How to heal Annular tear without surgery

How to heal Annular tear without surgery

What is An Annular Tear / fissure ?
As we get older, the vertebral discs can start to exhibit wear & tear (normal ageing process) . One of the common changes in the discs could be a tear in the annulus fibrosus. The annular fibers commonly referred to as an annular tear or fissure.

How Common is An Annular Tear ?

Annular tears / fissure are commonly identified in asymptomatic individuals during imaging for other reasons. Estimates for annular tears in adults range from a few percents to upward of 50% depending on the criteria and imaging used to identify an annular tear / fissure. That mean out of 2 people 1 would highly have a chance to have an annular tear without any symptoms.

Treatment / Management

An annular fissure or tear can be symptomatic or asymptomatic. Symptomatic annular fissures can occur with or without intravertebral disc protrusion or herniation.

Asymptomatic Annular Tear

If the annular tear or fissure is identified incidentally, most commonly on MRI imaging, then no treatment is warranted. Such annular fissures may resolve spontaneously over time and are frequently due to the stresses applied to the spine.

Asymptomatic Annular Tear managemnet

It is posited that some asymptomatic annular tears may become symptomatic with time, but there is currently no definitive evidence that the treatment of asymptomatic annular tears provides any benefit or prevents any future issues.

Symptomatic Annular Tear without Disc Protrusion or Herniation

An annular fissure or tear can be symptomatic without disc protrusion or herniation. It is suspected that local inflammatory reactions from the annulus fibrosus tear or fissure lead to irritation of adjacent nerve fibers or traversing nerve roots.

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