I have a mild dextroscolosis with the apex at vertebrae L3. I am 70 and have disk problems L 3-4-5-S1. I have stenosis in several areas with nerve compression. The surgon Dr Gordon in Tyler did a neck fusion in Aug on C4,5, and 6, and it has done great. He said he could not do surgery on my lower back, as I would need a physician that does scolosis correction surgery. I have numbness in my feet, so I dont think I have any choice but the surgery. I have had ablation for the facet arthritis and that helped that pain, but I have disabling pain with little activity, especially if it involved bending. It's a bit scary to think about the scolosis surgery.
My Neurosurgeon says my stenosis pretty bad. One of the Neurosurgeons told me I could try the MILD procedure- as I am not wanting a small radio in my back. I saw many non - successful spinal laminectomies, during my time working as a Medical Social Services on that Unit. It worries me. I am also a Lupus patient.
I haven't found any information on ligamentum flavum being the cause of spinal stenosis. I had L4-5 laminectomies. I did well for a month then I noticed that my symptoms had changed from one leg and foot to the other leg and foot but not all of the problems had returned. For the next 2.5 years I tried to convince my PCP that something wasn't right I talked to my surgeon and all I got was you need to take medicine like gabapentin/Lyrica and do a course of PT & walk. Well bad medside effects later and three rounds of PT did not help. I went to a interventional pain doctor who said that it looked like the surgeon had missed something but he didn't say what it was, but apparently the ligamentum flavom had reappeared and was the cause of my symptoms. I'm going in for my second ESI tomorrow and hope the first one wasn't a placebo, because his nurse says we'll give you something stronger next time that'll last longer 🤔 and that the second one will work. Please talk more about that being the cause of a second round of severe spinal stenosis. Are these ESIs just chasing a temporary fix and delaying further surgery?
@@DonnallySpineConsult If the ligamentum flavon was cut out when the laminectomies were done how can it be returned that enough to cause another episode of spinal stenosis 2 years later? Why have the laminectomies in the first place? Now my back is not stable and I can feel it crunching and grinding when I twist it. Is this guesswork on the part of the surgeon?
Hi Dr Donnally. I'm from Chicago and next month I will be getting a spine fusion on L4L5 from a Rush Hospital top spine surgeon. Rush is renowned to be among the best ortho hospital here. The doctor will be doing it at different location, like their spine surgery center in downtown Chicago. Would that be ok compared to doing it a hospital itself? Also I was wondering if you can mention that doctor's name or if you have peers here that is as good and confident as you. I'm hoping my doctor is the one you are referring to. BTW you going to NASS here next week! Always thank you for all you do!
@@janjoy9759 surgery went well. 2.5 hours procedure and 2- 3 hour back in the recovery room, then home. Sciatica pain is all gone. It's been a week since surgery. Been walking and climbing stairs to help with the surgical site healing.
What is the difference between foraminal stenosis central canal stenosis and spinal stenosis. I have all 3 foraminal stenosis on cervical. Central canal stenosis on thoracic and spinal stenosis on Lumbar just a combination of the 3 is one stenosis worse than the other?
I had ACDF on 2 levels and ADR on one level. Recovery has been devastating and I am looking for a new surgeon. The current one just doesn’t connect with humans. I think the surgery was a success. It was done at a teaching hospital. Anyone in Pgh area you’d redo
My daughter had a micro discectomy in September and her surgeon recommends L4 L5 and L5 S1 fusion, which we believe is likely needed. We wanted a second opinion but Dr Goz’s office said their second opinion has to be six months after the first surgery. Do you have the same restriction for a second opinion?
I just had 3 level ACDF 4 weeks ago. I felt as though I had to get surgery because I had weakness and atrophy on my left upper body. Now I’m left with feelings of despair in hopes of recovering. Life can be great one moment and suck the very next
I had a cervical disk replacement surgery for c5 c6 c6 c7 in 2016 now again have pain Dr's told me u have cervical stenosis can I aga have surgery to cure this
Can you please provide an email address to send my MRI results… l listen to you all the time and believe your knowledge and experience is sound… You’re generous with your information and I appreciate that…
Hey there, Dr. Donnally does about 15 new patient telemedicines💻 every week. Here is the best path forward: 1- email your insurance card to Spine@TSCspine.com (We can’t take Medicaid. Private pay is sometimes an option, unless Medicaid) 2- if we take that insurance THEN upload your images to my portal for your 1st visit. (The only HMO we take is BCBS). 3- I must have X-rays and MRI, X-rays are critical! “Just” MRI isn’t enough and is a misuse of your time. It needs to be from last 12 months. Nothing older is needed or wanted. Cant stress this enough, must have BOTH: x rays and MRI. 4- You need to get your CD of your X-ray and MRI (imaging centers will NEVER send them to us) 5- On the top of my website (www.DonnallySpine.com) is the link to UPLOAD images, from YOUR HOME! 🥰(or at a CVS with Physician LookUp Code k5037438) 6- To recap: email us, get CDs, THEN upload! Step by step: th-cam.com/video/HpKOfI_1FSs/w-d-xo.html - Again- no Medicaid. Must have your X-rays and MRI.
Can you recommend a colleague here in the Chicagoland area if you can please. My fusion is scheduled for next month and I still have time to make sure that path is the best for me. Second opinion. Thank you!
👀. I’m maybe 100 minutes away. Happy to recommend other doctors, even in Dallas, even in far EAST Dallas. But yes I’m not too far away from you at all. Best of luck if you take it
I have a mild dextroscolosis with the apex at vertebrae L3. I am 70 and have disk problems L 3-4-5-S1. I have stenosis in several areas with nerve compression. The surgon Dr Gordon in Tyler did a neck fusion in Aug on C4,5, and 6, and it has done great. He said he could not do surgery on my lower back, as I would need a physician that does scolosis correction surgery. I have numbness in my feet, so I dont think I have any choice but the surgery. I have had ablation for the facet arthritis and that helped that pain, but I have disabling pain with little activity, especially if it involved bending. It's a bit scary to think about the scolosis surgery.
Oh wow
My Neurosurgeon says my stenosis pretty bad. One of the Neurosurgeons told me I could try the MILD procedure- as I am not wanting a small radio in my back. I saw many non - successful spinal laminectomies, during my time working as a Medical Social Services on that Unit. It worries me. I am also a Lupus patient.
Good luck my friend
I haven't found any information on ligamentum flavum being the cause of spinal stenosis. I had L4-5 laminectomies. I did well for a month then I noticed that my symptoms had changed from one leg and foot to the other leg and foot but not all of the problems had returned. For the next 2.5 years I tried to convince my PCP that something wasn't right I talked to my surgeon and all I got was you need to take medicine like gabapentin/Lyrica and do a course of PT & walk. Well bad medside effects later and three rounds of PT did not help. I went to a interventional pain doctor who said that it looked like the surgeon had missed something but he didn't say what it was, but apparently the ligamentum flavom had reappeared and was the cause of my symptoms. I'm going in for my second ESI tomorrow and hope the first one wasn't a placebo, because his nurse says we'll give you something stronger next time that'll last longer 🤔 and that the second one will work. Please talk more about that being the cause of a second round of severe spinal stenosis. Are these ESIs just chasing a temporary fix and delaying further surgery?
LF is usually the cause for stenosis
@@DonnallySpineConsult If the ligamentum flavon was cut out when the laminectomies were done how can it be returned that enough to cause another episode of spinal stenosis 2 years later? Why have the laminectomies in the first place? Now my back is not stable and I can feel it crunching and grinding when I twist it. Is this guesswork on the part of the surgeon?
Can you recommend a good doctor like you in Los Angeles area? Thank you for these very informative videos.
Alexander Ghasem MD
Hi Dr Donnally. I'm from Chicago and next month I will be getting a spine fusion on L4L5 from a Rush Hospital top spine surgeon. Rush is renowned to be among the best ortho hospital here. The doctor will be doing it at different location, like their spine surgery center in downtown Chicago. Would that be ok compared to doing it a hospital itself? Also I was wondering if you can mention that doctor's name or if you have peers here that is as good and confident as you. I'm hoping my doctor is the one you are referring to. BTW you going to NASS here next week! Always thank you for all you do!
Rush has great people. You are in good hands
@@DonnallySpineConsult thanks for easing my nerves.
How did your procedure go?
@@janjoy9759 surgery went well. 2.5 hours procedure and 2- 3 hour back in the recovery room, then home. Sciatica pain is all gone. It's been a week since surgery. Been walking and climbing stairs to help with the surgical site healing.
Do you recommend a spine Dr in the Washington, DC area?
I don’t really
What is the difference between foraminal stenosis central canal stenosis and spinal stenosis. I have all 3 foraminal stenosis on cervical. Central canal stenosis on thoracic and spinal stenosis on Lumbar just a combination of the 3 is one stenosis worse than the other?
A lot going on with that question. I’ll be sure to focus on that on my next live!!
@@DonnallySpineConsult will be listening
What’s the benefit of going in through the front (Belly) as opposed to the back to apply the cages??
Just a huge long response. Essentially- bigger cage, more curve, more fusion, better outcome
I had ACDF on 2 levels and ADR on one level. Recovery has been devastating and I am looking for a new surgeon. The current one just doesn’t connect with humans. I think the surgery was a success. It was done at a teaching hospital. Anyone in Pgh area you’d redo
Pgh?
Do you have a recommendation for a spine surgeon in Reno Nevada?
Vadim Goz, 1000000000%
Thank you so much!
My daughter had a micro discectomy in September and her surgeon recommends L4 L5 and L5 S1 fusion, which we believe is likely needed. We wanted a second opinion but Dr Goz’s office said their second opinion has to be six months after the first surgery. Do you have the same restriction for a second opinion?
How would you go about correcting serious joint arthritis in the cervical spine? THX Thanks
Probably an ACDF
Do you do surgery on people with thyroid or prostate cancer that haven't changed much in the last three years?
Yes
Can you discuss the ION facet fusion?
Meh
Hi, Dr. I have a question, does all of this flare up around a woman's cycle?
Not sure
I just had 3 level ACDF 4 weeks ago.
I felt as though I had to get surgery because I had weakness and atrophy on my left upper body.
Now I’m left with feelings of despair in hopes of recovering. Life can be great one moment and suck the very next
Nice
@@DonnallySpineConsult what’s nice about it? Please explain
Are you familiar with dual portal endoscopic surgery for central lumbar stenosis?
Yep!
Can you expand on that?
How does hypermobility impact the surgeries you suggest?
Varies on necks and replacements
Can surgery help with predominant axial back pain? or only radicular pain? I have degenerative L4-5 spondy.
At times yes it can
Do you know any drs in Rockford I’ll?
Sri Divi in Chicago
Your thoughts on interspinous spacers.
Okay how do we sign up
Do you own a trash can?
I have rheumatoid arthritis Osteen approach what is spurs in your spine mean
✅
I have a 3 level fusion and I now have a bone spur pinching a nerve.
I keep getting muscle spasms
Sorry to hear
I had a cervical disk replacement surgery for c5 c6 c6 c7 in 2016 now again have pain
Dr's told me u have cervical stenosis can I aga have surgery to cure this
Let’s see a CT
How to fix spinal stenosis in my lower back with out surgery?
Not sure
Best solution in this case sleeping on the floor or hard wood and only on spine and then using 2 times in the day stretch using Nuga best bad 🤔
What do you think 🤔
@@matveynusinkis1223 think you're smoking crack
Do you take medicare?
Of course
Can you please provide an email address to send my MRI results… l listen to you all the time and believe your knowledge and experience is sound…
You’re generous with your information and I appreciate that…
Must have images
Hey there, Dr. Donnally does about 15 new patient telemedicines💻 every week. Here is the best path forward:
1- email your insurance card to Spine@TSCspine.com (We can’t take Medicaid. Private pay is sometimes an option, unless Medicaid)
2- if we take that insurance THEN upload your images to my portal for your 1st visit. (The only HMO we take is BCBS).
3- I must have X-rays and MRI, X-rays are critical! “Just” MRI isn’t enough and is a misuse of your time. It needs to be from last 12 months. Nothing older is needed or wanted. Cant stress this enough, must have BOTH: x rays and MRI.
4- You need to get your CD of your X-ray and MRI (imaging centers will NEVER send them to us)
5- On the top of my website (www.DonnallySpine.com) is the link to UPLOAD images, from YOUR HOME! 🥰(or at a CVS with Physician LookUp Code k5037438)
6- To recap: email us, get CDs, THEN upload!
Step by step:
th-cam.com/video/HpKOfI_1FSs/w-d-xo.html
-
Again- no Medicaid. Must have your X-rays and MRI.
Can you recommend a colleague here in the Chicagoland area if you can please. My fusion is scheduled for next month and I still have time to make sure that path is the best for me. Second opinion. Thank you!
How did the fusion go?
I have all three in different levels.
Wow
Can you recommend neuro surgeon in tyler t x for spinal stenosis?
👀. I’m maybe 100 minutes away. Happy to recommend other doctors, even in Dallas, even in far EAST Dallas. But yes I’m not too far away from you at all. Best of luck if you take it
explain spinal lipomatosis
I will later 👍
explain pseudo arthrosis
When the bones DONT fuse
Are you allowed to say what hospital you work at on TH-cam.
Yes, I go to a bunch of places- Methodist Addison, EMC, baylor uptown, HCA heart and spine
Will MRI or ct best to determine problem
@@philliproberts-bx6ec MRI normally. It shows all the soft tissue and bones and joints
@@dantae666 thanks