly unlikely of a tumor. Modern imaging rules this out 99 % of the time. Radiologists often leave differentials in their reports...Ie a list of common and uncommon possibilities. Consult a spine surgeon, physiatrist, or neurologist for further analysis. ...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 treatment for having 2 thecal cyst at s2 (racepinephrine) n a disc bulge at l4/l5 with annular fissure centrally. No nerve root compression or narrowing?

What is the treatment for having 2 thecal cyst at s2 (racepinephrine) n a disc bulge at l4/l5 with annular fissure centrally. No nerve root compression or narrowing?

Not clear: Benign cysts around nerve roots, called tarlov cysts generally do not need treatment. Disc bulges and annular tears are not unusual in people in the 5th and 6th decades of life without symptoms. None of these dictate treatment. Symptoms should be evaluated by an appropriate health care professional. ...Read more

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Hi I have lower back pain and i went to get MRI and got test back saying I have a small tear in my l4-l5 disc and annular bulging?

Hi I have lower back pain and i went to get MRI and got test back saying I have a small tear in my l4-l5 disc and annular bulging?

See back surgeon: This may or may not be the source of your discomfort. You need a good history and physical to see if the findings correlate. ...Read more

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Bad back L4 and L5 with a annular tear, what to do?

Bad back L4 and L5 with a annular tear, what to do?

Keep: Your core strong (strength exercise to abdomen and low back muscles, under the supervision of physical therapy. ...Read more

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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

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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

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

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What is an annular fissure? Is having an annular fissure centrally at l4/l5 something serious?

Maybe/or not: I guess we are talking about a lumbar disc, and depending on your level of pain/ incapacity will guide your treatment options.If you are feeling O.K. The MRI findings are not that important. ...Read more

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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

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Should I have artificial discs put in my back for annular tearing and bulging of l4/5 and l5/s1?

Should I have artificial discs put in my back for annular tearing and bulging of l4/5 and l5/s1?

Only you can decide : This needs to be an extensive conversation between yiu and the doctor recommending it. Spine surgery is no small thing and disc abnormalities happen to almost everyone. The question to ask is "what is the purpose of replacement? What is to be gained?" ...Read more

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L4-L5 2mm disc protrusion with annular tear. What is treatment?

L4-L5 2mm disc protrusion with annular tear.  What is treatment?

Consult Neurosurgery: You will need to consult neurosurgery or interventional pain management to answer this wquestion. ...Read more

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Have low back stiffness on standing relieved on lying and sitting posture .diagnosed with 1 to 2 mm diffuse annular bulge L4 L5 what to do for this con?

Have low back stiffness on standing relieved on lying and sitting posture .diagnosed with 1 to 2 mm diffuse annular bulge L4 L5 what to do for this con?

Bulges are normal : In terms of a disc bulge, they are normal findings. Even herniated discs can occur in asymptomatic people. For back health, you need to exercise regularly, particularly core exercise & cardiovascular regimens. Watch your weight & don't smoke. Make sure you have good vitamin d and calcium intake as well. The disc bulge is not the source of your symptoms. ...Read more

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How significant are annular tears at L4 5 and L5 s1? These findings are from MRI after a car accident injury.

How significant are annular tears at L4 5 and L5 s1?  These findings are from MRI after a car accident injury.

Depends: The annulus fibrosus is a thick, fibrous tissue around the edge of the discs in between the vertebrae holding the disc in place. A fissure/tear indicates disruption of some of these fibers. Fissures are very common and most are asymptomatic, but they can be a source of pain, especially if they are close to a nerve. Also, disc herniations may occur through these areas of weakness. ...Read more

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Non significant disc bulges & minor postero central annular fissures at l3-l4 and l4-l5. Small circumferential disc bulge at l5-s1. Please advise. ?

49 year old spine: Sounds like you have the spine of a 49 year old. It is very common to have minor abnormalities of the discs as you get older. These only become significant when there is a neurologic deficit or pain which directly correlates with the findings on mri. With the findings on this MRI no neurologic findings are expected. Pain is possible but it will be difficult to blame your discs. ...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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Hello doctor. I am diagnosed with diffuse annular disc bulge 1 to 2 mm at L4 l5. Tightnness in mid and low back. How bad will this progress ?

Hello doctor. I am diagnosed with diffuse annular disc bulge 1 to 2 mm at L4 l5.  Tightnness in mid and low back. How bad will this progress ?

Back pain: A bulging disc between the lumbar 4 and 5 vertebral bodies is a sign of early arthritis in the low back. We treat you and not the MRI scan. In general, anti-inflammatory medications and muscle relaxers will reduce or eliminate the pain. Stretching exercise for the low back will improve flexibility. Strengthen core muscles to prevent progression of the bulging disc. ...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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Pain since 2 1/2 yrs. MRI done 2 times initially and now. Disc Bulg at L3-L4 , L4-L5, L5-S1 with no neural . focal central annular tear L4-L5, L5-S1?

Pain since 2 1/2 yrs. MRI done 2 times initially and now. Disc Bulg at L3-L4 , L4-L5, L5-S1 with no neural . focal central annular tear   L4-L5, L5-S1?

Hard Case: With bulging discs, it's always hard to know if they are actually the cause of pain. Many people without back pain at all have bulging discs. Since you don't have any neural involvement, you may want to consider seeing a physical therapist or chiropractor to see if they can offer you any benefit. Best of luck! ...Read more

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I have annular bulge at l2-l3 and l4-l5 which flattens the thecal sac. Would this cause tingly feet bilaterally? What are treatment options?

I have annular bulge at l2-l3 and l4-l5 which flattens the thecal sac. Would this cause tingly feet bilaterally?  What are treatment options?

Yes: Flattening of the thecal sac indicates you have central cord compression at both of those levels. This will cause bilateral numbness and potentially weakness of your thighs (l2/3) and knee/ankle (l4/5). Numbness is a warning sign of nerve compression. Some disc disease is amenable to therapy, injections, core strengthening but if symptoms progress or persist i would advise further eval. ...Read more

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Mri results in lamen terms dengenrated disc at t11-12 and more significantly l4-5 and l5-s1 with annular bulges at l4-5 and l5-s1 taht are focally prominent centrally. No significant facet arthropathy is seen.

Mri results in lamen terms dengenrated disc at t11-12 and more significantly l4-5 and l5-s1 with annular bulges at l4-5 and l5-s1 taht are focally prominent centrally. No significant facet arthropathy is seen.

Degenerated : Degenerated disk is the disk is wearing out and collapsing.
Annular bulges when the disk collapses the disk starts to push out.
Centrally is the location of the bulge in the center, not on the right or left sides.
Facet arthropathy is arthritis or wearing out of the facet joint. You don't have this.

Please see my health guides why does arthritis cause back pain. Good luck! ...Read more

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I hv back pain. MRI shows there is posterocentral annular bulge at L4-L5 and L5-S1 level indenting the the cal sac without compression.Is this serious?

I hv back pain. MRI shows there is posterocentral annular bulge at L4-L5 and L5-S1 level indenting the the cal sac without compression.Is this serious?

No: It is not serious in terms of concern that something catastrophic will happen. What your describing is known as degenerative disc disease and is one of the more common causes of back pain in an adult. There are many nonoperative treatments that can potentially help including physical therapy. ...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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Diffuse annular disc bulge 1 to 2 mm at L4 L5 .causing burning sensation in right leg and foot since 4 months .how is the prognosis .is it nerve damag?

It depends...: on the cause. There are many causes of sciatica. See a doctor who specializes in neuromuscular disorders to determine the cause of your sciatica and to recommend an appropriate treatment plan. Most normal adults have disc bulges, and I agree with Dr. Krauser that your disc bulge at L4-L5 is not likely the source of your symptoms. Other causes include piriformis syndrome & sacroiliac joint issues. ...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