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L5/S1 Annular Tear

Hearing that you have an L5/S1 annular tear may sound like medical jargon, but this diagnosis actually explains the specific source of your lower back pain. An annular tear is a tear in the outer lining of one of the intervertebral discs that normally cushion the spine. The fibrous annulus is a tough wall that gives the disc its shape and normally keeps the vertebrae evenly separated, but over time regular wear and tear can take their toll, weakening the disc to the point of rupture. Somewhat surprisingly, this condition is asymptomatic in itself, although should the ruptured disc material come into contact with one of the nerve roots or the spinal cord itself, a number of painful symptoms can be experienced.
The second component of the diagnosis of an L5/S1 annular tear is the “L5/S1”. These letters and numbers indicate the location of the deteriorated intervertebral disc. In this case, the L5 refers to the fifth lumbar vertebra and the S1 indicates the first sacral vertebra. Thus, the deteriorated disc is located between these two vertebrae in the lower back.
Treating a Disc Herniation
An L5/S1 annular tear is extremely common and treatment usually only requires a regimen of conservative, nonsurgical techniques. In fact, an annular tear can sometimes heal entirely after a few weeks of treatment. Some examples of effective herniated disc treatments include:
- Pain medication, anti-inflammatories and muscle relaxants
- Hot or cold therapy
- Epidural injections
- Pain patches
- Low-impact exercises or stretching classes
- Deep massage
- Acupuncture
- Chiropractics
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In the event that nonsurgical treatments prove ineffective, your doctor may recommend that you consider surgery to treat your L5/S1 annular tear. If this is your prognosis, contact Laser Spine Institute to learn how one of our minimally invasive, outpatient endoscopic procedures can help you rediscover your life without back pain.
Please note: Laser Spine Institute currently does not perform endoscopic procedures on the thoracic spine.




