Lumbar Spinal Stenosis - Everything You Need To Know - Dr. Nabil Ebraheim
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- เผยแพร่เมื่อ 15 ก.พ. 2017
- Dr. Ebraheim's educational animated video illustrates spine concept associated with disc herniation.
The disc is an elastic soft cushion between the vertebrae of the spine.
It can herniate in several ways:
- Posterolateral: L4- L5 herniation you compress L5 nerve root (because it compresses towards the lateral central canal), but if it was foraminal disc herniation then it will compress L4 nerve root.
- Central disc herniation: you get cauda equina: it is the tail of the horse: don’t mess with the horses tail, it is a central dis herniation that will give you back pain, bladder and bowel symptoms, saddle anesthesia and fnumb perineum, you need to get an MRI and do surgery within 48 hours, because this will improve the bladder and motor function recovery.
- Disc herniation that affects the L5- S1 nerve root will cause sciatica.
Conditions with confusing names:
- Spondylolysis: this is an anatomical defect or break of the pars interarticularis that occurs usually in the 5th lumbar vertebra in about 5% of the population & hyperextension makes it worse, on oblique x-ray: you see “scotty dog sign”
- Spondylolisthesis: this is a slippage of the vertebral body over the other, occurs usually at L5-S1 in the pediatric population, L4- L5 in female adults, if there is a large slip it will continue to slip, & if you have a dysplastic slip it will continue to progress.
- Spondylitis: it is an inflammation of the vertebrae, like ankylosing spondylitis or TB.
- Spondylosis: is vertebral arthritis, it narrows the neural foramen, pinch the nerve roots and causes radiculopathy, in the cervical spine, compression of the spinal cord from arthritis can lead to myelopathy which means gait disturbance broad base shuffling gait, upper extremity clumsiness and weakness, upper neuron signs may be present such as Huffman’s sign and Babinski reflex.
Coexisting cervical myelopathy can occur in lumbar stenosis.
Very beautifully and clearly explained presentation! Thank you for making me understand better! Thank you so much from Malaysia 🇲🇾 17/8/2019
Good presentation, cures are all high risk for older patients. Still not much hope for the seniors. This helps gives us an understanding in easily understood terms. Well done.
I really appreciate this very knowledgeable surgeon's videos. If only he was located closer to me.
Thank You For This Amazing Video
thank you very much for your effort of education
thank you ...
Well explained thank you
Good, thanks
THANKS YOU FOR THE VIDEO INFORMATION IS VERY IMPORTANT FOR EVERYONE HAS SPINAL STENOSIS LIKE ME .
Thanks doctor I now know the cause of the pains I am going through since 2018 December.
V nicely expained 🌴 & get animation 🙏 tks
Good
is there any specific examination to diagnosis LSS? does Vertical Compression Test benefit to diagnosis LSS? thanks before dr. Ebraheim
Anybody know of channels with similar video formatting but that focus on other organ systems?
እናመሰግናለን
Dr Nabil, thanks for your video on Lumbar spinal stenosis, How can we improve the condition
if walking is bad?
Yes how?y walking is bad plsexplain
@@daisymachica6900 Listen to the video Dr. Nabil himself said that walking is bad for both conditions. By the way, who are you to ask me plsexplain to my email also?
My entire Spine CONSTANTLY “pops” with every movement, it never use to do this... any ideas? I do not trust the docs since it’s my entire spine including cervical to lower lumbar.
Only time yet I’ve disagreed with dr. Nabil: walking is generally good for a patient with claudicatio, regardless of the type.
Spinal cord hi nhi pure sarir ke Sara sistam hi demej ho rha h
Or sab ka
Here I thought I had Diabetic Peripheral Neuropathy and it has been revealed by a Neurologist that I have Spinal Stenosis.
Que pena que no tiene opción de traducción al español!