Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
133 Doctors are Online

MRI report, shows tear of annulus fibrosis,shots,rest and physical therapy done,painful,treatment for it?

User rating for this question
Very Good
Answered by

General & Family Physician
Practicing since : 2003
Answered : 336 Questions
From MRI report "tear of annulus fibrosis left paracentral region l4-l5." Injury has existed for over two years with the most recent MRI report stating "tear ..." What are treatment options for this condition? Patient has had shots. Rest. Physical therapy. However, pain persists.
Sat, 19 May 2012 in Back Pain
Answered by Dr. Deepak Anvekar 49 minutes later

From the description of the MRI findings - it seems that you have a peripheral tear (Rim lesion) of the annular disc.

An annular tear, also called a herniated disc or ruptured disc, occurs when the outer wall of an intervertebral disc becomes so weak, thin, and dry that it develops a tear.

The inner disc fluid, called nucleus pulposus, can leak into the spinal canal and press on nearby spinal nerves or the spinal cord causing the pain and discomfort.

Your body recognizes that the extrusion of this nuclear fluid is abnormal and it makes attempts to reabsorb the fluid and allowing the disc repair spontaneously. In such cases surgery will not be necessary.

In case, the above measures including physiotherapy and pain shots are not helping, and the severity of the tear is very bad, then there is a option of surgical repair of the torn disc ( Annular disc repair ) done by minimal access spine surgery.

You might consult a spine doctor specialized in endoscopic repair, for proper treatment and advice.

I hope this helps.

Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Procedures

The user accepted the expert's answer

Ask an Orthopaedic Surgeon

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor