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Annular tear (grade 4) - treatment?

Keano16KKeano16 Posts: 89
edited 06/11/2012 - 8:31 AM in Back Surgery and Neck Surgery

who has experience with grade 4 annular tears?

What are best and less invasive treatment methods?

Thanks in advance.


  • Here is an explanation of the "grading" for annular tears. Despite the author's spelling errors, he has some good information on the site, and I like his illustrations.



    In almost all cases, all conservative methods of treatment will be recommended before surgery is even mentioned. Many people are able to heal on their own, but just as when the disk herniates or ruptures, it will require patience and perserverence as it takes quite a long time...usually months rather than weeks!

    Hope this helps. Are you seeing a spinal specialist for treatment?

    xx Gwennie
    (As everyone else writing on the board, I am in no way connected to the medical field...just sharing life experience!)
  • My mother has High Intensity Zones (HIZ) - a grade 4 sign.

    She already had 2 spine surgeries, so we seek a surgery option for her current condition.

  • What type of surgery has she already had? Was it for the same problem at the same location?
  • In 2007 she had interlaminectomy L3/4 and foraminotomy on nerve roots L4.

    In February 2009 she had microendoscopic discectomy L4 right.

    Few days after that she had new MRI which shown HIZ on L4/5.

    Her neurosurgeon is sure that HIZ is the reason of her pain.
  • All I know when I got the Dx. I was told moderate torn annulus so I'm looking at little , moderate , severe and I rated myself as if I keep working on it with out some kind of treatment then it would be severe. So what grade is moderate torn annulus? And how long could you sit without exscruciating pain and does any one have pelvic pain ?
  • She cannot sit, stand or lie in bed for more than 15 minutes. So you can imagine how horrible her life is.

    In my whole life I've not seen anybody with pains like her.

    She did not slept for past year and a half.

    I suppose you got the point.
  • And about the grade... It can be seen by discography (discogram).
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