{"id":92372,"date":"2026-08-08T20:31:45","date_gmt":"2026-08-09T01:31:45","guid":{"rendered":"https:\/\/www.cliniquetagmed.com\/sciatique-fissure-annulaire"},"modified":"2026-10-14T12:24:44","modified_gmt":"2026-10-14T17:24:44","slug":"sciatique-fissure-annulaire","status":"publish","type":"page","link":"https:\/\/www.cliniquetagmed.com\/en\/sciatique-fissure-annulaire","title":{"rendered":"Sciatica and annular tears: can a disc tear irritate a nerve root?"},"content":{"rendered":"<div class=\"tagmed-page\">\n<p><!-- HERO --><\/p>\n<section class=\"tagmed-hero\" aria-labelledby=\"sciatique-fissure-annulaire-title\">\n<div class=\"tagmed-hero__content\">\n<p class=\"tagmed-eyebrow\">TAGMED Clinic Montreal \/ Mount Royal<\/p>\n<h1 id=\"sciatique-fissure-annulaire-title\">Sciatica and annular tears: can a disc tear irritate a nerve root?<\/h1>\n<h2>Comprendre le m\u00e9canisme, la concordance avec l\u2019imagerie et les signes neurologiques \u00e0 surveiller.<\/h2>\n<p>Une fissure de l\u2019anneau fibreux peut accompagner des changements discaux ou une protrusion. Elle peut aussi appara\u00eetre \u00e0 l\u2019imagerie chez des personnes sans sciatique, d\u2019o\u00f9 l\u2019importance de ne pas l\u2019interpr\u00e9ter isol\u00e9ment.<\/p>\n<ul>\n<li>Page in this guide series <a href=\"\/en\/sciatique-causes\/\">Causes of sciatica<\/a>.<\/li>\n<li>Linked to the main guide <a href=\"\/en\/sciatica-treatment-montreal\/\">Sciatica treatment in Montreal<\/a>.<\/li>\n<li>Une anomalie anatomique visible \u00e0 l\u2019imagerie ne suffit pas, \u00e0 elle seule, \u00e0 prouver la cause de la douleur.<\/li>\n<\/ul>\n<div class=\"tagmed-hero__actions\">\n<a class=\"tagmed-btn tagmed-btn--primary\" href=\"https:\/\/secure.medexa.com\/#\/onlineAppointmentInformation?APIKey=81A1E0C67C334B38A5A323031C92570D&amp;flowColor=228fa6&amp;backgroundColor=ffffff\" target=\"_blank\" rel=\"noopener\"><span class=\"tagmed-btn-text\">Book in Montreal<\/span><\/a><br \/>\n<a class=\"tagmed-btn tagmed-btn--secondary\" href=\"tel:+18776729060\"><span class=\"tagmed-btn-text\">1 (877) 672-9060<\/span><\/a>\n<\/div>\n<\/div>\n<figure class=\"tagmed-image-slot\">\n<img fetchpriority=\"high\" src=\"https:\/\/www.cliniquetagmed.com\/wp-content\/uploads\/2026\/08\/sciatique-fissure-annulaire-hero.png\" alt=\"Sciatica and annular tears: can a disc tear irritate a nerve root?\" width=\"900\" height=\"1200\" loading=\"eager\" decoding=\"async\" title=\"\"><figcaption>L\u2019anatomie est interpr\u00e9t\u00e9e avec le c\u00f4t\u00e9, le niveau, le trajet de la douleur et la fonction.<\/figcaption><\/figure>\n<\/section>\n<p><!-- INTRO --><\/p>\n<section class=\"tagmed-section\">\n<div class=\"tagmed-section__header\">\n<p class=\"tagmed-section__eyebrow\">Understanding<\/p>\n<h2>Pourquoi ce changement peut \u2014 ou non \u2014 \u00eatre li\u00e9 \u00e0 une sciatique<\/h2>\n<p>La fissure annulaire peut participer \u00e0 un environnement inflammatoire local ou coexister avec une protrusion, mais la pr\u00e9sence d\u2019une fissure seule ne permet pas d\u2019identifier la source exacte de la douleur.<\/p>\n<\/div>\n<div class=\"tagmed-feature-grid tagmed-feature-grid--3\">\n<div class=\"tagmed-card\">\n<h3>Concordance<\/h3>\n<p>Le niveau anatomique doit correspondre au c\u00f4t\u00e9 et au territoire clinique avant d\u2019\u00eatre consid\u00e9r\u00e9 comme pertinent.<\/p>\n<\/div>\n<div class=\"tagmed-card\">\n<h3>Neurology<\/h3>\n<p>Force, sensibilit\u00e9 et r\u00e9flexes aident \u00e0 d\u00e9terminer si une racine nerveuse semble r\u00e9ellement touch\u00e9e.<\/p>\n<\/div>\n<div class=\"tagmed-card\">\n<h3>Function<\/h3>\n<p>La marche, les positions et les activit\u00e9s aggravantes compl\u00e8tent l\u2019interpr\u00e9tation de l\u2019imagerie.<\/p>\n<\/div>\n<\/div>\n<\/section>\n<p><!-- CLINICAL --><\/p>\n<section class=\"tagmed-section tagmed-section--accent\">\n<div class=\"tagmed-section__header\">\n<p class=\"tagmed-section__eyebrow\">Clinical guidance<\/p>\n<h2>\u00c9viter de traiter une image plut\u00f4t qu\u2019un patient<\/h2>\n<p>Le c\u00f4t\u00e9 de la douleur, le trajet, les signes neurologiques et les autres anomalies discales sont compar\u00e9s \u00e0 l\u2019imagerie lorsqu\u2019elle est disponible.<\/p>\n<\/div>\n<figure class=\"tagmed-image-slot\">\n<img src=\"https:\/\/www.cliniquetagmed.com\/wp-content\/uploads\/2026\/08\/sciatique-fissure-annulaire-clinique.png\" alt=\"Rep\u00e8res cliniques pour Sciatique et fissure annulaire : une fissure du disque peut-elle irriter une racine?\" width=\"900\" height=\"1200\" loading=\"lazy\" decoding=\"async\" title=\"\"><figcaption>L\u2019examen v\u00e9rifie si les signes cliniques sont compatibles avec le m\u00e9canisme anatomique propos\u00e9.<\/figcaption><\/figure>\n<div class=\"tagmed-highlight-box\">\n<h3>An important point<\/h3>\n<p>Les changements d\u00e9g\u00e9n\u00e9ratifs sont fr\u00e9quents, surtout avec l\u2019\u00e2ge. Leur pr\u00e9sence n\u2019\u00e9quivaut pas automatiquement \u00e0 une cause de sciatique.<\/p>\n<\/div>\n<\/section>\n<p><!-- EVALUATION --><\/p>\n<section class=\"tagmed-section\">\n<div class=\"tagmed-section__header\">\n<p class=\"tagmed-section__eyebrow\">Assessment<\/p>\n<h2>What can be assessed during a consultation<\/h2>\n<p>L\u2019\u00e9valuation compare la localisation des sympt\u00f4mes, les facteurs aggravants, la marche, la sensibilit\u00e9, la force et les r\u00e9flexes. Une imagerie d\u00e9j\u00e0 disponible peut ensuite \u00eatre mise en relation avec ces donn\u00e9es.<\/p>\n<\/div>\n<figure class=\"tagmed-image-slot\">\n<img src=\"https:\/\/www.cliniquetagmed.com\/wp-content\/uploads\/2026\/08\/sciatique-fissure-annulaire-evaluation.png\" alt=\"\u00c9valuation clinique de Sciatique et fissure annulaire : une fissure du disque peut-elle irriter une racine?\" width=\"900\" height=\"1200\" loading=\"lazy\" decoding=\"async\" title=\"\"><figcaption>Un diagnostic utile repose sur plusieurs indices concordants plut\u00f4t que sur un seul test ou une seule image.<\/figcaption><\/figure>\n<div class=\"tagmed-process\">\n<div class=\"tagmed-process__step\"><span>1<\/span><\/p>\n<h3>Route<\/h3>\n<p>Localiser pr\u00e9cis\u00e9ment la douleur, les paresth\u00e9sies et l\u2019engourdissement.<\/p>\n<\/div>\n<div class=\"tagmed-process__step\"><span>2<\/span><\/p>\n<h3>Function<\/h3>\n<p>Comparer marche, position assise, station debout et t\u00e2ches qui reproduisent les sympt\u00f4mes.<\/p>\n<\/div>\n<div class=\"tagmed-process__step\"><span>3<\/span><\/p>\n<h3>Neurology<\/h3>\n<p>Tester la force, la sensibilit\u00e9 et les r\u00e9flexes lorsque cela est pertinent.<\/p>\n<\/div>\n<div class=\"tagmed-process__step\"><span>4<\/span><\/p>\n<h3>Imaging<\/h3>\n<p>Corr\u00e9ler les examens disponibles au c\u00f4t\u00e9 et au niveau cliniquement suspects.<\/p>\n<\/div>\n<\/div>\n<\/section>\n<p><!-- OPTIONS --><\/p>\n<section class=\"tagmed-section tagmed-section--accent-soft\">\n<div class=\"tagmed-section__header\">\n<p class=\"tagmed-section__eyebrow\">Support<\/p>\n<h2>La strat\u00e9gie d\u00e9pend des sympt\u00f4mes et de leur \u00e9volution<\/h2>\n<p>Le maintien d\u2019activit\u00e9s tol\u00e9r\u00e9es, l\u2019exercice adapt\u00e9 et d\u2019autres mesures conservatrices peuvent \u00eatre discut\u00e9s selon le profil. Une orientation m\u00e9dicale ou sp\u00e9cialis\u00e9e devient plus importante si la neurologie se d\u00e9t\u00e9riore ou si les sympt\u00f4mes demeurent tr\u00e8s limitants.<\/p>\n<\/div>\n<div class=\"tagmed-comparison\">\n<div class=\"tagmed-comparison__item tagmed-comparison__item--accent\">\n<h3>Mesures conservatrices<\/h3>\n<p>Activit\u00e9 graduelle, r\u00e9adaptation et strat\u00e9gies adapt\u00e9es au comportement des sympt\u00f4mes.<\/p>\n<\/div>\n<div class=\"tagmed-comparison__item\">\n<h3>Targeted imaging<\/h3>\n<p>Utilis\u00e9e lorsqu\u2019elle peut modifier la d\u00e9cision clinique plut\u00f4t que comme examen syst\u00e9matique de toute sciatique.<\/p>\n<\/div>\n<div class=\"tagmed-comparison__item\">\n<h3>Focus<\/h3>\n<p>Une \u00e9valuation m\u00e9dicale sp\u00e9cialis\u00e9e peut \u00eatre appropri\u00e9e selon le d\u00e9ficit neurologique, la dur\u00e9e et la s\u00e9v\u00e9rit\u00e9.<\/p>\n<\/div>\n<\/div>\n<\/section>\n<p><!-- SAFETY --><\/p>\n<section class=\"tagmed-section\">\n<div class=\"tagmed-warning-box\">\n<h2>When should you seek prompt or emergency care?<\/h2>\n<ul>\n<li>New, significant or rapidly progressive weakness.<\/li>\n<li>Recent foot drop or a leg that gives way increasingly often.<\/li>\n<li>New bladder or bowel problems.<\/li>\n<li>Numbness in the saddle area or perineum.<\/li>\n<li>Significant symptoms on both sides or unusual worsening of general health.<\/li>\n<\/ul>\n<p>These signs should not wait for a routine appointment.<\/p>\n<\/div>\n<\/section>\n<p><!-- FOLLOW-UP --><\/p>\n<section class=\"tagmed-section tagmed-section--accent\">\n<div class=\"tagmed-section__header\">\n<p class=\"tagmed-section__eyebrow\">Follow-up<\/p>\n<h2>Mesurer l\u2019\u00e9volution par la fonction<\/h2>\n<p>Le suivi peut documenter la distance de marche, la dur\u00e9e assise ou debout tol\u00e9r\u00e9e, la distribution de la douleur, l\u2019engourdissement et la force. Ces changements sont souvent plus utiles que la r\u00e9p\u00e9tition pr\u00e9coce d\u2019une imagerie inchang\u00e9e.<\/p>\n<\/div>\n<figure class=\"tagmed-image-slot\">\n<img src=\"https:\/\/www.cliniquetagmed.com\/wp-content\/uploads\/2026\/08\/sciatique-fissure-annulaire-suivi.png\" alt=\"Suivi de Sciatique et fissure annulaire : une fissure du disque peut-elle irriter une racine?\" width=\"900\" height=\"1200\" loading=\"lazy\" decoding=\"async\" title=\"\"><figcaption>La progression fonctionnelle permet de r\u00e9\u00e9valuer la pertinence du plan de soins.<\/figcaption><\/figure>\n<div class=\"tagmed-feature-grid tagmed-feature-grid--3\">\n<div class=\"tagmed-card\">\n<h3>Symptoms<\/h3>\n<p>Fr\u00e9quence, intensit\u00e9 et extension de la douleur ou des paresth\u00e9sies.<\/p>\n<\/div>\n<div class=\"tagmed-card\">\n<h3>Capacity<\/h3>\n<p>Marche, travail, sommeil et activit\u00e9s importantes pour le patient.<\/p>\n<\/div>\n<div class=\"tagmed-card\">\n<h3>Main topic guide<\/h3>\n<p><a href=\"\/en\/sciatique-causes\/\">Explore the causes of sciatica<\/a><\/p>\n<\/div>\n<\/div>\n<\/section>\n<p><!-- RELATED --><\/p>\n<section class=\"tagmed-section tagmed-section--dark\">\n<div class=\"tagmed-section__header\">\n<p class=\"tagmed-section__eyebrow\">In the same guide series<\/p>\n<h2>Related guides<\/h2>\n<\/div>\n<ul>\n<li><a href=\"\/en\/sciatique-causes\/\">Causes of sciatica<\/a><\/li>\n<li><a href=\"\/en\/sciatica-herniated-disc-montreal\/\">Herniated disc and sciatica<\/a><\/li>\n<li><a href=\"\/en\/protrusion-discale-sciatique\/\">Disc protrusion and sciatica<\/a><\/li>\n<li><a href=\"\/en\/sciatique-discopathie-degenerative\/\">Degenerative disc disease<\/a><\/li>\n<\/ul>\n<\/section>\n<p><!-- CTA --><\/p>\n<section class=\"tagmed-section tagmed-section--cta\">\n<div class=\"tagmed-cta-box\">\n<h2>Vous souhaitez faire corr\u00e9ler vos sympt\u00f4mes avec vos examens lombaires?<\/h2>\n<p>Une \u00e9valuation peut aider \u00e0 d\u00e9terminer si un changement anatomique concorde r\u00e9ellement avec le trajet de la douleur, la fonction et les signes neurologiques.<\/p>\n<div class=\"tagmed-cta-box__actions\">\n<a class=\"tagmed-btn tagmed-btn--primary\" href=\"https:\/\/secure.medexa.com\/#\/onlineAppointmentInformation?APIKey=81A1E0C67C334B38A5A323031C92570D&amp;flowColor=228fa6&amp;backgroundColor=ffffff\" target=\"_blank\" rel=\"noopener\"><span class=\"tagmed-btn-text\">Book in Montreal \/ Mount Royal<\/span><\/a><br \/>\n<a class=\"tagmed-btn tagmed-btn--secondary\" href=\"tel:+18776729060\"><span class=\"tagmed-btn-text\">1 (877) 672-9060<\/span><\/a>\n<\/div>\n<\/div>\n<\/section>\n<p><!-- FAQ --><\/p>\n<section class=\"tagmed-section tagmed-faq\">\n<div class=\"tagmed-section__header\">\n<p class=\"tagmed-section__eyebrow\">Frequently Asked Questions<\/p>\n<h2>FAQ \u2014 Sciatique et fissure annulaire : une fissure du disque peut-elle irriter une racine?<\/h2>\n<\/div>\n<div class=\"tagmed-faq__item\">\n<h3>Une fissure annulaire est-elle une hernie discale?<\/h3>\n<p>Non. Les deux peuvent coexister mais d\u00e9crivent des ph\u00e9nom\u00e8nes diff\u00e9rents.<\/p>\n<\/div>\n<div class=\"tagmed-faq__item\">\n<h3>Une fissure est-elle toujours douloureuse?<\/h3>\n<p>Non. Certaines sont d\u00e9couvertes fortuitement.<\/p>\n<\/div>\n<div class=\"tagmed-faq__item\">\n<h3>Peut-elle provoquer une douleur dans la jambe?<\/h3>\n<p>Elle peut \u00eatre associ\u00e9e \u00e0 un contexte discal compatible avec une irritation radiculaire, mais la concordance clinique est n\u00e9cessaire.<\/p>\n<\/div>\n<div class=\"tagmed-faq__item\">\n<h3>Faut-il une nouvelle IRM?<\/h3>\n<p>Pas syst\u00e9matiquement; cela d\u00e9pend de l\u2019\u00e9volution et de l\u2019impact sur la prise en charge.<\/p>\n<\/div>\n<div class=\"tagmed-faq__item\">\n<h3>Le mouvement est-il dangereux?<\/h3>\n<p>Pas en soi. La reprise est g\u00e9n\u00e9ralement adapt\u00e9e selon la tol\u00e9rance.<\/p>\n<\/div>\n<div class=\"tagmed-faq__item\">\n<h3>When should you seek prompt care?<\/h3>\n<p>Si une faiblesse nouvelle ou une d\u00e9t\u00e9rioration neurologique appara\u00eet.<\/p>\n<\/div>\n<div class=\"tagmed-faq__item\">\n<h3>Which signs require emergency care?<\/h3>\n<p>Troubles urinaires ou intestinaux nouveaux, anesth\u00e9sie de la selle ou faiblesse majeure.<\/p>\n<\/div>\n<\/section>\n<p><!-- REFERENCES --><\/p>\n<section class=\"tagmed-section tagmed-disclaimer\">\n<div class=\"tagmed-section__header\">\n<p class=\"tagmed-section__eyebrow\">Medical references<\/p>\n<h2>References and guidelines<\/h2>\n<p>Ces r\u00e9f\u00e9rences servent de cadre g\u00e9n\u00e9ral pour l\u2019\u00e9valuation de la lombalgie avec sciatique, l\u2019imagerie et la radiculopathie. Elles ne remplacent pas une d\u00e9cision individualis\u00e9e.<\/p>\n<\/div>\n<ul>\n<li><a href=\"https:\/\/www.nice.org.uk\/guidance\/ng59\/chapter\/recommendations\" target=\"_blank\" rel=\"noopener noreferrer\">NICE NG59 \u2014 Low back pain and sciatica: assessment and management<\/a><\/li>\n<li><a href=\"https:\/\/acsearch.acr.org\/docs\/69483\/Narrative\/\" target=\"_blank\" rel=\"noopener noreferrer\">American College of Radiology \u2014 Appropriateness Criteria: Low Back Pain<\/a><\/li>\n<li><a href=\"https:\/\/www.spine.org\/Portals\/0\/assets\/downloads\/ResearchClinicalCare\/Guidelines\/LumbarDiscHerniation.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">North American Spine Society \u2014 Lumbar Disc Herniation with Radiculopathy<\/a><\/li>\n<\/ul>\n<p><div class=\"zotpress-random-references\"><div id=\"zotpress-80a418e700df1328cf6cf7580ffda51d\" class=\"zp-Zotpress zp-Zotpress-Bib wp-block-group\">\n\n\t\t<span class=\"ZP_API_USER_ID ZP_ATTR\">722490<\/span>\n\t\t<span 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id=\"zp-ID-92372-722490-7XN435R3\" data-zp-author-date='Gionis-0000-00-00' data-zp-date-author='0000-00-00-Gionis' data-zp-date='0000-00-00' data-zp-year='0000' data-zp-itemtype='journalArticle' class=\"zp-Entry zpSearchResultsItem\">\n<div class=\"csl-bib-body\" style=\"line-height: 1.35; padding-left: 1em; text-indent:-1em;\">\n  <div class=\"csl-entry\">Gionis, Thomas A. \u201cAdvances in Biotechnology Improve Clinical Outcomes for Spinal Decompression.\u201d <a class=\"zp-ItemURL\" href=\"https:\/\/www.bayareabackpain.com\/images\/2019\/04\/320.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.bayareabackpain.com\/images\/2019\/04\/320.pdf<\/a> (December 16, 2024).<\/div>\n<\/div>\n\t\t\t\t<\/div><!-- .zp-Entry .zpSearchResultsItem -->\n\t\t\t<\/div><!-- .zp-zp-SEO-Content -->\n\t\t<\/div><!-- .zp-List -->\n\t<\/div><!--.zp-Zotpress-->\n\n<div id=\"zotpress-9edea65f3bd9130451479fcfb766f85f\" class=\"zp-Zotpress zp-Zotpress-Bib wp-block-group\">\n\n\t\t<span 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id=\"zp-ID-92372-722490-9KCDL5VW\" data-zp-author-date='Jimenez-0000-00-00' data-zp-date-author='0000-00-00-Jimenez' data-zp-date='0000-00-00' data-zp-year='0000' data-zp-itemtype='journalArticle' class=\"zp-Entry zpSearchResultsItem\">\n<div class=\"csl-bib-body\" style=\"line-height: 1.35; padding-left: 1em; text-indent:-1em;\">\n  <div class=\"csl-entry\">Jimenez, Alex. \u201cLumbar Traction Decompression Therapy For Low Back Pain.\u201d <a class=\"zp-ItemURL\" href=\"https:\/\/personalinjurydoctorgroup.com\/2022\/04\/22\/lumbar-traction-decompression-therapy-low-back-pain\/\" target=\"_blank\" rel=\"noopener\">https:\/\/personalinjurydoctorgroup.com\/2022\/04\/22\/lumbar-traction-decompression-therapy-low-back-pain\/<\/a> (December 16, 2024).<\/div>\n<\/div>\n\t\t\t\t<\/div><!-- .zp-Entry .zpSearchResultsItem -->\n\t\t\t<\/div><!-- .zp-zp-SEO-Content -->\n\t\t<\/div><!-- .zp-List -->\n\t<\/div><!--.zp-Zotpress-->\n\n<div id=\"zotpress-cd39db26ffd5d614c5db6b45daab80fd\" 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Une anomalie d\u2019imagerie peut \u00eatre asymptomatique; son importance d\u00e9pend de sa concordance avec les sympt\u00f4mes, l\u2019examen et l\u2019\u00e9volution.<\/p>\n<\/section>\n<div class=\"tagmed-signature\">\n<p><strong>Sylvain Desforges, docteur en ost\u00e9opathie<\/strong><\/p>\n<p>TAGMED Clinic \u2014 Spinal decompression, specific osteopathy and assessment of low back, disc-related and sciatic pain.<\/p>\n<p><a href=\"\/en\/sylvain-desforges-osteopath-2\/\">Professional profile<\/a> \u00b7 <a href=\"\/en\/contact\/\">Contact<\/a> \u00b7 <a href=\"\/en\/sciatica-treatment-montreal\/\">Main guide to sciatica in Montreal<\/a><\/p>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Clinique TAGMED Montr\u00e9al \/ Mont-Royal Sciatique et fissure annulaire : une fissure du disque peut-elle irriter une racine? 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