RajPatelMemberJune 10, 2013 at 7:48 amPost count: 2
Hi, I’m 17 years old and I have a small central, protruded disc at L5-S1 with pain just in the lower back occasionally switching sides, which I’ve had since falling snowboarding December 23rd, 2011.
Long story short, I’ve tried almost everything except surgery, which isn’t an option according to a doctor due to the bulge not being large enough.
I read a late 2011 – early 2012 thread on here regarding DiscoGel and not enough time and appropriate studies available to determine the effectiveness of this injection.
I was wondering if your opinion on the injection has changed or remains the same, because my father and I are planning on going to England during Christmas Break. I, not having any options left, am wanting to get the injection of DiscoGel in the hopes of ending my perpetual back pain.
Thank you.Donald Corenman, MD, DCModeratorJune 10, 2013 at 10:37 amPost count: 8465
The jury is still out on Discogel. Remember that the annular tear is most likely the cause of your lower back pain (see degenerative disc disease lumbar spine on the website). Replacing the nucleus or increasing the pressure inside the disc space is unlikely to reduce the pain of the tear.
Dr. CorenmanRajPatelMemberJune 11, 2013 at 12:11 amPost count: 2
I forgot to mention that I had an MRI which indicated the bulging disc. As far as I understand, the nucleus pulposus is simply bulging against the annulus fibrosus but hasn’t actually broken through? I had presumed that an annular tear would indicate a herniated disc, rather.Donald Corenman, MD, DCModeratorJune 11, 2013 at 6:13 pmPost count: 8465
An annular tear simply means the annulus is torn or at least “stretched”. The tear does not have to go through and through for the annulus to be torn. Remember that there are about thirty rings of annulus fibers just like the plies that are in a radial tire. Not all of the plies have to be torn.
Increasing the pressure in the disc with torn fibers may not make sense as the increased pressure can increase the stress on these torn fibers. No one knows what increased pressure will do to these fibers or what long term consequences will be born by the annulus due to the discogel. That is why the “jury is still out”.
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