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Annular Tear vs Herniated Disc: The Connection Between These Conditions

annular tear vs herniated disc

In this article, we’ll be discussing the differences between an annular tear vs herniated disc, and whether there actually is a difference between these two conditions. Both annular tears and herniated discs are spinal disc conditions, so are they connected in some way? Are there differences in how they need to be treated or are there procedures that can treat both?

We know that patients can’t get the help they need for their back or neck pain if they don’t fully understand the underlying cause of it. This is why in this article, we’ll be answering all of these questions and more to ensure you’re fully informed about annular tears and herniated discs.

What are Annular Tears?

In order to begin discussing the difference between an annular tear vs herniated disc, we need to talk about the specifics of each condition.

The condition we know as an annular tear occurs when the outer layer of your spinal disc, the annulus fibrosus, becomes torn as a result of damage. When these tears occur, the jelly-like inner portion of your spinal disc, the nucleus pulposus, can leak out.

When the nucleus pulposus begins to leak out of the spinal disc, this reduces the cushion that your spinal discs provide for your vertebrae. When spinal discs are healthy, they enable the spine to be flexible and move freely without difficulty or pain. In addition to this, healthy spinal discs also absorb the shock caused by our daily activities. For example, sitting or standing for long periods of time can put a strain on your spine, and healthy spinal discs reduce this strain.

Unfortunately, as part of our natural aging process, these same forces that the spinal discs are meant to absorb also break them down over time. However, there are many other potential causes of annular tears as well, which we’ll discuss below.

annular tear vs herniated disc
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Causes

Annular tears can be caused by gradual wear and tear that happens as a result of aging or following a sudden, traumatic injury. The following are other common causes of annular tears.

  • Traumatic injury. Injuries such as those caused by sports accidents, car collisions, or a fall can cause immediate damage to a spinal disc that results in tearing.
  • Overuse. Repetitively lifting heavy objects or working in an occupation that places consistent stress on your spine can result in annular tears.
  • Genetics. Your family history and genes can actually determine the strength and quality of your body’s collagen, which is the material that makes up the annulus fibrosus. If your collagen is not very strong, you’ll be more prone to developing annular tears.

Symptoms

Pain caused by annular tears is usually related to the location of the affected spinal disc. For example, if the torn spinal disc is located in your neck (cervical spine), you’ll pain around that area. If the damaged disc is located in your lower back (lumbar spine), that’s where your symptoms will be felt. 

  • Annular tears in the cervical spine:  symptoms caused by annular tears located in your neck can cause pain to radiate into your arms and hands. You may also experience muscle weakness, tingling, or numbness in these areas.
  • Annular tears in the lumbar spine: if your torn spinal disc is located in your lower back, pain may radiate to your legs or feet. You may also feel symptoms of sciatica if the leaking of the nucleus pulposus affects the sciatica nerve. In addition to this, you may experience muscle weakness, tingling, or numbness in the legs and feet.

A more general symptom of annular tears regardless of their location is back pain that worsens when you sit, bend, lift, or twist. When suffering from annular tear pain, you may also feel some relief when you switch positions, lie down, walk, or run. Learn more about annular tear symptoms here.

Leaky Disc Syndrome

In addition to these symptoms, annular tears can cause significant issues as a result of Leaky Disc Syndrome, a term that was coined by Dr. Kevin Pauza, inventor of the Discseel® Procedure. Leaky Disc Syndrome occurs when annular tears the annulus fibrosus is no longer able to contain the nucleus pulposus. This allows the nucleus pulposus to leak out and come into contact with sensory nerves contained in the annulus fibrosus. The nucleus pulposus may also reach surrounding spinal nerve roots. Whether it comes into contact with sensory nerves or nerve roots, the nucleus pulposus will irritate and inflame these nerves. Because the leaking affects nerve roots, a leaking nucleus pulposus can cause pain felt in the arms, hands, legs, and feet as well.

Leaky Disc Syndrome also causes spinal discs to break down due to dehydration (disc desiccation), which lowers the ability of the spinal discs to continue providing flexibility for the spine.

What is a Herniated Disc?

Now we’ll discuss the second part of the difference between an annular tear vs herniated disc. Similar to annular tears, a herniated disc is a condition that occurs when part of the spinal disc is pushed outside of the annulus fibrosus through a tear. Many refer to herniated discs as “bulging discs” or “ruptured discs” but these terms are inaccurate and are not the same as a herniated disc. This condition can be connected to degenerative disc disease, as disc herniation is usually an early stage of degeneration.

This condition can occur in any part of the spine, such as the cervical spine, thoracic spine, or lumbar spine. However, herniated discs most commonly occur in the lumbar spine because this area takes on the most stress. The area where your herniated disc is located will affect where you feel symptoms. 

Unlike what most people believe, pain caused by a herniated disc is not usually caused by mechanical pressure resulting from the herniation, or a “pinched nerve”. Herniated disc pain is most commonly a result of the leaking of the nucleus pulposus, which we’ll discuss in further detail below.

annular tear vs herniated disc
By wayhomestudio – www.freepik.com

Causes

Like annular tears, disc herniation often results from gradual, age-related wear and tear related to disc degeneration. There are other causes as well, which is why people usually can’t pinpoint the cause of a herniated disc. The following are common causes of herniated discs besides aging.

  • Lifting. Using your back muscles rather than your leg and thigh muscles to lift heavy objects can cause disc herniation. In addition to this, twisting or turning while lifting a heavy object can lead to disc herniation as well.
  • Traumatic injury. Injuries caused by sports accidents, car collisions, or a fall can cause damage to a spinal disc that results in herniation.
  • Weight. Being overweight places increased stress on the lumbar spinal discs, putting you at greater risk of developing a herniated disc.
  • Occupation. Physically demanding jobs have an increased risk of back issues due to repetitive lifting, pulling, pushing, bending forward, and twisting.
  • Genetics. Your family history and genes can actually determine the strength and quality of your body’s collagen, which is the material that makes up the annulus fibrosus. If your collagen is not very strong, your likelihood of developing a herniated disc will be greater.
  • Smoking. Smoking reduces the amount of oxygen supplied to the spinal discs, leading to dehydration and degeneration.

Symptoms

Symptoms of a herniated disc can vary greatly as they depend on the location of the affected disc and the severity of the herniation. In some cases, a person with a herniated disc will not experience any pain at all.

Typically, herniated disc pain is preceded by episodes of lower back pain or a long history of intermittent episodes of lower back pain. Herniated disc pain also causes back pain, numbness in the extremities, or muscle weakness, regardless of the location of the damaged disc.

Specifically, if your herniated disc is located in your lower back (lumbar spine), you may experience sciatica or radiculopathy symptoms caused by the herniated disc affecting the sciatic nerve. These sciatica symptoms can include pain, burning, tingling, and numbness that radiates from the buttock to the leg and sometimes even into the foot. In this situation, only one side of the body will typically be affected and the pain is commonly described as sharp and electric shock-like. Your pain may also worsen when you’re standing, walking, or sitting. In fact, you may even feel your pain worsen when you straighten your affected leg. In addition to leg pain, you’ll most likely experience lower back pain, but when dealing with sciatica the pain felt in the leg is usually worse than the pain felt in the lower back.

If the herniated disc is located in your neck (cervical spine), you may experience cervical radiculopathy in that area. This can include dull or sharp pain felt in your neck or between your shoulder blades, with pain radiating down your arm to the hand or fingers. You may also feel numbness or tingling in your shoulder or arm. Your pain may increase when your neck is in a certain position or moved a certain way.

How Annular Tears, Leaky Disc Syndrome, and Herniated Discs are Connected

When discussing the difference between an annular tear vs herniated disc, it’s important to note that these two conditions are actually connected. Herniated discs occur as a result of annular tears and the pain associated with herniated discs is actually caused by leaking as a result of annular tears.

Many people, and even physicians, believe that the physical compression of a nerve is what causes herniated disc pain. While this is true in some cases, more often than not, people experience herniated disc pain due to the leaking of the nucleus pulposus through the annulus fibrosus.

As you know, disc herniation occurs because part of the spinal disc is pushed outside of the annulus fibrosus through an annular tear. You also know that annular tears can cause Leaky Disc Syndrome, which causes irritation, inflammation, and pain that can be felt in the arms, hands, legs, and feet. So while these two conditions are different, herniated discs cannot occur without annular tears and herniated disc pain is usually not felt without leaking caused by annular tears.

How the Discseel® Procedure Is Used to Treat an Annular Tear vs Herniated Disc

The most common ways to treat herniated disc pain include conservative methods, such as medication or physical therapy. If these treatments don’t work, surgery is usually recommended as the only remaining option. However, a third option is available that is proven to effectively treat herniated disc pain without surgery.

The Discseel Procedure is a non-surgical, minimally invasive spine procedure that uses an orthobiologic to address annular tears and relieve back and neck pain. This is the only procedure that was designed to address annular tears and stop the leaking of the nucleus pulposus. 

Whether your pain is caused by herniated discs, degenerative disc disease, sciatica, or chronic lower back pain, the Discseel Procedure may be able to help you. Apply for the Discseel Procedure today and find out if you’re a candidate for this innovative procedure!


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Kevin Pauza, M.D.

SPECIALTY

  • Disc Biologics
  • Interventional Spine

EDUCATION & DEGREES

  • Fellowship: Interventional Spine, University of Pennsylvania
  • Residency: PM&R, University of Pennsylvania
  • Internship: Surgery & Medicine, Columbia University College of Physicians and Surgeons
  • Medical Doctorate: Pennsylvania State University College of Medicine
  • Bachelor of Arts: Biology, Lehigh University
  • Bachelor of Arts: Psychology, Lehigh University

CERTIFICATIONS & LICENSES

  • Texas State Medical and Surgical License
  • New York State Medical and Surgical License
  • Florida State Medical and Surgical License

HONORS

  • Lehigh University Four-year Academic Scholarship
  • Magna Cum Laude, Lehigh University
  • Lehigh University President’s Award
  • Lehigh University Tower Society
  • Distinguished Alumnus, Penn State University (selected from 500,000 Penn State alumni)
  • North American Spine Society, Outstanding Paper of the Year, 2003
  • President-Elect, International Spine Intervention Society
  • Founding Partner, Texas Spine and Joint Hospital
  • Commencement Speaker: Penn State University College of Medicine
  • Advisory Board, AMA
    Keynote Speaker, Harvard Pain Center Commencement
  • Founding Chairman, Standards Committee, International Spine Intervention Society
  • Chairman, Spine Committee, Amercian Academy of Physical Medicine & Rehabilitation
  • Appointed Spine Advisor, Japanese Prime Minister
  • Appointed Spine Advisor, Allied Royal Families

EXPERIENCE

  • Founding Partner & Principal, Texas Spine & Joint Hospital

Travis Foxx, M.D. - Premier Anesthesiology & Pain

Kevin Pauza, M.D. - Turtle Creek Surgery Center

Prior to attending Penn State University, Dr. Pauza earned his undergraduate degree from Lehigh University, and furthered his training with a Surgical and Medical Internship at Columbia University College of Physicians and Surgeons. He continued his specialty training at the University of Pennsylvania, followed by an Interventional Spine Fellowship. In addition to his research, philanthropic, and clinical endeavors, Dr. Pauza remains a motivated educator. He established a Spine Fellowship program and continues training physicians from around the world. He heads international committees responsible for establishing standards and educating surgical and non-surgical physicians.

After helping hundreds of patients who failed to experience relief after spine surgery, it became evident to Dr. Pauza that current methods needed to change. This motivated him to seek better ways to help patients, by thinking outside the box.

Dr. Pauza is the first physician in history to pursue FDA approval for using biologics to treat the spine. Millions of patients will benefit from his development of minimally invasive treatments for degenerative disc disease and other more common and serious disorders of the spine.

SPECIALTY

  • Disc Biologics
  • Interventional Spine

EDUCATION & DEGREES

  • Fellowship: Interventional Spine, University of Pennsylvania
  • Residency: PM&R, University of Pennsylvania
  • Internship: Surgery & Medicine, Columbia University College of Physicians and Surgeons
  • Medical Doctorate: Pennsylvania State University College of Medicine
  • Bachelor of Arts: Biology, Lehigh University
  • Bachelor of Arts: Psychology, Lehigh University

CERTIFICATIONS & LICENSES

  • Texas State Medical and Surgical License
  • New York State Medical and Surgical License
  • Florida State Medical and Surgical License

HONORS

  • Lehigh University Four-year Academic Scholarship
  • Magna Cum Laude, Lehigh University
  • Lehigh University President’s Award
  • Lehigh University Tower Society
  • Distinguished Alumnus, Penn State University (selected from 500,000 Penn State alumni)
  • North American Spine Society, Outstanding Paper of the Year, 2003
  • President-Elect, International Spine Intervention Society
  • Founding Partner, Texas Spine and Joint Hospital
  • Commencement Speaker: Penn State University College of Medicine
  • Advisory Board, AMA
    Keynote Speaker, Harvard Pain Center Commencement
  • Founding Chairman, Standards Committee, International Spine Intervention Society
  • Chairman, Spine Committee, Amercian Academy of Physical Medicine & Rehabilitation
  • Appointed Spine Advisor, Japanese Prime Minister
  • Appointed Spine Advisor, Allied Royal Families

EXPERIENCE

  • Founding Partner & Principal, Texas Spine & Joint Hospital

Brandon Tolman, D.O. - Nashville Spine Institute

Boris Terebuh, M.D. - Regenerative Spine & Joint Center

Boris Terebuh, MD specializes in providing personalized nonsurgical solutions for spine problems that interfere with the function patients desire and the independence they deserve. Dr. Terebuh completed his Physical Medicine & Rehabilitation residency training at The Ohio State University in 1997 and has been in solo practice in Ohio since 2001 because he is committed to providing accessible, individualized and attentive care to his patients. His regenerative approach to solving spine problems enhances the body’s natural ability to heal itself. His guiding principle is integrity – doing what is right for patients in a conscientious manner with the motivation of helping them become fully functional, independent and satisfied. Dr. Terebuh is a very unique Medical Doctor because he has earned seven Board Certifications in the field of musculoskeletal medicine and nonsurgical spine care. Boris Terebuh, MD is delighted to be a Discseel® provider because this revolutionary new technology aligns perfectly with his preferred regenerative treatment approach and patient care philosophy. Dr. Terebuh is also grateful to Discseel® developer, Kevin Pauza, MD, for all the years of diligent and meticulous research to create this innovative, paradigm-shifting intervention, which will certainly spare countless individuals the prospect of avoidable spine surgical procedures.

Thierry Bonnabesse, M.D. - Champlain Spine and Pain Management

Gregory Lutz, M.D. - Regenerative Sportscare Institute

Dr. Gregory Lutz is the Founder and Medical Director of the Regenerative SportsCare Institute (RSI). In addition, he currently serves as Physiatrist-In-Chief Emeritus at Hospital for Special Surgery (HSS) and a Professor of Clinical Rehabilitation Medicine at Weill Medical College of Cornell University. Dr. Lutz is one of the world’s leading experts in the field of regenerative interventional orthopedic medicine, appearing annually on Castle Connolly’s and New York Magazine’s “Top Doctors” lists.

Janet Pearl, M.D. - The Boston Stem Cell Center

Dr. Janet Pearl has been in practice since 1999 and is the Medical Director of The Boston Stem Cell Center. She is also the Medical Director of  Complete Spine and Pain Care  an interventional integrated Pain Management practice, both located in Framingham, Massachusetts. Dr. Pearl is Triple Board Certified in Regenerative Medicine, Pain Medicine and Anesthesiology and has over 20 years experience in doing these procedures.

Previously, Dr. Pearl was the Co-Director of the Pain Management Center at St. Elizabeth’s Medical Center, where she was also the Director of the Pain Management Fellowship program.

After graduating from Harvard College with an A.B. in Applied Mathematics with Economics, Dr. Pearl received a M.Sc. in Health Planning and Financing at the London School of Hygiene and Tropical Medicine. She then received her M.D. from the Columbia College of Physicians and Surgeons, where she represented the Medical School as a senator in the Columbia University Senate.

Watch Dr Pearl give an introduction to The Boston Stem Cell Center

Dr. Pearl completed her internship in Internal Medicine at New England Deaconess Hospital, her residency in Anesthesiology at the Massachusetts General Hospital, and her fellowship in Pain Management at the Brigham and Women’s Hospital. Dr. Pearl was the first resident ever to serve on the Accreditation Council for Graduate Medical Education (ACGME)’s Residency Review Committee for Anesthesiology. She is a Joseph Collins Scholar and a Rotary Scholar and was awarded the AMA/Glaxo Welcome and AMA/Burroughs Welcome Resident Leadership Awards.

From 2004 to 2010, Dr. Pearl served on the University of Massachusetts Board of Trustees. While there she chaired the Committee on Science, Technology and Research, was a member of the Committee on Academic and Student Affairs and the Governance Committee and also served as Vice Chair of the Advancement Committee, and as a member of the Committee on Athletics.

Dr. Pearl is Board Certified in Regenerative Medicine, Pain Medicine and Anesthesiology with the American Board of Regenerative Medicine and the American Board of Anesthesiologists.

Memberships:

  • The American Pain Society;
  • The Massachusetts Medical Society;
  • The Massachusetts Society of Anesthesiologists;
  • The Massachusetts Society of Interventional Pain Physicians;
  • The American Society of Anesthesiologists;
  • The American Society of International Pain Physicians;
  • The American Institute of Ultrasound in Medicine; and,
  • The American Board of Regenerative Medicine.

PUBLIC SERVICE:

  • Member, Massachusetts Department of Industrial Accidents, Health Care Services Board 
  • Member of the Association of Harvard College Class Secretaries and Treasurers
  • Past Member of the Board of Directors of the Harvard Alumni Association
  • Former Member of the Board of Trustees University of Massachusetts. (10/2010 – 10/2014) 

Mark Reecer, M.D. - Fort Wayne Physical Medicine

Dr. Mark Reecer is board certified in Physical Medicine & Rehabilitation and Pain Management. He has over 20 years of work comp experience, and he routinely provides Independent Medical Examinations (IMEs) for the Indiana Workers’ Compensation Board. Dr. Reecer has lectured extensively and has authored multiple publications that promote his specialty and the use of treatment modalities to eliminate pain, improve function and avoid surgery.

Dmitry Buyanov, M.D. - IV Infusion Treatment Center

Dr. Buyanov is originally from Kiev, Ukraine. He received his training in Anesthesiology and his Interventional Pain Management Post-Doctoral at Penn State Medical Center, PA. Dr. Buyanov moved to San Antonio in 2003 at which time he was part of a multi-specialty group before he founded Premier Pain Consultants in 2004. His practice has over 5000 active patients in his practice. Dr. Buyanov treats his patients in a cost-effective manner although giving them the best care with interventional pain treatments/procedure to help each patient improve their quality of life. Dr. Buyanov strongly believes in an individualized and multidisciplinary approach to pain management, he believes in the Buddhist saying: “pain is inevitable but suffering is optional”. He works closely with the area internists, physical therapists, chiropractors, psychiatrists, neurologists, and spine surgeons to insure that each patient has the most optimal individualized treatment plan. Dr. Buyanov enjoys spending his spare time with his children.

Desmond Hussey, M.D. - NASA Neuroscience and Spine Associates. P.L

Dr. Hussey earned his undergraduate degree from Dartmouth College, and proceeded to earn his Medical Degree from The University of Miami School of Medicine. He then attended Northwestern University Internal Medicine Program, followed by a Neurology Residency Program at Emory University. Dr. Hussey continued his specialty training at John Hopkins University pain clinic. A member of The Spinal Injection Society and The American Academy of Neurology and Psychiatry.

Haley Burke, M.D. - Mile High Sports and Rehab

Dr. Burke is board-certified in both Interventional Pain Management and Neurology and has completed an accredited Pain Fellowship with the Department of Anesthesiology at MD Anderson Cancer Center, one of the nation’s most prestigious hospitals. Dr. Burke completed her residency in Neurology at the University of Colorado, where she received the department’s ‘Excellence in Teaching’ award during her year as Chief Resident. Her Doctor of Medicine degree was completed at the University of Texas Health Science Center, where she was elected to the ‘Gold Humanism Honor Society.’

Maxim Moradian, M.D. - Interventional Spine Care & Orthopedic Regenerative Experts

Dr. Moradian is triple-board certified in Physical Medicine and Rehabilitation (PM&R), Sports Medicine and Pain Management. Dr. Moradian’s clinical practice is devoted to the comprehensive care of spine, joint, muscle, tendon, ligament, and peripheral nerve disorders. He is proficient in performing advanced, minimally-invasive procedures under fluoroscopic and/or ultrasound guidance in the entire spine. Dr. Moradian performs electrodiagnostic testing (EMG/NCS) for the accurate diagnosis of muscle and/or nerve disorders. He has a special interest in regenerative medicine, sports concussions, neuromuscular ultrasound, medical education, and clinical research. His true passion is to treat his patients like his family and friends.

Wendi Lundquist, D.O. - Active Life Physical Medicine & Pain Center

Dr. Lundquist is the Medical Director and founder of Active Life Physical Medicine & Pain Center, Innovative Surgery Center, and Regena Spa. She is dual board certified in Physical Medicine and Rehabilitation along with Pain Management and a diplomat with the American Board of Pain Medicine. She completed her training at Loyola University in Chicago, Illinois in July of 2005. During her time there, she served as Chief Resident and was involved in several research projects. Prior to, she completed medical school at Midwestern University at the Arizona College of Osteopathic Medicine campus in Glendale, Arizona and internship at Doctors Hospital in Massillon, Ohio. She also has a Bachelor of Science in Biology and minor in Chemistry from the University of New Mexico in Albuquerque. She has a special interest in sports medicine, pain and spine. With 17 years experience, she has great enthusiasm towards regenerative medicine.

Yasuyuki Nonaka, M.D. - ILC International Lumbago Clinic

Haley Burke, M.D. - Colorado Rehabilitation & Occupational Medicine

Dr. Burke is board-certified in both Interventional Pain Management and Neurology and has completed an accredited Pain Fellowship with the Department of Anesthesiology at MD Anderson Cancer Center, one of the nation’s most prestigious hospitals. Dr. Burke completed her residency in Neurology at the University of Colorado, where she received the department’s ‘Excellence in Teaching’ award during her year as Chief Resident. Her Doctor of Medicine degree was completed at the University of Texas Health Science Center, where she was elected to the ‘Gold Humanism Honor Society.’

Haley Burke, M.D. - Colorado Rehabilitation & Occupational Medicine

Dr. Burke is board-certified in both Interventional Pain Management and Neurology and has completed an accredited Pain Fellowship with the Department of Anesthesiology at MD Anderson Cancer Center, one of the nation’s most prestigious hospitals. Dr. Burke completed her residency in Neurology at the University of Colorado, where she received the department’s ‘Excellence in Teaching’ award during her year as Chief Resident. Her Doctor of Medicine degree was completed at the University of Texas Health Science Center, where she was elected to the ‘Gold Humanism Honor Society.’

Matthias H. Wiederholz, M.D. - Performance Pain and Sports Medicine

Founding Partner, Triple Board Certified – Physical Medicine & Rehabilitation; Sports Medicine; Anti-Aging, Regenerative & Functional Medicine

Dr. Matthias H. Wiederholz is cofounder of Performance Spine & Sports Medicine, LLC. He is a fellowship-trained interventional pain physician whose clinical interests include: Interventional Pain Management, Sports Medicine, Musculoskeletal Medicine, Minimally-Invasive Spine Surgery, Non-Surgical Orthopedics, and Anti-Aging / Functional Medicine.

He received his specialty training in Physical Medicine and Rehabilitation at Baylor College of Medicine in Houston, Texas where he served as chief resident. He completed fellowship training in Interventional Pain Management in Marietta, Georgia. He is board-certified in Physical Medicine & Rehabilitation and Sports Medicine. He also received advanced fellowship training through the American Academy of Anti-Aging Medicine and is board-certified in Anti-Aging, Regenerative & Functional Medicine.

Dr. Wiederholz performs a myriad of interventional pain procedures including, but not limited to the following: epidural steroid injections, facet joint injections, radiofrequency ablation, sacroiliac joint injections, discography, percutaneous disc decompression, epidural lysis of adhesions spinal cord stimulator implants, and minimally-invasive discectomies. Endoscopic spine surgery is a very unique and valuable tool in his armamentarium and makes Dr. Wiederholz one of the most specialized physicians in the field of Pain Medicine.

Dr. Wiederholz uses musculoskeletal ultrasound in the diagnosis of musculoskeletal injuries. He incorporates ultrasound for precise injection therapy including cortisone injections, prolotherapy, and PRP (platelet rich plasma). This technology is also utilized to perform the Tenex procedure, a percutaneous procedure for treating chronic tendon pain (tennis elbow, rotator cuff, plantar fasciitis, etc).

Dr. Wiederholz is the fellowship director for the sports and spine fellowship at Performance Spine & Sports Medicine. Dr. Wiederholz holds an affiliation with Capital Health System and JFK Johnson Rehabilitation Institute.

Being advanced fellowship trained in Anti-Aging, Regenerative & Functional Medicine means that Dr. Wiederholz has the most advanced training in Anti-Aging Medicine available. He is a leading expert in Bio-Identical Hormone Restoration and helps patients achieve wellness through nutrition, lifestyle, and hormone therapies.

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Michael Wolff, M.D. - Southwest Spine & Sports