Doctor insights on:
Therapy Annular Disc Tear
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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?
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 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
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
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 ?
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 would have happened to the annular tear of the lumbar disc that I suffered two years ago? Would it have healed or will it remain torn forever?
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
Have buldging disc annular tear L5 s1. Capsicum patch seems to help pain. Can I use these for an extended time. Like month?
Does a disc prolapse with annular tear of one of the lumbar discs predispose me to herniation of adjacent discs in the future?
No: No, it would not make it any more or less likely to have any problems at an adjacent disc. ...Read more
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
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
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 moreSee 3 more doctor answers
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 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
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 moreSee 2 more doctor answers
What does this mean? A 13mm transverse annular tear w/disc protrusion extends 3.5 mm dorsal from the vertebral body end plate?
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