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Doctor insights on: Lumbar Annular Tear

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How does an annular tear typically occur?

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 more

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Dr. Eric Weisman
1 doctor shared a insight

Lumbar (Definition)

The lumbar part of the spine is the low back. It is made up of five bones (most of the time) stacked one on top of the other. They are connected by disks, facet joints, and ligaments. These soft parts allow for movement controlled by the spinal muscles; the muscles can also keep it stiff when need be. The lumbar spine also contains and protects nerves to ...Read more


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What could cause a annular tear in lumbar spine l5?

What could cause a annular tear in lumbar spine l5?

Annular tear: The disk is made of two types of cartilage: a softer inner nucleus pulposis and a fibrous stiffer annulus fibrosis. As we age, the connective tissue of the body dries out and becomes stiffer, producing wrinkles and bulges in our skin- parts of our body sag and bulge as we age, including disks. Annular fissures or tears are asymptomatic cracks in disks, a weak spot where a disk might herniate. ...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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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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Pain in my calf muscle, had a ultrasound neg. for PAD. I have herniated, and annular tear in L5 disc, osteoarthritis in lumbar. Is my back the cause?

Pain in my calf muscle, had a ultrasound neg. for PAD. I have herniated, and annular tear in L5 disc, osteoarthritis in lumbar. Is my back the cause?

TOO YOUNG FOR PAD: You are too young for PAD I will worry more about DVT. Specially if you have some swelling with the calf tenderness. It really depend on how where and when you are getting the pain walking? Standing? Is it aches or could it be muscle cramps how far you have to stop walking because of the pain does the pain goes away by stopping or you have to sit down to get relief yes your back could be the probl ...Read more

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Mri: moderate disc protrusion l5,annular tear,moderate facet joint hypertrophy entire lumbar spine,grade1 spondylolisthsis l5,L1L2 and L5S1 spur, bad?

Mri: moderate disc protrusion l5,annular tear,moderate facet joint hypertrophy entire lumbar spine,grade1 spondylolisthsis l5,L1L2 and L5S1 spur, bad?

Depends on symptoms: Multiple level degenerative changes at a young age need careful disgnostics and evaluation. Need to know target symptoms, these findings can be asymptomatic. ...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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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