Tearing of the annulus can produce pain because the annulus has pain fibers within its structure. Many episodes of low back pain are probably tears in the annulus. This condition is called an annular tear or internal disc disruption or sometimes degenerative disc disease.
A Lumbar Annular Tear most commonly occurring at L4/L5 or L5/S1, may progress to a herniated disc. A lumbar annular tear may result from degenerative disc disease. When an annular tear occurs, the gel-like inner disc material may push through the tear in the outer wall and extrude into the spinal canal. Annular tears often occur as part of the natural aging process as the disc loses water content, and becomes thinner and brittle over the years, potentially deforming and herniating.
Symptoms of Annular Tear
The major symptoms include
- Numbness
- Tingling
- Weakness
- Pain
Causes of Annular Tears
Annular tears are caused by the natural aging. Since the neck and back are responsible for bearing most of a person's bodyweight, they are susceptible to a great deal of wear over time. By the age of 30, most people's intervertebral discs have begun to degenerate to a certain degree. This degeneration can lead to annular tears since the annulus fibrosus is in a weakened state. Traumatic injury can also cause an annular tear. This is typically seen in those who participate in high-impact sports such as gymnastics and football and in people with strenuous occupations. Those experiencing annular tear symptoms should contact their primary care doctors for information regarding the diagnosis and treatment of their spinal condition.
Treatment for Herniated Discs or Annular Tears
As such, treatment options will be tailored to the person's age, overall health and level of regular physical activity. Annular tear treatment is almost always first attempted conservatively, with a variety of nonsurgical techniques utilized to alleviate the patient's pain and heal the damaged intervertebral disc.
Other examples of annular tear treatment include:
- Epidural injections
- Pain patches
- Deep tissue massage
- Spine alignment correction
- Hydrotherapy
- Ultrasound treatment
- Transcutaneous electrical nerve stimulation treatment
Surgical Treatment
In most cases, the patient will find sufficient pain relief from a combination of these treatments over several weeks. However, if pain persists, a spine specialist may recommend more advanced treatments, including Spine Surgery, to alleviate the lingering discomfort.
Price of Annular Tear Treatment
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