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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI Shows Acute Annular Tear, Disc Protrusion Indenting Thecal Sac, Contracting Bilateral Traversing S1 Root. Serious?

my mri report says that I have an acute annular tear at l5-s1 disc posteriorly towards right. posterocentral disc protrusion at l5-s1 level indenting thecal sac and contracting bilateral traversing s1 root. How serious is that since the pain is still there after 10 sessions of traction in physiotherapy and what is the cure
Mon, 18 Feb 2013
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Neurologist,  's  Response
Hello,

I have noted the MRI data

If the pain is still persisting despite physiotherapy, you can visit your neurologist and get evaluated. This is especially to look for the signs of nerve root compression that is is being described in MRI. If there are no clinical signs of nerve root compression, i feel that you can still continue conservative treatment with medicines like Gabapentine, pregabaline. Surgery should not be done for pain alone. But if all conservative treatment fails you may opt for surgical management. This is nothing serious. There are options available to deal the problem.

Just don't worry and get reevaluated as i discussed

Best wishes
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MRI Shows Acute Annular Tear, Disc Protrusion Indenting Thecal Sac, Contracting Bilateral Traversing S1 Root. Serious?

Hello, I have noted the MRI data If the pain is still persisting despite physiotherapy, you can visit your neurologist and get evaluated. This is especially to look for the signs of nerve root compression that is is being described in MRI. If there are no clinical signs of nerve root compression, i feel that you can still continue conservative treatment with medicines like Gabapentine, pregabaline. Surgery should not be done for pain alone. But if all conservative treatment fails you may opt for surgical management. This is nothing serious. There are options available to deal the problem. Just don t worry and get reevaluated as i discussed Best wishes