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treatment for L5-S1 annular tear

AnonymousUserAAnonymousUser Posts: 49,606
edited 06/11/2012 - 8:28 AM in Lower Back Pain
Anyone have impute on treatments for an annular tear @ L5-S1?


  • I also have the same thing along with herniation. I have tried all of the conservative measures. I would see what can be done as far as that to begin with.
  • I had an annular tare at L3/L4 and had PLDD and endoscopic surgery that removed most of my disc. It did help my sciatica but my facet pain is worse. Good luck.
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  • I have the same and after a year I'm no better off. The Drs wonder why I have pain? I wish I can get something done for this besides meds. Good luck. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • i saw that you mentioned the dr's wonder why you have pain. did the doctor really tell you that you shouldnt be in pain.
    just curious. ive got two bad discs with tears and i was referred to a pain md who basically told me that most people with this problem dont have symptoms and told me that i shouldnt be in that much pain but i am in alot of pain all the time. just wondering

  • Strange. I have been told by several docs that annular tears are very painful. Of course, I also know from experience :-(
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  • What caused your back conditions? Mine is from my job, as a nursing assistant. I had never thought I had a problem until my back pain never went away. I have been home for a year now.If I would have known, I would have mentioned it to my Doc when I was seen for my neck. Thanks, Dar
  • He never said that I shouldn't be in pain. He just said I don't know why you're having pain. It was the shortest assessment ever. Very unthorough. The only test he did was have me push my feet against his hands. L) I wouldn't want someone like that treating me anyways. I see PM Dr tomorrow maybe he knows someone. Maybe he'll help with the pain. I'm in lots of pain like you Kris. I hope it reverses itself. I bought a posture pump hoping that helps. I'll let you know. Take care everyone here. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • ya that was my impression as well but i dont know. he said that most people dont have symptoms but i dont care about other people i know i have symptoms and just want them addressed without being made to feel like its all im my head.
  • There is not much that can be done for annular tears. A few years ago, IDET was the gold standard. But studies found that the efficacy was less than 50%. A newer treatment similar to IDET is called biacuplasty, but it's still in the clinical phase (not approved by FDA/insurance). But any procedure for annular tears assumes the pain is originating from the disk itself. Supposedly a discogram will confirm that, but the 2 I've had were inconclusive. Pain could also be from the facets & it's hard to tell one pain from the other.
  • I'm not very familiar with them but I have also heard that people can be symptomatic or asymptomatic and doctors can't really explain why that happens. I have read that nerve endings exist there and that is the reason why tears are very painful. Nothing is simple when it comes to back injuries.
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