3 signs you (may) need spine surgery
ฝัง
- เผยแพร่เมื่อ 9 พ.ค. 2024
- 0:10 Cervical myelopathy
2:23 Cauda equina syndrome
4:30 Disabling pain
Relevant videos:
Don't have spine surgery if... : • Don't have spine surge...
Risks of spine surgery: • RISKS of spine surgery
Anterior cervical diskectomy and fusion: • ACDF [cervical fusion]...
For more information, please visit:
www.MustafaKhanMD.com
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Always so professional, thank you!
Thanks for watching!
I have had Cauda Equina symptoms a several years had to push doctor and finally got MRI l4-l5 pinched nerve,l3-l4 grade 1 spondylolisthesis with disc protrusion osteophytes ll2-l3 nild broad-based disc bulge, l1-l2 narrowing disc, mild retrolisthesis, small disc bulge, t12-l1 mild disc bulge degenerative fact change L5-S1 mild disc protrusion mild degenerative fact change ligamentum flavum hypertrophy (Severe right neural foraminal narrowing I am 71 female.
Noted. I hope you have consulted a spine-surgeon/ neurosurgeon for this matter.
The best doc
Thank you, appreciate your kind words 🙏
Thank you for sharing your knowldge in such a simple way to understand it.
Assalamualikum dear doctor 💊 Thank you for the useful information. Blessings and ❤ for you. Long live and stay well. BANGLADESH
Thank you for watching, appreciate it 👍
In detail to the point discussion ❤
Drs never offered to help sent me for years in circles. Have the majority of what you have spoken about all I do is to see another day
Thank you for watching. Your comment is very insightful: I agree, sometimes patients are made to go around in circles by their doctors, without clear answers. I need to make a video about it.
Dr sb better option for this surgery lateral mass screw fixation cerviacl surgery ??
Lateral-mass screws are used for posterior cervical fusion, which is less commonly performed than ACDF.
My video about ACDF is here:
th-cam.com/video/5HPlzxWN2dk/w-d-xo.html
and
th-cam.com/video/rboB5n4aIVo/w-d-xo.html
Sir, this explanation was v. helpful, thank you. Could you shed some light on the following topic: what should be the relation between symptoms and MRI/RTG, should always be confirmation in the image of the reported symptoms and clear answer why the symptoms happen and what exactly should be remove/decompresed? What is image is more or less the same over a period of time but symptoms changed: from pain in the left leg to pain in the right leg or central pain? How such symptoms could be explained with similar image?
Thank you for reaching out.
There is a high correlation between the findings of the MRI and symptoms, but not 100%.
Usually, most patients with moderate-severe stenosis by MRI will have moderate-severe symptoms.
I have a video which may be of help to you:
Don't have spine surgery if...
th-cam.com/video/ovSTtD08Olw/w-d-xo.html
Hi, Doctor! If someone has had sciatica for 5 years, but it isn’t disabling and they can still do all the things they love, would you recommend they get surgery just due to the length of time that they’ve had it? (No red flag symptoms, no concerning MRI findings, no neurological symptoms, etc.)
Thank you for reaching out.
I think the best option for any patient facing your situation is to get a consultation with a spine-surgeon, where you can candidly discuss the surgical & non-surgical options. Since each patient's condition is unique, therefore the decision to have surgery vs. not have surgery is also unique to each patient.
I suggest that you watch the following video, which may help you:
th-cam.com/video/ovSTtD08Olw/w-d-xo.html
Good luck! 👍
Hello doctor,
I had been having back ache issues for a long period, but since January the pain was unbearable and I consulted an orthopedic doctor and he suggested some pain killer and nerve relaxation medication. It used to work sometimes and sometimes not. In march i took a cordalblock injection, it gave me relif,but on may 19th the pain suddenly reappeared and it was totaly bad. I got pain killer through IV but not much help. I unbearable went a spinal fusion surgery on L3,L4,L5 and S1. There is no pain sincethen but the strength on the affected leg is very less and I am using a walker for my needs. Started physiotherapy since discharge and now zi am able to walk without the help of a waker but my hip falls when walking and I am not 100% as I cant walk like normal people. Can you suggest what has gone bad in my condition.
Sujit
Hello Sujit,
Thank you for reaching out.
Obviously I cannot comment on your specific condition (since the particulars/ details are not available to me), but I can tell you that it is not unusual to have some transient weakness after surgery (if the nerves are severely compressed before surgery). For most patients the weakness gets better over time (may take over a year) with physical therapy. Hang in there, be patient, stay positive. Recovery after spine surgery takes a long time.
Good luck to you 👍
Sure doctor, thanks for valuable advice 👍
My endoscopic spine surgery done 2 month ago.but my incision area is stiff now and pain feel while sitting on a chair or bed. Please told me when I can bend front and properly fine
Thank you for reaching out.
Obviously I am not familiar with your particular case, so I cannot recommend any treatment(s). The best course of action would be for you to ask your surgeon if physical therapy may be helpful. Depending on the type of surgery you had, your surgeon may order a specific physical therapy program for you.
Good luck to you, wishing you an excellent recovery 🙏
or spinal cord stimulation advice me for cervical plzz rply
Since spinal cord stimulators are usually implanted by Pain-Management specialists, I would recommend a consultation with PM to answer this question.
Hi, my dad has massive pain, he has some sort of apparatus that joined two vertebrae together, i don’t know the details of it, but the thing is, he got the surgery done to alleviate pain, not increase it, on top of that, he almost died 3 times in 10 days after puking a liter of blood cause of a big ruptured ulcer.. it’s heartbreaking to witness, ive slept on the hospital floor for 2 weeks till 10 of may 2024, now im taking care of my dad at home, he is 66 years young, but his massive spine pain doesn’t let him live, the strong pain killers are what supposedly caused the ulcer… so its a vicious cycle and i dont know how to help him to remove that terrible back pain. I wish i could help 😭
Im doing everything in my power so he can be well, but i wish i knew how to remove his pain
Sorry to hear about the very difficult situation that you and your dad are dealing with. In such cases (when spine surgery is not recommended) it may be reasonable to ask a Pain-Management physician if your dad may be a good candidate for a spinal-cord stimulator or a pain-pump.
Wishing you and your dad all the best, good luck 👍
Peace be with you.
What type of surgery is done for Cauda Equina and how does recovery go?
Thank you for reaching out. Usually a laminectomy is performed to relieve the pressure/ compression of the cauda equina. I should, at some point, make a video about this condition. Stay tuned.
Do you take new patients and what town do you practice.
Do you believe in the “Double Crush Syndrome” theory? That stenosis in the cervical spine can amplify neurological problems lower in the body, such as arms and legs?
Thank you Sir.
Yes, DCS is a real phenomenon. The most common example is when a nerve is pinched in the neck (i.e. cervical radiculopathy) and the same nerve is pinched at a second location in the arm (such as carpal tunnel syndrome).
@@SpineSurgeonSpeaks that explains exactly what I’m dealing with. I am a sheet metal worker by trade and had carpal tunnel surgery 21 years ago. Worked great. Advancements in hand tools in the last 20 years has really helped with less manual hand cutting. I have chronic neck pain with both spinal and foraminal stenosis. On occasion it’s feels like my carpal tunnel has come completely back, especially at night. In a week or two later it just seems to disappear.
The Surel nerve in my left leg has no response. I notice with the more painful cervical flareups my left foot gets painfully numb and is starting on my right foot as well. But not sure if related.
Thank you so much for your rely!