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WebJan 29, 2015 · At times there will be two letters involved like L5-S1 which means the last vertebrae of the low back and the first part of the sacrum. If your report states you have an ANNULAR TEAR this means that the disk which filled with a jelly-like substance has torn open. The tear causes the jelly-like substance to gradually leak out. WebDr. Leonard Marchinski, MD is an Orthopedic Hand Surgery Specialist in Wyomissing, PA. Dr. Marchinski studied at Med Coll of PA. They currently practice at Reading Neck and Spine Center and are affiliated with Penn State Health St. Joseph Medical Center. Dr. diane schuler family
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