{"id":24538,"date":"2018-03-13T19:12:00","date_gmt":"2018-03-13T19:12:00","guid":{"rendered":"https:\/\/www.sciatica.com\/?post_type=case-study&#038;p=24538"},"modified":"2023-05-02T13:49:34","modified_gmt":"2023-05-02T13:49:34","slug":"toxic-effects-of-annular-tears","status":"publish","type":"case-study","link":"https:\/\/www.sciatica.com\/case-studies\/toxic-effects-of-annular-tears\/","title":{"rendered":"Toxic Effects of Annular Tears"},"content":{"rendered":"    <section id=\"half-video-block_66da793bdc28ee00d212e5741506d876\" class=\"half-and-half-video bg-white video-text-block-left  half-and-half-video--inner-block  half-video-opposite  js-animated-text-container\">\n        <div class=\"half-and-half-video-text\">\n            <div class=\"half-and-half-video-text__wrapper\">\n                <p style=\"margin-bottom: 20px; color: #444444; font-family: Barlow; font-size: 16px;\">This 39 year old wife of a palliative pain physician sought endoscopic annuloplastic care after failed non-surgical pain management care. A visualized thermal modulation may be the next step in MIS treatment.<\/p>\n<p style=\"margin-top: 20px; margin-bottom: 20px; color: #444444; font-family: Barlow; font-size: 16px;\">The ultimate result depends on tears healing after removal of interposed disc and annulus healing. Is nucleus augmentation an answer? Replication Medical\u2019s GelStik\u2122 is getting good results in pilot studies.<span id=\"more-155\"><\/span><\/p>\n<p style=\"margin-top: 20px; margin-bottom: 20px; color: #444444; font-family: Barlow; font-size: 16px;\">Related Article:\u00a0<a style=\"color: #c0232b; cursor: pointer;\" title=\"White Paper - Discogenic Pain\" href=\"https:\/\/www.sciatica.com\/blog\/resource\/white-paper-discogenic-pain\/\">White Paper \u2013 Discogenic Pain<\/a><\/p>\n<p style=\"margin-top: 20px; margin-bottom: 20px; color: #444444; font-family: Barlow; font-size: 16px;\">View Related Presentation:\u00a0<a style=\"color: #c0232b; cursor: pointer;\" title=\"Gelstik\u2122 Implantation: An Intradiscal Hydrogel for Nucleus Augmentation\" href=\"https:\/\/www.sciatica.com\/blog\/resource\/gelstik-implantation-an-intradiscal-hydrogel-for-nucleus-augmentation\/\">Gelstik\u2122 Implantation: An Intradiscal Hydrogel for Nucleus Augmentation<\/a><\/p>\n            <\/div>\n        <\/div>\n\n        <div class=\"half-and-half-video-image js-video-image\" data-slider-group-id=\"video-slider-0\">\n            <div class=\"fx-slider video-slider js-video-slider\" data-slider-group-id=\"video-slider-0\">\n                                                <article class=\"video-slide fx-slide slick-slide\">\n                    <div class=\"half-and-half-video-image__wrap animated-image js-animated-image\">\n                        <span class=\"js-animated-image-overlay animated-image-overlay\"><\/span>\n                                                    <img decoding=\"async\" width=\"1333\" height=\"1333\" src=\"https:\/\/www.sciatica.com\/wp-content\/uploads\/2023\/04\/MG_2738-cropped.jpg\" class=\"object-fit\" alt=\"Doctor performing surgery in the operating room.\" srcset=\"https:\/\/www.sciatica.com\/wp-content\/uploads\/2023\/04\/MG_2738-cropped.jpg 1333w, https:\/\/www.sciatica.com\/wp-content\/uploads\/2023\/04\/MG_2738-cropped-300x300.jpg 300w, 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              <\/g>\n                                    <\/g>\n                                <\/svg>\n                            <\/a>\n                                                                        <\/div>\n                <\/article>\n                            <\/div>\n\n            <div class=\"half-and-half-video__info\">\n                <div class=\"fx-slider video-info-slider js-video-info-slider\" data-slider-group-id=\"video-slider-0\">\n                                                            <article class=\"video-info-slide fx-slide slick-slide\">\n                                                                    <\/article>\n                                    <\/div>\n            <\/div>\n        <\/div>\n    <\/section>\n\n\n\n    <section id=\"half-video-block_8001dbab5f1d638ef6c10e9ae78d8573\" class=\"half-and-half-video bg-white video-text-block-right  half-and-half-video--inner-block  js-animated-text-container\">\n        <div class=\"half-and-half-video-text\">\n            <div class=\"half-and-half-video-text__wrapper\">\n                <h3>Workers\u2019 Comp \u2013 Toxic Effect of Annular Tears<\/h3>\n<p>This 49 year old cement mason injured his back at work and was unable to return to work due to severe back pain and persistent sciatica. His insurance carrier terminated his claim.<\/p>\n<p>The insurance company sent him for an Independent Medical Examination (IME) by a prominent spine surgeon who opined that the worker only sustained a sprain\/strain injury.<\/p>\n<p>The discography done later by Dr. Yeung positively identified the annual tear. The patient was forced to pay cash for the treatment.<\/p>\n<p>Patients are inappropriately denied thermal modulation treatment for injuries causing annular tears that produce toxic concordant pain. Patients are inappropriately denied care by IME surgeons who claim these tears \u2018do not exist\u2019.<\/p>\n<p>Toxic annular tears exist and explains the disabling back pain and sciatica experienced by private patients as well as injured workers. This patient was denied treatment because of an uninformed personal opinion contrary to the facts.<\/p>\n            <\/div>\n        <\/div>\n\n        <div class=\"half-and-half-video-image js-video-image\" data-slider-group-id=\"video-slider-1\">\n            <div class=\"fx-slider video-slider js-video-slider\" data-slider-group-id=\"video-slider-1\">\n                                                <article class=\"video-slide fx-slide slick-slide\">\n                    <div class=\"half-and-half-video-image__wrap animated-image js-animated-image\">\n                        <span class=\"js-animated-image-overlay animated-image-overlay\"><\/span>\n                                                    <img decoding=\"async\" width=\"2560\" height=\"1707\" src=\"https:\/\/www.sciatica.com\/wp-content\/uploads\/2015\/03\/Q6A0137-min-scaled.jpeg\" class=\"object-fit\" alt=\"\" srcset=\"https:\/\/www.sciatica.com\/wp-content\/uploads\/2015\/03\/Q6A0137-min-scaled.jpeg 2560w, 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24)\" fill=\"#fff\" opacity=\"0.157\"\/>\n                                    <\/g>\n                                    <g transform=\"translate(8.358 7.662)\">\n                                        <path data-name=\"Path 740\" d=\"M248.5,0V72.437A36.218,36.218,0,0,0,248.5,0Z\" transform=\"translate(-212.282)\" fill=\"#b2081b\"\/>\n                                        <path data-name=\"Path 741\" d=\"M68.064,36.218C68.064,16.215,53.806,0,36.218,0a36.218,36.218,0,0,0,0,72.437C53.806,72.437,68.064,56.221,68.064,36.218Z\" fill=\"#c43b42\"\/>\n                                        <path data-name=\"Path 742\" d=\"M216.971,135.124S192.165,120.8,192.165,120.8a4.4,4.4,0,0,0-2.492-.576V157.6a4.393,4.393,0,0,0,2.492-.577L216.971,142.7a4.371,4.371,0,0,0,0-7.576Z\" transform=\"translate(-162.028 -102.693)\" opacity=\"0.159\"\/>\n                                        <path data-name=\"Path 743\" d=\"M189.027,142.759a4.719,4.719,0,0,0,0-7.576s-21.574-14.324-21.574-14.324a3.481,3.481,0,0,0-1.637-.576,4.369,4.369,0,0,0-4.07,4.365s0,28.645,0,28.645a4.371,4.371,0,0,0,4.07,4.365,3.475,3.475,0,0,0,1.637-.577Z\" transform=\"translate(-138.17 -102.753)\" fill=\"#fff\"\/>\n                                    <\/g>\n                                    <\/g>\n                                <\/svg>\n                            <\/a>\n                                                                        <\/div>\n                <\/article>\n                            <\/div>\n\n            <div class=\"half-and-half-video__info\">\n                <div class=\"fx-slider video-info-slider js-video-info-slider\" data-slider-group-id=\"video-slider-1\">\n                                                            <article class=\"video-info-slide fx-slide slick-slide\">\n                                                                    <\/article>\n                                    <\/div>\n            <\/div>\n        <\/div>\n    <\/section>\n\n","protected":false},"excerpt":{"rendered":"<p>This 39 year old wife of a palliative pain physician sought endoscopic annuloplastic care after failed non-surgical pain management care. A visualized thermal modulation may be the next step in MIS treatment.<\/p>\n","protected":false},"author":4,"featured_media":21637,"parent":0,"template":"","class_list":["post-24538","case-study","type-case-study","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Cons of Annular Tears | Desert Institute for Spine Care<\/title>\n<meta name=\"description\" content=\"After trying everything to alleviate her pain with no success, a patient undergoes SED &amp; Thermal Annuloplasty as a last resort. 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