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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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