Non-Surgical Treatment For Lumbar Spinal Stenosis (Part 1)
ฝัง
- เผยแพร่เมื่อ 10 ธ.ค. 2022
- The goal is to avoid surgery!
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In this video I review the ways the spine SURGEON helps guide the patient away from surgery until it is absolutely indicated!
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I do about 15 new patient telemedicines every week. Here is the best path forward:
1- email your insurance card to Spine@TSCspine.com
2- if we take that insurance THEN upload your images (get the CD from image center) to my portal for our 1st visit
3- I must have X-rays and MRI, X rays are critical. Just MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted.
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! 🤯🥰
6- recap: email us, get CDs, upload
Step by step:
• Telemedicine Instructi...
A surgeon that tries to avoid surgery - making it a last resort. What a blessing.
Yes
I was diagnosed with lumbar spinal stenosis about 6 years ago. You are the first doctor that explained it in a way that makes sense. Thank you.
Let me help!
@@DonnallySpineConsultJim mom
@@DonnallySpineConsult❤I have suffered about ten years .Is it to late to get released from this pain.
I totally agree with what you say.
How can I found part 2. Thank you.
I edit all the videos myself! Takes forever, so I appreciate the nice words! This one took weeks!!!
Thank you for sharing this video.
Is that the same as Spinal Lumbar Arthritis?
I can do the editing for you 😊
Good job! Thank you soooo much for your efforts. God bless you!
regarding your editing. I was impressed by how quickly you covered all the material.
it was 1:50 at the beginning of the video - you were able to squeeze it all in by 1:50. Either very very very fast or the filming took 12 hours i.e. 1:50pm to 1:50am. ya I know, green screen
You are a very very good human being and tremendously knowledgeable yet so quiet and humble. Your hard work is much appreciated and valued. Thank you.
I just want to thank the Doctor for taking his valuable time to explain the different situations of the spine
Of course my long time friend
Surgeries were on L5 and S1. I've had steroid shots and epidural, which help with pain. I have weakness, I stumble and sometimes fall.
@@darrellpotts267 so do i
It's his job dumbass!
@@darrellpotts267 if you have weakness you may want surgery soon
Wow! A doctor who can speak so the patient can understand - Your communication is appreciated . And how great it is to find a Dr. who doesn’t initially whisk his patients off to surgery but gives options of mild chiropractic , medication , physical therapy👏🏼👏🏼👏🏼
Okay! Thanks for the follow! 👍📚🤓
Agree, he was impressive!
I have watched countless videos and googled countless websites and your video is the absolute best at simply explaining from A-to-Z what’s going on with the lumbar spinal stenosis and what the treatment options are , thank you so much for taking the time to do this it means so much and helps so much. Thank you.
Thanks!
As someone who has a phobia for all things surgical, you have provided a calming presence, thank you very much kind Doctor.
👍
Thank you for telling me the difference between a CT and an MRI. ❤
Of course
As a chiropractor with many spinal canal stenosis patients, this is a great explanation and a great approach by a great surgeon.
Thanks friend
AS A CHIROPRACTOR YOU CAN NOT SEE SPINAL STENOSIS...
@@mefirst4266 why not.
@@mefirst4266I’m sure he can see a mri. I know I showed my chiropractor my mri and didn’t just assume he knew what my issues were.
L5 S1 radiculopathy here. I'm on week , 15 of PT. Pain in left foot only getting worse. Begging for shots or oral steroids. No NSAIDs allowed. Back issues for 50+ years. Best presentation I have ever seen
Thank you,!
Thanks for the follow
I've suffered with pain for years and am actively pursuing treatment. This is the best explanation I've heard. I now feel more prepared to discuss treatment options. Thanks, Doc!!
Hey there, I do about 15 new patient telemedicines every week. Here is the best path forward:
1- email your insurance card to Spine@TSCspine.com
2- if we take that insurance THEN upload your images (get the CD from image center) to my portal for our 1st visit
3- I must have X-rays and MRI, X rays are critical. Just MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted.
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! 🤯🥰
6- recap: email us, get CDs, upload
Step by step:
th-cam.com/video/HpKOfI_1FSs/w-d-xo.html
Dr. I m 82, normal health ,started L4,5 stenosis ,mri, no prev. symptoms,now 7 months, physio didn't help,,Got leg,foot,butt's pain ,numbness walk with walker only,, ,Surgeon urges for surgery ,,Pl advise ,in delimma pl.......
@@ramum9599 that's exactly my situation!
@@ramum9599o
P
This was so informative. I have lumbar stenosis and no one has ever explained my condition as well as you have in this video. Thank you for all the time and work you put into this.
Thanks for the follow
I have spinal stenosis in L4and L5,diagnosed in 2018. Was consulted to a neurosurgeon by my neurologist but unfortunately up to now haven’t heard from him. It’s getting worse in fact I am using a walking cane as sometimes sudden buckling of my leg. I was finally seen by a pain specialist. With the treatment with medications it’s helping and am using a lumbar belt. The fortunate part of it is my right leg is good with no pain or any other symptoms and I can drive a car. By the way I also have seen a physiotherapist and am doing the exercises that was told to do it bid. Your video is quite excellent and I can fully understand my situation . Thank you.
Let me try to fix it
I have a question, did your specialist prescribe you muscle relaxers or pain medication?
very professional explained quit well in layman's term not confusing at all thanks alot
I've watched about 20 videos on lumbar spinal stenosis, and this was the best by far. Thanks!
Glad it was helpful!
Great video. I learned a lot.
Thanks
Great explanation!
Glad it was helpful!
Thank you Dr. Donnally for this comprehensive, clear presentation of a condition that is so prevalent. As a long time sufferer of that condition, it is for the first time I got a complete understanding of the condition and available approaches of treatment. Very helpful with your knowledge and obvious empathy for your patients! More power to you and please share more videos with us!👏
That’s for the following
Think you ought to know: the closed captioning gor this video says "fecal sac" instead of "thecal sac". That's worth a chuckle!!!
For, not gor
Thank you Doctor for one of the best, clear explanation of Spinal Stenosis and to not to rush to surgery. I have had spinal stenosis for years and just now have had a flare up do to an injury.
Happy to help if needed
Thank you so much for all of your hard work!
So nice of you
Best explanation ever. Just subscribed. Thank you! 💪
Welcome aboard!
The best advice .Thank you doctor
Always welcome
Great information Doc. I'm a retired nurse. I went to pain management doc here in Tucson. The injections have greatly decreased my pain
I have had two spinal surgeries. I have a fusion of S 3,4, and S1. Currently, I'm having aggressive Pt. I'm walking and have a deep appreciation of you caring docs.
What a great and informative video!!! Love it
Glad you liked it!
RN here and I agree with you, thank you for the great information.
Just subscribed!
Welcome aboard!
Thanks Doc, Very well explained and easily understood. Thanks for all your effort in producing this video !
Thanks for the follow
71 year old athlete in Tulsa. Sprinted in yard and tripped Jan 6. Many visits to 3 orthopedic surgeons and 2 MRI revealed torn hamstring and an extruded herniated disc in the L-5, S-1. Two months of excruciating sleep-depriving constant pain. My Primary Care DO referred me to the Pain Management Center. Yesterday morning while prepping for Epidural, the techs mentioned that "sometimes" if no relief people will schedule another treatment the next week. During procedure, the doc and her female techs maintained what seemed a super casual conversation about plans for St Paddy's day while I was excruciating for the few minutes of treatment. You mentioned at 10:24 "unethica pain management. When a tech plants the notion of another treatment the next week my red flag goes up. Your presentation is the best!!
I have been in this pain now since one month and I don't know what to do
Share the mri!
i live near tulsa to and i can say all the doctors i have been to there are not my cup of tea i have seen dr harwell at spine and brain institute. not any doctors in okla for me that knows much.
I get steroid injections in spine every 3 months now have stenosis at base of neck.
Outstanding explanation!
Glad it was helpful!
So easy to understand and also reassuring. Thank you.
wow thanks Jill
Excellent presentation
Thanks
Wow! That was an excellent presentation. I was a career Army officer and we always tried to comminicate very complex things 'at the 8th grade level' so everyone can understand the task. In order to do this you have to really know your topic. I think an 8th grader could understand your presentation. I'm going through the lumbar/sciatica process now. My chiropractor recommended I persue the pain injections. He mentioned the diagnostic benefit as well. I have found the injections very helpful for my neck. At the VA where I get treated, for a chronic problem you have to be referred to the spine surgeons by pain management or physical medicine, so they don't QB the injections.
Happy to help
@@DonnallySpineConsult hi I have a disks L5 slipper out is there anyway to fix or just operation thanks
Excellent info. Thanks, well done.
Glad it was helpful!
Sncere and real analysis !!Thanks Doctor !!!!!1🙏🙏🙏🙏🙏🙏
Always welcome
Thanks for a better explanation than my physiatrist provided. Doing everything I can to avoid surgery. Subscribed.
Thanks!
Thank you for this very explanatory video. It helps so much in understanding how to live with this condition and to manage the symptoms effectively. It's a steep learning curve!
Please share!
Thanks for making this clear.
Yes!
Appreciate your comprehensive discussion.
Thank you so much
Really good video - matches my successful treatments after so many physicians performed trial and error on me.
Share w friends
What a fantastic doctor! His knowledge and teaching ability is an absolute gift to humanity.
Thanks!!
thank you for a wonderful explanation!
That’s for following
Thank you for the great information!
Glad it was helpful!
Thank you Dr. D. I am a medical student who is challenged by spinal stenosis and this was helpful in understanding the dynamics of the process. It bridges the gap between my medical school knowledge and some of the specific physiology involved in this disease process. More importantly, this helps me to make better decisions for myself. I appreciate your work.
Thank you friend
Thank you for the clear and definitive explanation. EVERYTHING you discuss in this video had happened to me. It started with scoliosis, then enherniated discs, now severe, high-grade spinal stenosis. I have 3 bulging discs, spinal stenosis, and now the surgeon that I consulted in Georgetown says that without the cartilage, I have an upper disc that has permanently slipped below the lower one. He showed me the MRI and explained that at the lower discs, the nerves are not visible at all because of the severe compression. Not to mention degenerative disc disease. My conditions are also complicated by tearing both of my hamstrings and they didn't heal properly. My primary care doctor reviewed the MRI and said "WOW, that's an awful lot going on with your back!" No kidding. The surgeon said that he couldn't believe that I could still walk because I had the worst case he's ever seen. He wanted to do surgery, but a 3-month recovery with NO bending, lifting or twisting. Since I live alone, that's not happening. The constant excruciating pain has become so unbearable that I can't even sleep in bed anymore, but I have to sit up on my couch. On some days, it's tolerable. It's also exacerbated my chronic sleep disorders. I'm just a mess in general. I'm in Killeen.
Yes!
@@DonnallySpineConsult sure do not understand your reply to this poor person!
I understand. The doctor that looked at my mri said he had not see one person that has so much bad going on in their back. I had one day this past week where I had hours without pain. It was wonderful. I try not to get depressed. Cold weather really bothers me. If you are a praying person we could pray for each other. ❤
Thank you for explaining and providing options.
Glad it was helpful!
Thank you for breaking it down like this❤
Of course, share and follow?
Invaluable- clearly presented information. My symptoms come and go- right now quite intense- working on strengthening core with squats, pelvic tilt and bridges. My spinal surgeon and I are resolved to avoid the O.R.!
Thank you- great video.
Thanks for the follow
Thank you for all this information. I have had very bad pain in lumbar area since 2007, most likely due to long time acromegaly. I am quite concerned (terrified) to even consider surgery. I really appreciate your clear explanations. I have had several surgeries including pituitary tumor resection, hip and knee replacement, but spine surgery is the scariest. After seeing your video I am again going to consider it. Thank you.
Thanks for the follow
You explained things so clearly..I have been offered surgery but not ultrasonic but removing the top bone off. I am terrified too . How can I tell this to a consultant surely he already knows what he's going to do.
Excellent explanation.
Thanks for following
Thank you for this CLEAR explanation. Now I understand!
For sure!
Both of my feet are numb apparently from spinal stenosis but am not a candidate for surgical intervention due to "poor bone quality", ie, osteoporosis. I'm kind of backed into a corner 😁 I appreciate the thorough info presented so I can discuss this with my Dr with more understanding of my DX 👍
Happy to look
Yes, I have that number foot soles syndrome. It's a pia.
Try Dr. John McDougal's free eating plan. There have been people who found relief.
Awesome video! I had surgery for spinal stenosis 3 years ago. They didn’t fuse any vertebrae but rather removed whatever was causing the stenosis. The pain in my legs was completely gone but has recently returned. The surgeon told me that he will install plates and screws next time which I would like to avoid. I’m going to pt now hoping I can get some relief. It seems to be helping. I’m gonna ask my doctor about the steroids and injections.
Let me look if new images
Hey there, I do about 15 new patient telemedicines💻🌎 every week. Here is the best path forward:
1- email your insurance card to Spine@TSCspine.com (We don’t take HMOs or Medicaid, but can private pay unless Medicaid)
2- if we take that insurance THEN upload your images to my portal for our 1st visit.
3- I must have X-rays and MRI, X rays are critical. Just MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted.
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! 🤯🥰
6- To recap: email us, get CDs, THEN upload!
Step by step:
th-cam.com/video/HpKOfI_1FSs/w-d-xo.html
-
If HMO you can reach out to a Patient Navigator at www.sonoSpineSurgery.com and they can try to help connect us!
You're very helpful😊
👍
Wow!! The best video on back issues. Thank you so much 🙏🏽🙏🏽🙏🏽. We appreciate all your hard work 😊
Thanks!!!
Thank you! My partner was just diagnosed with spinal stenosis, no mention of the region but I’m sure it’s lumbar. Your video explains very clearly to us non-medical folks what is going on and what to do. He had an MRI yesterday so we’re on the right track. Again, thank you so very much!
Hey there, I do about 15 new patient telemedicines💻🌎 every week. Here is the best path forward:
1- email your insurance card to Spine@TSCspine.com (We don’t take HMOs or Medicaid, but can private pay unless Medicaid)
2- if we take that insurance THEN upload your images to my portal for our 1st visit.
3- I must have X-rays and MRI, X rays are critical. Just MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted.
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! 🤯🥰
6- To recap: email us, get CDs, THEN upload!
Step by step:
th-cam.com/video/HpKOfI_1FSs/w-d-xo.html
-
If HMO you can reach out to a Patient Navigator at www.sonoSpineSurgery.com and they can try to help connect us! Or for HMOs email: Refer@sonospinesurgery.com
Im scheduled to see you soon,i have an x ray and s cat scan but no mri,should i have one done before i come see you?
A great presentation of what I am dealing with currently. I have completed physical therapy and am also being adjusted by a very good chiropractor. Relief is slowly getting better!
Hey there, I do about 15 new patient telemedicines💻🌎 every week. Here is the best path forward:
1- email your insurance card to Spine@TSCspine.com (We don’t take HMOs or Medicaid, but can private pay unless Medicaid)
2- if we take that insurance THEN upload your images to my portal for our 1st visit.
3- I must have X-rays and MRI, X rays are critical. Just MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted.
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! 🤯🥰
6- To recap: email us, get CDs, THEN upload!
Step by step:
th-cam.com/video/HpKOfI_1FSs/w-d-xo.html
-
If HMO you can reach out to a Patient Navigator at www.sonoSpineSurgery.com and they can try to help connect us!
Yes you and Dr Cantor explain it so well thank you 🙏
So nice of you
U really explain it very well.
Thank you.
Thanks for following
Where can I find a list of stretches and strengthening exercises
i use utube for different exercises.
Please follow
I am currently doing physical therapy for lumbar stenosis. I cannot stand for more than 10-15 minutes before lower back pain is pretty severe. The pain is changing areas, from the lower back to buttocks and down the back to my knees.
It could be something called neurogenic, claudication, an MRI would help show
@@DonnallySpineConsult thank you! The physical therapy is required by insurance, before any imaging is done. Unfortunately.
Wow!!
A fantastic explanation!!
Very well done!!
Best I've seen.
Thank you👍🎩👍
Glad it was helpful!
Superb explaination. Thank you😊
You are welcome 😊
I have this issue with weak muscles due to nerve degeneration. Is there any way that nerves might heal after surgery. It has been over twenty years when I was diagnosed with it and I opted not to go for surgery.
Would appreciate a reply.
Is there any supplement which may help in nerve regeneration?
If the weakness is due to a pinched nerve, I’d rec surgery
I had Spondylolisthesis from pars fractures that formed between ages eight and fifteen. That and arthritis and disc herniation caused my stenosis was so severe (bone on bone) where I had no choice but to have anterior and posterior spinal fusion surgery and that really helped me. The Spondylolisthesis and Stenosis is also genetic.
The friend who sent me this link is T.M. Reid !.
Did it help
Thank you so much this is very helpful information
Glad it was helpful!
Thank you! This helps keep things in perspective for me.
Thanks for the follow
That was an excellent explaining, thank you so much. I am going to be seeing pain management for the epidural injections of L4-5 and L5-S1. I have several levels of degenerative disc disease and disc desiccation too.
My question is how long can I continue to take anti inflammatories like Aleve, or Advil without it causing harm to my liver or stomach??
I’ve been taking a combination of Advil and Tylenol alternating every 4 hours. (Doing this until I can get my epidural scheduled). I also realize I will need to stop the advil before the procedure. I have also had several courses of medrol dosepack over the last 8-9 weeks because of the pain. Fortunately my pain has begun to subside slightly, and I am not showing weakness in my legs any longer. But that’s only been about a week or so now. I hate taking the meds but the pain was debilitating at first. So glad it is beginning to get better, or maybe the meds are just working better now.
Thanks for your time.
That’s great I hope!!
i dont take any over the counter stuff, it can mess up other things in your body.
@@DonnallySpineConsult just be careful taking them, don't exceed more then 8 pills in a24 hour period ,and watch taking acetaminophen.bad for the liver.
Very interesting information. I have been suffering with lower back pain for the past four years but now it’s getting better because I exercise regularly. Sometimes I get this shooting pain right down my leg and it’s very painful. I was diagnosed with lumber disc herniation of the third and fourth disc. What else must I do to get rid of this situation? Hoping to hear from you. Thank you very much.
Yes, please reach out!
I do about 15 new patient telemedicines every week. Here is the best path forward:
1- email your insurance card to Spine@TSCspine.com
2- if we take that insurance THEN upload your images (get the CD from image center) to my portal for our 1st visit
3- I must have X-rays and MRI, X rays are critical. Just MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted.
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! 🤯🥰
6- recap: email us, get CDs, upload
Step by step:
th-cam.com/video/HpKOfI_1FSs/w-d-xo.html
@@DonnallySpineConsult Dr. Donnally I'm too far away to be referred TO YOUR CARE. WORSE, THE SPINAL CENTER CLOSEST RO Me has closed down. I needed surgery for SI MANY OF WHAT SO OUR VIDS have) do describe!! And needed the well over a decade ago!! I'm stuck in Illinois, ALREADY ON MEDICARE/DISABILITY. YET CLOSEST QUALITY SPINAL SPECIALISTS ARE IN Missouri. My legs, esp. right leg Is buckling, the ONE LOCAL CHIRO that Does TAKE MEDICARE, well, is the same honestly as NOT GETTING ON THE TABLE-IF you get my meaning. I am at this point...trying NOT to live through the day by being permanently connected to the tense home devise I have. (I HATE BIG PHARMA/IE; dumping meds into my system).
Amazing infos very knowledgeable Doc! Stay blessed
Great presentation
Glad you liked it
Clearest explanation I have found. Much appreciated.
Glad it was helpful!
I was recently with this because of my MRI.
I am going to get physical therapy. Do you think heat packs and massage helps?
My L5 has slipped over the S1 with pain in my left glute and hip. PT helped and ice packs as well as my heating pad.
yes i do
I have the weakness in legs - especially the right leg. PT tried to get me to increase strength, but it caused more back problems. Been in PT for years.
Just discovered many of the exercises in PT could be making spinal stenosis worse. Those are lower back strengthening exercises - like bird dog, or superman, hip flexor exercises - like leg raises or marching, and piriformis stretching, or reaching across to feet while sitting and hamstring stretches.
I've got to get the stenosis specific exercises, like abdominal bracing, pelvic tilt while holdingback and abs down and contracting glutes, knees to chest
while holding the back down and glutes engaged, angry cat and ab curls - both withkab tightening and glutes engaged. Are there any PT stenosis specialists out there? All of mine seem to want me to do other stuff that aggravate my condition - while telling me that I may need hip replacement.
Hey there, I do about 15 new patient telemedicines every week. Here is the best path forward:
1- email your insurance card to Spine@TSCspine.com
2- if we take that insurance THEN upload your images (get the CD from image center) to my portal for our 1st visit
3- I must have X-rays and MRI, X rays are critical. Just MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted.
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! 🤯🥰
6- recap: email us, get CDs, upload
Step by step:
th-cam.com/video/HpKOfI_1FSs/w-d-xo.html
What was root cause of weakneess
@@dealerspot Probably from claudation of the central spine at L3. There may be lateral stenosis causing it as well as disc degeneration in the lumbar region. I've been using a cane lately and may have to switch to a walker just to keep the pressure off bilaterally.
A life saver Doc !
Thanks for the follow
Thanks Dr. Chester for this enlightening video. Thumbs up.
Thanks for the subscribe my friend
With the pass of the years avoiding surgery with steroides inyecciones, It Will take to a nerves degeneration, and the when surgery Is finally done the recovery wont be as succsefull if would had done years before!
Is there a solution to restore nerve damage?
If the patient needs the surgery, I’m happy to help!
Read the black box warnings before the injection also look up and study arachnoid adhesions. Scarring where injections placed. Germany has many options that keep the spine mobile and strong.
What German studies are there?
@@deb73042 what German studies are available?
This was so informative I love the way you explained everything
😍✌️🍻
Another great explanation
Glad you think so!
The kind of information every back patient needs, but that you rarely have the time to lay out. Nice job.
Yep
Thank you Doctor for this very important information!!!🙏🏾
Any time
Interesting video and very clearly explained
Thanks for the follow!!!
Superb presentation!! I will rewatch again. Thank you for your time to make this video and educating us. You also have a very calm demeanor👍👍👍
Glad it was helpful!
Thank you so much for this expansive explanation…
Yes
Thank you
Yes
This is without doubt the best explained of all that ive seen on youtube. Thank u so much Dr.
Hey thanks so much
Excellent video doctor. Thank you so much for taking the time to explain
Glad it was helpful!
Excellent, informative, clear explanations.
😇
Very informative and patient friendly! Decisions, decisions,....Thank you Dr. Donnally.
🇺🇸🙏
I was literally just diagnosed with this thank you so much, wonderful explanation finally!
Glad it helped!
Thank you, this advice sounds good and makes me a bit calmer.
That’s for the subscription
Thank you for this video
So nice of you
Great video, thank you
Glad you liked it!
Sir, you are a GREAT teacher! I ❤ your channel! Please continue making these videos! Very helpful to me, at least!
Thank you, I will
Great job sir
Thank you for the subscribe!
Best video found in youtube thank you so much
Wow, thanks!
Thank you so much Dr. For all the good information I have all the symptoms unfortunately
Thanks for the follow
Awesome video!
Thanks for the visit
Thanks for the explanation. Going through this with injections and pt.
Okay! Thanks for the follow! 👍📚🤓
I enjoyed listening to ur informative video it was really helpful
Glad it was helpful!
Thank you doctor!
You are welcome!
Superb doctor.
Thanks a lot
Thank you for taking care of your fellow humans.
Yes!
Thank you. Very helpful 👌🏽
Glad it was helpful!