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Doctor insights on: Therapy Annular Disc Tear

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I have an annular tear between cervical disc 4 and 5. What are my treatment options?

I have an annular tear between cervical disc 4 and 5. What are my treatment options?

Don' t worry: Most times, these annular tears are just incidental findings on a MRI more related to actual aging process of the disc rather than to an injury or pain. When they are, 90 % resolve over time. Not smoking can have a significant impact on these changes. Medication and exercise are important as well as avoiding prolonged positioning to reduce load across the disc. ...Read more

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Spinal Disc (Definition)

Spinal discs are located between the vertebrae (blocks of bone) of the spine (expect the upper 2). They act like shock absorbers and are also important in allowing our spines to be flexible. They have a tough outer rim made of strong fibers and a fleshier shock-absorbing tissue in the center. These "shocks" can wear out with routine life activities, age and injuries. They can ...Read more


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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

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Treatment for L4/5 posterior protrusion/annular tear; L3/4 and L2/3 posterior bulge, all indenting thecal sac. No neural compression. C4/5/6/7 bulges?

Treatment for L4/5 posterior protrusion/annular tear; L3/4 and L2/3 posterior bulge, all indenting thecal sac. No neural compression. C4/5/6/7 bulges?

See below: Bulging discs are seen in normal individuals. A routine exercise program can help with lower back pain. See your physician before starting any new exercise program. ...Read more

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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

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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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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

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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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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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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

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2herniated discs, annular tears, osteoarthritis.treatment innefective. Rhizotomy 2wks ago. Still some pain. Normal to have pain?

2herniated discs, annular tears, osteoarthritis.treatment innefective. Rhizotomy 2wks ago. Still some pain. Normal to have pain?

Rhizotomy not the : treatment for your pain unless you had good relief from facet blocks prior to it. Sounds like there are multiple but overlapping reasons for your symptoms that may be managed more with exercise, activity modification , possible simple back support , medication regimen (NSAID, Neurontin/Lyrica, Cymbalta (duloxetine) etc depending on allergies & medical hx) along with lifestyle changes: no tobacco use, stay fit ...Read more

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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

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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

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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

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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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

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