Annular Tear Diagnosis and Treatment

Diagnosis and Treatments for Annular Tears
Your physician may diagnose an annular tear by MRI or discogram. The tear may be visible as a high intensity zone on the MRI and dye may leak through an annular tear on the discogram.

 

Treatment of Annular Tear

Annular Tear Treatment

The annular tear may heal on its own with conservative treatments. In fact most annular tears will never need surgery. Non-surgical conservative treatment should always be tried first. These may include:

  • Physical therapy
  • Epidural steroid injections
  • Hot/cold therapy
  • Medications for pain and inflammation

If conservative treatment fails, there are a number of minimally invasive procedures that are alternative to traditional surgical procedures.

Alternative Treatment

  • The annular tear may heal on its own with conservative treatments. Non-surgical conservative treatment should always be tried first. These may include physical therapy epidural steroid injections, hot/cold therapy, and medications for pain and inflammation.
     

Annular Tear Repair

  • Annular Tear repair is likely. If you are suffering back and leg pain from an annular tear the tear may heal itself without surgery.
  • The process of resorption of a disc herniation can occur weeks or months after annular tear. The larger the tear the more likely resorption will occur.

Surgery

  • If you cannot get comfortable then there are safe endoscopic techniques as minimally invasive alternatives to open back surgery that may make you pain free.
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