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Neurosurgery  (Expert Forum)
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Is there any help for pain related to annular tears?
Answered by
Nassim Abi Chahine, MD - General Neurosurgery
Beirut - Lebanon
Welcome to the International Neurosurgery forum. This forum is moderated by Dr. Abi Chahine who is affiliated with St. George Hospital in Beirut, Lebanon

Is there any help for pain related to annular tears?

by nursetn, Jul 09, 2009 06:19AM
I am a 41 year old nurse and I injured my back last May at work. I have undergone exhaustive physical therapy and epidural injections with no relief, only a worsening of pain. I recently had a discogram which revealed diffuse annular tear with disc bulging at L3-4, diffuse annular tear posterolaterally at L4-5, and posterior annular tear at L5-S1. CT showed degenerative changes with an eccentric far right lateral disc bulge at L3-4, minimal bulge at L4-5, and moderate bulge and degenerative change at L5-S1; as well as noting eccentric right disc bulge could contribute to my right leg pain. My pain is constantly at 8-9/10. No medications have helped to relieve my pain and I have now been told that nothing else can be done for me, I must adapt to the pain and expect it to just get worse. I am at their mercy because it is a worker's compensation claim. I would appreciate any input. 3 years ago I had a discectomy at L5-S1 following a herniation.

by Nassim Abi Chahine, MD, Jul 09, 2009 07:07AM
Hello dear, it will be better if you remove the compression from the L3-L4 foraminal space, so do the surgery and dont "live the pain"
DrNassim
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