Doctor insights on:
L4 L5 Annular
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
At L4-L5 annular tear and diffuse disc bulge causing narrowing of left lateral recess and neural foramen and abutting ipsilateral exiting nerve root.?
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
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
I have 2 herniated discs at l4, L5 and s1 with annular tears. Can it be fixed. If so, how? Success rate? Complications?
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?
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 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 â€œhigh-defâ€ camera allows the surgeon to see into the spine and â€œun-pinchâ€ 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
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 ?
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
Can I do running and light weight lifting at gym with my diffuse annular d isc bulge at L4 L5 measuring 1 to 2 mm. I m symptom free since 4 months?
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
Can annular tear and a central protrusion at L4-L5 can cause increased tingling after epidural injection ?
Possible: But uncommonGet a more detailed answer ›
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
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
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?
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
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
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
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
Can L4/L5 disc bulge , L5/S1 annular tear with moderate herniation and nerve compression affect my sexual life? Will masturbation aggravate the pain?
Herniated discs: It shouldn't too much , maybe some pain associated. ...Read more
What does minimal posterior annular bulges at l4-5 and l5-s1 level mean. Spinal canal, neural foramina and nerveroots are normal? How serious is this?
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 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
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
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?
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