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Suffering from Disc herniation - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Back Pain
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
Doctor :   Hi
Doctor :   hi
User :   hi. just want to know annulus bulging at l5/s1 so what does it mean? is it also call herniation and annular bulging?
Doctor :   Ok.
Doctor :   May I ask you a few more questions pertaining to your problem.
Doctor :   May I know your age please ?
User :   i have some minor narrowing of the left formen as well in ct scan report
User :   my age is 32 and i have burning pain in lower back
Doctor :   Ok.
Doctor :   May I know since when you are having this problem ?
User :   and ct scan report say's annulus bulging so just want to know is it also call herniation? i have from one year i have this problem
Doctor :   Annulus bulging is just beginning of the problem .
User :   is it also called as annular or herniate?
Doctor :   And herniation is complete coming out of the annulus out of the vertebral line .
Doctor :   Usually herniation happens after a tear in the annulus.
User :   i have minor narrowing of the left foramen so what does it mean?
Doctor :   Due to the disc bulging out there is a slight narrowing of the foramen/hole from which nerve roots emerge out, so in that case if there is further bulge or narrowing there mighht be more pain or numbness or sciatica/lumbago .
User :   MRI scan could tell is it herniation or only bulging?
Doctor :   This is on the left side , so more so in the left leg you will haves ymptoms and pain in the left side of the back more than the right and in the center .
User :   yes i have sciatica pain as well on my hips
User :   MRI scan could tell is it herniation or only bulging?
Doctor :   Yes MRI'S can very well state whether it is herniation or bulge.
Doctor :   If it is a herniation , The patient's pain is usually unbearble and cannot sit.
Doctor :   He has to sleep to releive himself from the pain.
User :   i can sit but i have burning pain on lower back
Doctor :   Yes , May I know your height and weight and what work do you do - Are you mostly doing a desk job ?
User :   MRI scan is it also good for clear picture for foramen narrowing?
Doctor :   Yes.Absolutely.
User :   height 5.4 weight 65. back starts pain after lifting 19 kg weight
Doctor :   A disc bulge means that contour of the outer rings (annulus) extends, or appears to extend, in the horizontal (axial) plane beyond the edges of the disc space, over greater than 50% (180 degrees) of the circumference of the disc and usually less than 3mm beyond the edges of the vertebral body apophyses. SOURCE: American Journal of Neuroradiology: Nomenclature and Classification of Lumbar Disc Pathology
A disc bulge is due to tears in the annulus allowing disc material to enlarge the disc in the form of a bulge; similar to the way an old tire might bulge out. Think of it as a slow leak. The nucleus (jelly like middle) of the disc "squirts" through some of the torn annular fibers, but not through all the fibers. This bulge may press straight back or to either side, depending on location of the annular tears. A bulge may or may not cause symptoms.
Doctor :   A disc herniation is a "localized displacement of disc material beyond the normal margins of the intervertebral disc space." "Herniated disc generally refers to displacement of disc tissues through a disruption in the anulus." "Herniated disc is sometimes referred to as "herniated nucleus pulposus," but the term herniated disc is preferred because displaced disc tissues often include cartilage, bone fragments, or anular tissues. The term "ruptured disc" is used synonymously with herniated disc, but is more colloquial and can be easily confused with violent, traumatic rupture of the anulus or end-plate." "The term herniated disc does not infer knowledge of cause, relation to injury or activity, concordance with symptoms, or need for treatment." Think of a disc herniation as a tire blow-out.
User :   if i want to give a strong proof to the doctor for my pain then what should i tell him?
Doctor :   If you have a disc bulging than I would say it is very common and nothing to worry and it will heal with some steps that you take.
Doctor :   I have not understood your last question ?
User :   narrowing of formen?
Doctor :   Disc bulge and narrow foramen is quite a proof for pain.
User :   my dr is not finding from ct scan report for pain reason
Doctor :   It itself indicates that you are having a problem and can surely be caused by weight lifting and can be aggravated by that.
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