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Back Problems Message Board


Back Problems Board Index


I'm assuming this was on an MRI report of your lower back? A midline annular tear refers to a tear in the disc capsule which surrounds the disc that cushions the spine between two vertebrae. This causes the inside gelatinous disc material to push out and cause pressure and chemical irritation of the nerve roots, usually the sciatic nerve if lumbar spine. These tears can heal but they take time and rest so the disc is not constantly under pressure (horizontal rest). So in lay terms, a ruptured disc. If you are careful and avoid bending, lifting twisting and being up on feet too much, it may heal on own. Usually pain meds, antiinflammatories and muscle relaxants can give some relief. I would talk to your Dr and ask for what you need, a guideline on activities, and have realistic expectations of healing time (1-4 weeks frequently).
This is a copy of the report, pain in lower right side through groin/ hip and down the right leg to the knee, thanks in advance
MR OF THE LUMBAR SPINE WITHOUT CONTRAST

HISTORY: Chronic low back pain and lumbar radiculopathy.

Technique: MR of the lumber spine was performed without contrast utilizing the standard
departmental protocol.

COMPARISON: None.

FINDINGS: Conus medullaris terminates at the mid L2 level, and demonstrates normal signal.
There is mild thoracolumbar dextroscoliosis. There is no abnormal thickening or clumping of the
cauda equina nerve roots. Vertebral body heights are normal.

There is disc space narrowing, mild diffuse disc bulging, and anterior endplate spurring at
T10-T11, without visible nerve root impingement.

T12-L1: No focal disc herniation or significant stenoses.

L1-L2: No disc herniation or appreciable stenoses.

L2-L3: There is minimal diffuse disc bulging and mild bilateral facet hypertrophy, resulting in
mild spinal canal stenosis and mild bilateral neuroforaminal stenoses.

L3-L4: A Schmorl's node is seen within the upper anterior L4 endplate. There is endplate
spurring, disc space narrowing, diffuse disc bulging, disc desiccation, and mild bilateral
facet hypertrophy, resulting in mild spinal canal stenosis and mild bilateral neuroforaminal
stenoses. Modic marrow degenerative changes are noted within the adjacent endplates.

L4-L5: There is grade I anterolisthesis measuring 3 mm, resulting in intervertebral disc
uncovering. There is mild disc space narrowing, disc desiccation, diffuse disc bulging,
bilateral facet hypertrophy, and trace fluid in the left facet joint. There is mild spinal
canal stenosis and mild bilateral neuroforaminal stenoses.

L5-S1: There is mild diffuse disc bulging and mild bilateral facet hypertrophy, without
significant spinal canal or neuroforaminal stenoses. A T2 hyperintense anterior midline annular
tear is noted.

Impression
IMPRESSION: Multilevel degenerative changes detailed above most pronounced at L3-L4 and L4-L5.
Small anterior L5-S1 annular tear. No nerve root impingement seen.





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