Doctor insights on:
What Exercises Should You Not Do When You Have An Annular Tear
If you have an annular tear on one side does that mean on load bearing the nucleus propulsus will bulge out more on that side?
Possibly: The nucleus will often bulge on the side of the greatest load and if a tear exists the disc material will protrude through this weak spot. ...Read more
Hi I have an annular tear posteriorly at. L3-4 with annular bulge. I also have a midline disc protprotrusion at L4-5 as well as a mild central disc bu?
Be seen: I would not hesitate to be seen for it. There are many good treatment options available. ...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
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
Perhaps: As we age so do our disks. They dry out and can develop cracks or fissures. Most of these don't cause patients symptoms. Your disk may dry out or crack more with time but the real question is if that is important to your symptoms. That's why the test has to be correlated with your pain by your doctor. ...Read more
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
Yes: Anything is possible but what you say is not likely in experienced hands. ...Read more
Disk injury: Technically is not not a tear of the vertebra (a bone), but the disk between two bones. The outer disk (annulus fibrosis) is made of layers of collagen (a material). Think of them as threads woven in layers. They allow for some flexibility and movement between the bones. With aging and time some of the fibers can tear. If nerve fibers grow into the area, it might be a source of pain. ...Read more
Degeneration: An annular tear is a radiographic term for a bright zone on certain MRI sequences performed of the spine. It is not necessarily a torn annulus, but more likely a delamination of the fibrous rings of the annulus fibrosus (the outer ring of the disc). It is usually associated with degenerative changes to hydration of the disc. With discography, a true tear shows leakage of the radiographic dye. ...Read more
Depends on symptoms: If these are findings on your MRI hopefully the doctor who ordered it has shown you the pictures and discussed how it could relate to your problems. If not, get a better doctor. The annular tear is a fissure in the outside of the disc. Spondylolisthesis is when 1 vertebrae slips forward or backward on another. Google both terms and you'll get a lot of info. ...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 more
Non operatively: .Start by avoiding prolonged positioning & any repetitive twist or bend maneuvers. If you had physical therapy, resume those exercises. Use of otc medication will help control symptoms. Cardiovascular workouts may help except for rowing & maybe running. If you did not have physical therapy, you may want to get a session to learn back core exercises. ...Read more
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
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
No: It is a soft tissue but this represents a significant mechanical lumbosacral disc injury. ...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?
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
Please Define: Left paracentral protrusion w/high intensity zone suggesting underlying annular tear versus fissure this does touch the left L5 nerve r?
Herniated disc: Herniated disc. Check out Spine-health. Com.Get a more detailed answer ›
Bulging disc: As discs age they lose water and become less resilient. This causes broad based bulging of the disc. The ligament on the outer part of the disc (annulus fibrosus) is stressed more when the disc bulges and small annular tears can result. ...Read more
Difficult: This is a difficult problem. An annular tear is just a continuum of damage occuring to the disk. Remember that physicians have to treat the patient and not the MRI results alone. There are some procedures that treat the pain of an annular tear but it is difficult to diagnose that the tear is actually causing your pain. ...Read more
Doubtful: If the disk protrusion is on the left side and your pain is on the right side, then it is unlikely that that particular disk protrusion is the cause of your right sided pain. If you do not have any right sided disc protrusion, then your pain may arise from another cause such as your si joint, facet joint, a trigger point, etc. See your physician for further discussion. ...Read more
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
L5-s1 shows annular tear and a central protrusion touching both s1 roots and thecal sac. No effacement or deformity. Nerve roots exit normally.
Your question is?: If the disc is worsening and causing weakness, muscular atrophy and/or numbness, and especially if initiation of urination is troublesome, need to have a spinal surgeon involved. Otherwise, conservative therapies may be successful. An EMG test may determine extent of nerve damage at this point and act as a baseline. ...Read more
In my MRI report they have wrote : l5-s1: small rt. Paracentral inner annular tear. Let me know what is the meaning of? And what is the solution?
Injury to your disc: It means they saw a tear in the soft disc between the bones of your spine. This can cause back pain. The solution is usually just time. It will heal and the best thing you can do keep active and improve your posture. Here are some tips: http://www. Lowbackpainguru. Com/exercises-for-lower-back-pain/. ...Read more
Have annular tear at l5-s1 diagnosed by discogram I've tried all conservative modalities with zero pain relief, was told I need fusion? Any options?
You answered it your: If you have tried all conservative modalities surgery is an option. What ave you tried? Fusions are not very effective to treat back pain. If your disc is very degenerated and the discogram reproduced your pain it may be the answer. Only your spine surgeon can discuss specific options with you. This is not a question which can be answered on line with generalities. ...Read more