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Dr David Oehme
Australia
เข้าร่วมเมื่อ 24 เม.ย. 2018
I'm Dr David Oehme, a Melbourne based Neurosurgeon & Spine Surgeon, and minimally invasive specialist.
I created this TH-cam channel to provide accurate information to patients about common spine conditions, and what the role of spine surgery might be.
For more information visit my website at: www.doneurosurgery.com/
Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.
I created this TH-cam channel to provide accurate information to patients about common spine conditions, and what the role of spine surgery might be.
For more information visit my website at: www.doneurosurgery.com/
Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.
Herniated spinal discs - Where do disc prolapses occur?
In this video, I talk a about the basics of spinal anatomy and the common locations where disc herniations occur. Disc herniations, or disc prolapses, most commonly occur in the lower lumbar spine. They can also occur in other spinal locations including the neck and thoracic spine.
For more information visit my website at:
www.doneurosurgery.com/
To book an online telehealth appointment with Dr David Oehme visit www.specialistbooking.com
This video provides general information about spine and neurosurgical conditions and is not intended to be specific medical advice related to your current medical condition. The information provided is Dr David Oehme’s opinion.
Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.
For more information visit my website at:
www.doneurosurgery.com/
To book an online telehealth appointment with Dr David Oehme visit www.specialistbooking.com
This video provides general information about spine and neurosurgical conditions and is not intended to be specific medical advice related to your current medical condition. The information provided is Dr David Oehme’s opinion.
Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.
มุมมอง: 763
วีดีโอ
Spinal stenosis, Sciatica and Back Pain. Treatment Options.
มุมมอง 5K6 ปีที่แล้ว
In this video, I talk about the treatment options for spinal stenosis. Focusing on the lumbar spine, I discuss the various options you might have to manage the condition. Options for managing stenosis include: 1. Pain medications 2. Anti-inflammatory medications 3. Physical therapies 4. Clinical Pilates 5. Epidural steroid injections 6. Surgery to decompress the nerves - laminectomy For more in...
Spinal Stenosis. What is it?
มุมมอง 3.8K6 ปีที่แล้ว
In this video, I talk about spinal stenosis. Focusing on the lumbar spine, I discuss the causes and symptoms of spinal stenosis, also know as lumbar canal stenosis. Spinal stenosis essentially means narrowing of the spaces where the spinal nerves are. Most commonly it is due to spinal degeneration, or "wear and tear." Less commonly it can be due to trauma, infection or some types of tumours. Sy...
Surgery for spinal stenosis - lumbar laminectomy
มุมมอง 48K6 ปีที่แล้ว
In this video, I talk about surgery to treat spinal stenosis. Focusing on the lumbar spine, I discuss the process of performing a lumbar laminectomy. I also discuss the potential risks of undergoing this common surgery. Lumbar laminectomy, or lumbar decompression, is a procedure performed to alleviate symptoms of lumbar canal stenosis - compression of the nerves in the lower back due to spinal ...
Neck Pain and cervical disc herniation. Surgery and other treatment options.
มุมมอง 6K6 ปีที่แล้ว
Disc herniations not only occur in the lower back (lumbar spine) but can also occur in the neck (cervical spine). In fact, disc herniations or bony spurs, in the neck are very common. When this happens it can cause pressure on a nerve which causes pain. In this video, I talk about disc herniations the neck, what symptoms they can cause and what treatment options you have. Typically, symptoms in...
Risks of surgery on the neck - ACDF and cervical disc replacement.
มุมมอง 154K6 ปีที่แล้ว
Surgery to treat a disc herniation in the neck is usually performed through a small incision in the front of the neck. Once the herniated disc is removed, a fusion (ACDF) or disc replacement is performed. Surgery is very effective to treat symptoms of nerve pain and is generally a common and safe surgery to undergo. In this video, I talk about risks of surgery for both an anterior cervical fusi...
Neck pain and disc herniation surgery. ACDF and disc replacement.
มุมมอง 19K6 ปีที่แล้ว
Surgery to treat a disc herniation in the neck is usually performed through a small incision in the front of the neck. Once the herniated disc is removed, a fusion (ACDF) or disc replacement is performed. Surgery is very effective to treat symptoms of nerve pain. In this video, I talk about how surgery for both an anterior cervical fusion and disc replacement is performed. Both can be used to t...
Spinal Fusion and Back Pain? Neurosurgeon Explains.
มุมมอง 6K6 ปีที่แล้ว
In this video I explain what Spinal Fusion involves and why a spine surgeon might recommend spinal fusion to treat a variety of spinal conditions. Spinal fusion involves stabilising a segment of the spine to allow bony union to occur across that segment, thereby immobilising that segment of the spine. The spinal segment to be fused is generally immobilised by the insertion of a rigid metal cons...
Risks of Back Surgery. Microdiscectomy for lumbar disc prolapse.
มุมมอง 81K6 ปีที่แล้ว
Most lumbar disc prolapses are treated surgically by performing an operation called a microdiscectomy. In this video, I explain in detail the likely outcomes of successful surgery to treat a disc herniation causing sciatica, and the potential risks and complications of this surgery (microdiscectomy). For more information visit my website at: www.doneurosurgery.com/ To book an online telehealth ...
Herniated disc, Disc Prolapse and Back Pain
มุมมอง 8K6 ปีที่แล้ว
In order to understand the various treatment options and the role of surgery to treat a disc herniation (disc prolapse), it's important to know what an intervertebral disc is and what a disc herniation (or prolapse) is. In this video, I explain the basic anatomy of the lumbar spine and lumbar intervertebral discs, and talk about what happens when a disc herniates or prolapses causing sciatica. ...
Dr David Oehme - Melbourne Neurosurgeon & Spine Surgeon
มุมมอง 4K6 ปีที่แล้ว
I'm Dr David Oehme, a Melbourne based Neurosurgeon & Spine Surgeon, and minimally invasive specialist. I created this TH-cam channel to provide accurate information to patients about common spine conditions, and what the role of spine surgery might be. For more information visit my website at: www.doneurosurgery.com/ To book an online telehealth appointment with Mr David Oehme visit www.special...
Back surgery for a lumbar disc herniation - microdiscectomy
มุมมอง 20K6 ปีที่แล้ว
Back surgery for a lumbar disc herniation - microdiscectomy
Symptoms of a lumbar disc herniation or disc prolapse?
มุมมอง 35K6 ปีที่แล้ว
In this video I talk about back pain, sciatica and other symptoms that can be caused by a lumbar disc herniation, or disc prolapse. Many disc prolapses will be asymptomatic, so just because you have a disc bulge on your MRI it does not mean it is causing any problems. For more information visit my website at: www.doneurosurgery.com/ To book an online telehealth appointment with Mr David Oehme v...
Sciatica explained by a Neurosurgeon
มุมมอง 13K6 ปีที่แล้ว
In this video I explain what sciatica is. Essentially sciatica is leg pain caused by abnormal pressure on a nerve in the lower back. The most common cause of sciatica is a disc herniation, or prolapse. I also discuss the role of x-rays, CT and MRI to diagnose the cause of sciatica. For more information visit my website at: www.doneurosurgery.com/ To book an online telehealth appointment with Dr...
Treatment options for a lumbar disc herniation
มุมมอง 14K6 ปีที่แล้ว
In this video I talk about the various treatment options for managing a lumbar disc herniation and sciatica. I discuss the various non-operative strategies that should be tried prior to considering surgery. For more information visit my website at: www.doneurosurgery.com/ To book an online telehealth appointment with Mr David Oehme visit www.specialistbooking.com This video provides general inf...
What are the the long term side effects of lumbar spinal disc surgery (microdiscectomy)?
มุมมอง 41K6 ปีที่แล้ว
Most lumbar disc prolapses are treated surgically by performing an operation called a microdiscectomy. In this video, I explain the long-term implications of undergoing surgery to treat a disc herniation causing sciatica. I also discuss non-operative methods to prevent the longer term complications of disc surgery, which include back pain and recurrent disc herniation. For more information visi...
I’m scared of becoming paralyzed from the neck down !
My wife is so bad if I have to I’ll sell my house she’s only 54 c6andc7
I h It’s been about four months since my ACDF surgery, and I haven’t noticed any change in the chronic pain in my neck or left arm, nor in the numbness in my fingers. The surgery feels like it was a waste of time and energy, with no improvements at all. The only difference I feel is the elimination of throbbing chronic nerve pain but I still feel the severe pain. 🤷🏽
We will never be same….done c4-c7 acdf 16 months ago and fell more bad then good …the worst part is when my neurosurgeon say I did my job and now you can see pain doctor ….
We will never be same….done c4-c7 acdf 16 months ago and fell more bad then good …the worst part is when my neurosurgeon say I did my job and now you can see pain doctor ….
I am dizzy from that shit
I had the acdf surgery c5/c6. The nerves regrowing is trippy
I went for steroid ct inject today, and Doctor booked me for other 2 root nerve infections for the next few weeks. I still have no idea about this. I have to see my GP to discuss about this. If you don’t mind can you give me ideas?
Numbness on my lower right leg
I saw neurosurgeon surgeon today after a 5 year wait and am in for fusion of C5/6 in 3 days as had signs of myolopathy. Have to admit I am worried about fusion at age 60 as have multi-level degeneration and anteriolesthesis at C3/4 and severe osteophyte formations and stenosis at C6/7, so am worried that it may cause a lot of problems with the joints above and below the fusion much earlier. If it does what happens then?
Why is fusion used instead of a disc replacement or endoscopic surgery to remove the herniation or kyphoplasty for foraminal stenosis? Can this be done in the cervical spine? Thank you.
I have the same question and it would be a lot easier on the patient. I'm having surgery on July 26th.
@@lindamari1000 from what I have researched it seems they have a lot of disc replacements failures too. In mine, I had a lot of osteophyte formation, foraminal and central stenosis and the disc was badly deteriorated and squashing the spinal cord, so there was too much instability for them to do the day endoscopic surgery just cleaning up bony growth and stenosis and nipping off the bulging bit of the disc. Basically I was too far gone and the neck needed stabilising. If I could afford to go to Florida I would have gone to Caring Medical for their prolotherapy and curve correction therapy, but it was too late for me anyway. I am now a month post ACDF and doing OK. Make sure you research eating to support fusion... collagen, protein, vit C, Vit D + K2, calcium, magnesium. Talk to your doctor, dietician or pharmacist/herbalist for a balanced diet or safe supplements. Can't have fish oils, vit E, NSAIDS, turmeric, ginkgo biloba, anit-inflammatory supplements etc as these can hinder fusion. Have to be careful with supplements and liver and kidney so always good to get advice. I have lass range of motion than before, hurts to turn head too far left or right so will see a physio after the 6 weeks to work on that. Good luck, hope you will feel a lot better once its done.
He can’t pronounce cervical
I’ve had twitching of the bladder. My sciatica pain has got a lot better but still got a big disc bulge in my lower back.
I am 8 days done with my surgery, I am so happy with the result, and the power started to go back to my right hand but I have been having muscle tension in my thorasic spine muscles and they are giving me hard time sleeping. After all I am glad I did this surgery after 22 years of pain.
I will have mine in a couple of months from now. 2 discs implant for a c3 to c6 disc herniations. Wish me luck!
@@docmacwoodwerksi wish you luck, finished 4 months thanx be to Allah almighty, I am getting better
@Veterans2009 that is so great and glad to hear ur doing good!
The anestesia is the best part. Tequila!!!!
What are the chance of being paralyzed if you don’t have the surgery
I’m in the same spot! I don’t want surgery either lol
May not be life threatening but it certainly has ruined my quality of life over the last 9 months. Finally got a microdiscectomy but still have horrible sciatica. Only been two weeks but I'm losing hope.
How long after decompression does it take to get relief from numbness??
How long for numbess to subside??? Anyone??
Had failed laminectomy, failed discectomy, multiple injections, physical therapy.. I’m not equipped with the patience to debate whether or not I can have pain meds. Give them to me.
Thank you for this amazing explanation about the risks around this surgery. I may have to do it, and I have been horrified about the dangers. This offers some degree of comfort, thank you.
I had this surgery in 2019. I had no problems until about a week later, when I got a blood clot in my lung that almost killed me.
My lord
It is not related i guess. But hoping you are well by now.
Or maybe related if you didnt mobilise yourself immediately post op.
Hello Doc, I've been so skeptical about surgery after having a recurrent sciatica with graduating pain over four months, I now make a decision to walk to my neurosurgeon confidently. This pain must come to an end coz it has denied me sleep.
DO IT!!!! The worst mistake I made was waiting too long to get this surgery. Get the surgery and you will IMMEDIATELY feel better. The longer you wait, the more likely you will lose muscle strength.
Thanks for the giving the actual numbers for the chances of complications. Very reassuring.
Isn't there any other pains that happen. My Osteopath can't work out what's wrong with my back, but she thinks I could have a herniated disc..... but whenever I look up symptoms of herniated discs the only symptoms mentioned a sciatica..... what if I don't have sciatica, but I have other muscular pains/inflammation/aches/tightness, especially at night when sleeping - specifically after 4-5 hours of sleep..... could this still be a herniated disc?
I’m the unlucky one who ended up with nerve damage and now neuropathy
Oh no
Sorry to hear that😕,Have you gotten Any better since?
@@emmanueltejada7457 much worse 6 years lost mobility and left with nerve pain in hands and feet
Hello Doctor so if my pain is only on my back but I have a disc problem and also stenosis would you recommend surgery
L4-5. there is a small left foraminal disc protrusion superimposed upon a diffuse disc annular bulge with mild facet arthropathy and endplate spurring. Mild left foraminal narrowing results. The central canal and right neural foramen appear patent. That’s my MRI I have my big toe and big toe areas numb sometimes does it need surgery?
Fuck spine fusion crap never do it it is a scam !!!!! My life was destroyed by this fucking surgeries.I sued this mother fucking surgeon bitch
A little scary when the surgeon can’t pronounce cervical…
Oh brother… he’s from Australia! Things are pronounced differently 🙄
Haha ya makes me a bit nervous 😂
Can you swallow tablets after this surgery or not do you get pcp for 24hrs for pain
I had the same kind of surgery and my spinal cord It’s hurting me all the way to my anus. 😢😢😢 i’m scared I don’t lose my life or my leg. 😭😭
what about laser surgery? how does this fair against thst?
Is this problem permanent or temporary?
My dad had spinal stenosis and immediately after surgery and was paralyzed from the neck down and ended up passing a month later in the hospital.. he never got to come home and he couldn’t even speak because they had to go through the front of his neck as well. Something just always didn’t sit right with me about his surgery 😢
Omg!!! Sorry to hear about this! My condolences
Stay away from surgeries.
Appreciate it again 🇺🇸
Thanks again 🇺🇸
Thank you ,
I had a c4,c5 fusion in 2021(2 years ago) since day 1 the incision did not close properly, leaking pus for the last 2 years. I have been on 8 rounds of antibiotics including 2 rounds for methicillin resistant bacteria. In those 2 years I have had cat scan , mri , esophageal studies, been from dermatologist to ENT to neurosurgery, wound care doctors, ... ENT , this last accessed it 1 year ago and found a tract (a "canula/straw" type of tissue removed, incision is open again with yellow viscous pus draining daily, ) All the studies show only a tract again, no problem with the equipment , no problem with the esophagus.. I am currently with a different neurosurgeon,... and they (as the last) don't have a clue... I'm in North Carolina... who else would you advise me to visit?
I've been advised against the op'ON THE NHS O COURSE)I HAVE THE CONDITION FOR YEARS DOC IS HAPPY (AND SO I MANAGE IT AS INTRUCTED BY HIM .SHOULD I NOT TRUST A DOCTOR.I Have heard very concerning opinions.
I had surgery in c6-7 and I am have sharp pains udder my right shoulder blade what should I do
Sir kindly help me.. My MRI Report is Posterior annular bulges in L4-L5, L5-S1 levels causing focal mild canal narrowing. No significant neural foramen narrowing / nerve root compression. Early facetal arthrosis in L4-L5, L5-S1 levels. Tiny perineural cyst in bilateral neural foramen at L3-L4 level Suggest me treatment.. Pls
I had lumber herniated microdisactomy surgery, I just want to know that teared annulus is that also fixed and nucleus shouldn't come out with the teared annulus for ahead right?. If not , how to fix the tared annulus? And how to increase volume of nucleus
My only question is will be able to go back to Judo and Jiu Jitsu after a year of recovery from surgery on my herniated disc?
I'm not a doctor but hell no , once the lesion is there it's there for life , heavy bending and movements will damage the spine more , especially if your grappling
For those who need some first-hand experience thoughts on this procedure, here you go. Got this exact surgery (Microscopic Lumbar spinal decompression discectomy) done on Valentines day this year (2023). Now nearly 3 weeks post op. For me unfortunately it wasn’t an immediate relief. My disc herniation was from 2020 (MRI Proven). Got conservative treatment to avoid surgery per NHS protocol (physio + steroid/block injections). Had 2 spine injections only (as there was a long waiting list because of the pandemic). The pain relief from the 1st injection lasted for 3 months, the 2nd injection pain relief only lasted for 1 month. I was already walking limping and lopsided (I have left L4-5 large disc herniation that compressed my L5 nerve root). I was already crying at work as I work clinically in healthcare. Since my symptoms has been here for long, the surgeon has told me there may still be pain after procedure but should be so much less. This is true in my case. My disc was calcified and it was a difficult surgery as my surgeon said. My surgery lasted for 3.5-4hrs. It was done under general anaesthetic. I was admitted for 4 days post op because of pain control. I was in so much pain. All people have different thresholds though so this may be because of me. I had physio sessions when I was inpatient and was referred to outpatient afterwards. They have provided me with crutches and a commode as I have a downstairs toilet and I have urine leaks already (It was then said not to be cauda equina). I needed the crutches to walk and stand post op as my back felt so sore I feel like falling any minute. I had a drain in my back which was removed 2 days post op. My wound is +/- 3 inches long and the outer wound has healed. 3 weeks in post op and I can walk short distances without crutches but sometimes have some imbalance. I also experience shooting spasms in the back from time to time but not often. I bought a grab stick so I wouldn’t bend when I drop anything and I follow my physio instructions to always log roll in getting in and out of the bed. I bought an orthopaedic mattress and pillow. My left leg outer calf and big toe is still numb up to now. The nerve will take time to heal so I have to wait. I try to be as sedentary as I can be to allow healing for my spine. Thankful for having a great surgeon (Mr. Sherief) and Anaesthetist in the NHS. I hope this helps some who need it. ❤
How you feeling now?
Way better. The back pain is still there, but not as much as it was. From 11/10 pain score, it is now down to 2-3/10. I don’t have leg cramps anymore although part of my leg and big toe still feels numb. The surgery is worth it. But those who will undergo the same operation should be aware of the risks. My ultimate aim is to have better quality of life as I was warned that my back pain may be there for a lifetime now due to the severity and the length of time I was enduring it (4 years).
@@teic1379 Amazing, thank you for sharing your experience Modern medicine really is a miracle.
This is not helpful or specific
If it in acute stage And very severe pain we can wait for conservative ttt
what is the future of neck surgeries. will the risks be lower let's say in 5 years? 10 years? when will doctors. use robot for higher precision?
I had disk replacement 3 to 7 spinal stenosis, plate 8 screws, I'm almost sixty, I refuse to quit quality of life, some pain but tolerable waiting for it to fuse
Thanks for this excellent informative video. I just wanted to know if a patient ends up requiring a cervical fusion from C4-C5, C5-C6, what flexibility will He-She be left with? Can you still drive a car? Reverse your car while looking left and right? Be able to cut your toe nails or put on your socks? Would be any other restrictions? Thank you.