I am an Acupuncture Physician and I see many patients with spinal issues. I am going to share these very concise and informative videos and save myself a lot of teaching time in my treatment room. Thank you for your dedication to providing this very valuable insight to people suffering with pain. Understanding exactly what is going on gives patients power to make decisions. You are a prime example of what is all too often missing in Alopathic Medical Care; that is a good explanation. You might want to mention Acupuncture as another non surgical treatment for spinal pain syndromes. Medicaire now pays for Acupuncture specifically for low back pain.
@@Zorrobravo2000Mind blown. Ive learned abput this, finally understand exactly what this all means. Waiting for funds to come thru the gpfund me and im flying to florida for surgery. Im from Ontario, Canada, been dealing with 24/7 shooting leg pain for a year, back issues on ans off for 6 years. Im 34.. last year was told too young for surgery, the surgeon in florida told me I was born with a narrow spinal canal..first time being told that after xray, 2 mri's, and a CT scan.
Dr Su, you are the Best at explaining these spine conditions. I’ve been in pain for 10 years dealing with multiple issues. Your videos are the best in helping me understand exactly what’s happening with me. This information helps me have better conversations with my pain management doctor and surgeon. I can’t thank you enough for taking time to make these videos. 💟🙏🏼❤️❤️❤️❤️
Dear Dr. YOU have been Such a HELP. I am a mess. Had r knee meniscus operation 2010 l hip replacement 2014 r hip replacement 2016 always doing workout to have strong muscles. Now this Spinal Stenosis is SO painful. Have to get my MD to know my Orthopedic to know my chiropractor to know my Spine Dr.( found my SS with MRI in 2010). Arthritis IS a challenge. YOU are a BLESSING explaining what is happening. 💝🎁💝👍🤸♂️
What is the best cure for the nerve pain from the hip to the thigh then front part of the leg. I had a painful spark in my lower back which is now causing leg pain. I'm tired of pain killers.
Thank you thank you I know that I'm really late but I just found your video, for the past year I have been getting CT scans MRIS going to various doctors and not getting an answer I have had an EMG I've had a lot of things confirmed but not as far as my bone structure. Now I have a PT instructor and I religiously everyday do my PT. So that said I have congenital stenosis wow I wish I would have been told about that one, my family is not communicate very well. I Now understand a little bit of why my left side of my body is not as strong as the right side no matter what I do and why I can only walk 100 yards and sit down and feel better you're the first one to tell me that thank you so much
If I ever needed a neurosurgeon again, I would do whatever it takes to have Dr. Su be my physician. His keen ability to clearly articulate complex phenomenon and his demeanor are evidence of his vast knowledge, expertise and empathy. His approach indicates he carefully listens to his patients' concerns for a thorough assessment, diagnosis and thoughtful recommendations. I fractured L1 and another neurosurgeon performed a kyphoplasty within 3 days of my injury without informing me of the risk, benefits or alternatives. Although I am a Dr. myself (with a different speciality and skill set) this was a troublesome experience and, frankly, I wasn't thinking clearly. I merely wanted rapid pain relief and erroneously had faith in this neurosurgeon.The outcome was poor. She never made arrangements for a follow-up. She could learn considerably from Dr. Su as her mentor. I rightfully acknowledge admiration of Dr. Su. He is an exceptional role model and much appreciated.
I started out about a year ago with very stiff lower back. This turned into hip pain which now runs through my hip into my leg (left) and often down the front of my shin into the top of my foot. Sitting too much causes an increase in the pain so I spend as much time standing as possible. MRI shows a myriad of issues but this pain through my hip and deep buttock to left leg can get unbearable. Leaning over slightly and reaching down causes increasing pain until I can’t straighten back up without stretching up to hold the top of a door then crossing bent left leg in front of front right leg then reversing that motion. Very painful on first movement but immediate relief after that. Same with putting my interlocked hands behind my head and physically lifting my spine up straight while tilting my pelvis up, very painful at the very start but instant pain relief after that. Chiropractor say my hip SI joints and hip joints are tight but trying to do stretching physical therapy excercises creates that leg and hip pain. I am 66 and have been thrown from horses landing on my tailbone a few times in my younger days
DEAR DR BRIAN SU, THANK YOU SO MUCH. WATCHING PART 1, 2, 3 TRULY HELPED A LOT IN UNDERSTANDING MY 65 YEAR OLD FATHERS CONDITION OF LUMBAR SPINAL STENONSIS. I COULD NOT FIND ANY UNDERSTANDABLE VIDEOS OR ARTICLES IN MANDARIN TO UNDERSTAND THIS IN TAIWAN! THANK YOU SO MUCH DR.
Yaaay for having congenital stenosis! Tried all sorts of medication to no avail and can confirm the shopping cart thing is legit. Walking normally is rough. Although sitting does help, I find I need to alternate between sitting and standing as the pain is constant. I love being old at 27 🤣 It has now progressed to the point where I have numbness on the right side of my lower back, and from my knee down. The pain has spread into my left side of my body as well and I can barely walk as it gets too painful and my leg gives out. I need to use a cane at almost 29 years old and can't even walk around outside. I live in a basement, wasting away, with no money or financial support from the government, mainly because I'm "too young" and "haven't tried everything". I've been waiting over a year now, just to see a neurosurgeon. Meanwhile, my physical, and mental health have been rapidly declining, due to feeling hopeless that nobody will help me and I can't afford anything. I'm $50,000 in debt. I wouldn't wish this upon my worst enemy.
Thank You very much Dr. This video was indeed helpful to me. I have always been going for an xray scan and the results always say I'm fine whilst within me I still feel much pain, tingling and numbness throughout one of my legs to my lower back right from my adolescent stage to my age now at 27. Now I know that what I need to go for is an MRI when i have the financial capacity. But at least for the mean time, there is this relief of understanding what I am going through. Thank You once again Dr.
Very knowledgeable and easy to listen to. I’m 39 now, broke two vertebrae L3L4 when I was 18 and three years ago my right knee went numb, couple months later full sciatica down my back right leg and shocking sensations began, 200 plus a day in several locations throughout my entire foot ankle and toes. Leg shakes and has cold spots. Every surgeon just says emg looks ok and no compression on S1 nerve no need for surgery. They assume my back hurts because my vertebrate look compressed in the MRI but it’s a completely different story when it’s my leg.
Excellent, experienced speaker with very helpful, easy to understand information. Dr Su's videos are well worth the time it takes to view them. Thank you Dr. Su, you are amazing!
First video by a surgeon that actually talks about the conservative treatment in a positive way and that there are some good results for a number of patients.
Thank you for your reply Dr. Su. I am schedule to see a Pain Management Physician this week - the Orthopedic surgeon indicates I am not a candidate for surgery. My 2020 MRI results indicate L3-L4: Moderate facet degeneration has increased; L4-L5: Disc bulging has increased, Left facet degeneration has increased, Moderate right-sided neural foraminal narrowing has increased; L5-S1: Mild disc bulge with facet degeneration causing moderate to severe narrowing of both neural foramina, increased. IMP: Moderate degenerative changes of the lumbar spine has progressed.
These are very informative. Thank you. I am dealing with this - not ready for surgery just yet, but your videos helped me be less afraid of it, should it come to that. Everything else I’ve read tends to say surgery is relatively unsuccessful, but you seem to indicate it has a good success rate.
And the Dr. at USC SAID NO MORE SURGERY!!! The percentage goes way down to almost nothing. I'm just suppose to live like this for the rest of my life. I hope you get cured from all your pain cause I know what the number 10 on a pain scale is. God Bless you.
Laminectomy, spinal stenosis, injections, nerves burned, gone through all this 4 times, Now my back is so tightly close I can't get a pain pump.i had one of those for 12 years in which case it had to come out for my last surgery and now they are saying they can't replace it?
Very informative thank you, I have spinal stenosis L4 L5 with horrible neurogenic Claudication and pain, pain from my left butt cheek down the back of my left leg into my calf , the worst pain is below the butt cheek my legs feel tired and weak, hard to do my job, because of it all I'm limping after 3 hours of being on my feet and working.
It sounds like you may be a good candidate for surgical decompression if non-operative methods fail. As a disclaimer you should always consult your spine surgeon
@@DrBrianSuTheSpineGuy yep, I actually saw one last Friday 8/6/2021 they said something about a fusion ? So what would be the difference between a fusion and decompression ?
Thank you for your clear explanation of LSS. I am 67YO and have signs of arthritis at L5S1. I am a runner and when I run that is the only time my back is pain free. Standing after sitting just a few minutes causes 8/10 pain (lessens as I move around). Is this going to be the rest of my life? Thanks for the great videos.
Thank you for sharing this, I have been dealing with this for the last couple years and recently had an MRI that describes me as having most of these items that you talk about. When I meet with her i will at least have an idea of what she will be talking about. L4-5 disc bulge, spondylosis, spurring, severe facet degeneration, degenerative anterolisthesis. Severe central canal and subarticular recess narrowing with complete obliteration of spinal canal. Mild to moderate bilateral foramen narrowing. Possible synovial cyst in the left subarticular recess. ( I have not yet met with my Physician to discuss)
Hi Dr Su , I'm 69 years old and had a decompression of 4 & 5 in February this year as an emergency all was great and had 3 months of work as a plumbing & heating engineer. After returning to work 2months later I started getting the same problems in my right leg from my bottom to my knee,identical back to my doctor and they sent me for a MRI now I'm been told that 2 / 3 / & 4 are showing signs of the same problem. Is this a common factor. Great video many thanks
I wish when you’re diagnosed with spinal stenosis from your care doctors rice, rightist doctors that they would explain my way did you have you include everything from what spinal stenosis is to medication and you discussed surgery rate I do have spinal stenosis
Dr. Su I have been dealing with debilitating back pain for years…diagnosed with degenerative disc disease almost 20 years ago w/ spinal stenosis…then I had a car accident 6 years ago where I broke my neck and have 4 herniated discs…what are my options?? I do not have insurance, it’s hard to work, can’t afford pain management I’m lost and so tired of dealing with judgemental fools… I actually look forward to dearh
You poor sweet woman. I have no solutions as I’m in the same position. I’ve been in excruciating chronic pain for over 10 years now. The only time I’m out of pain is when I’m asleep. I often wake up because of the pain. I know exactly how you feel. Chronic pain changes a person. Their mood, confidence, outlook, personality and my only suggestion is to seek some type of emotional help and support, do you have a family member or friend that can help you through the maze to find medical care, therapy and help with any social services in your area? It’s daunting I know, but if you had help to start a navigation it might remove some of the stress and feelings of being overwhelmed. You must remain hopeful, no matter how hard a day has been. Keep seeking ideas and therapies, especially the cheap and free ones. I found a video that talked of natural path remedie to decrease and dissolve stenosis bone Spurs. It’s cheap and accessible from Amazon. The same remedy was suggested by my own naturopath. It also apparently works on horses bone Spurs so I’m hopeful. Simple mineral supple to, nothing crazy. It can take 3-6 months to see any results but many reviews from different sources have had hopeful results. Start investigating HYLAND’S CALC FLUOR #1 6X and HEKLA LAVA 30ch….they are simple minerals so cheap and very safe but showing stellar results for spinal stenosis in particular. ……when u have been going through pain for so long like you and me, you’re willing to try almost anything to restore hope. I’m wishing you the very best of hope and freedom, you deserve it!
It is painful and inhibits normal body movements like bending, twisting and makes sleeping differcult. The suffering person is often, grumpy,negative & and gets depressed easily due to a lack of sleep and constant aching pain.
Dr. Su, many thanks for offering us these extremely valuable videos. But I would prefer to watch you having some hair on your head. That would suit more to your scientific image. Please, forgive me for the suggestion, if it is wrong. A monk from Mount Athos Greece.
Fail to mention that during bad flare ups, you are unable to sit, stand, walk or do anything at all but freeze in place. You have to take a shower with assistance and walk with a walker, a walking cane will not hold you up.
I have everything going wrong with my back. So I understand why you say standing, walking, and even sitting all hurt. You may wanna get an MRI of your Coccyx or tailbone done. In addition to all the things wrong with my back, I also experience pain as soon as I sit with lying down as the only position where the pain is a bit reduced. I’m in my late fifties but it hurts my heart when I read about younger people dealing with this. Based on the testimonies I have heard about surgery, I personally don’t want to do it. For now, I’m getting physical therapy and doing stretches at home, taking pain meds occasionally a, watching my diet, fasting and praying and believing God fora miracle. What God canny do does not exist. I pray and follow Pastor Jerry Eze on TH-cam or Facebook. God still heals. It requires patience. Thanks for the videos Dr. Brian
From your diagnosis tool (various muscle usage), it appears I may have S1 pinching (very weak and shrinking right calf). Do you have a stretching/exercise regime to eleviate this???
I was told I have spinal stenosis years ago after getting a M.R.I done my pain really comes on when I sit or try to sleep so I have been using a heating pad for more than a decade nothing else helps the pain better than a very hot heating pad on my lower back and butt, naproxen helps as well, I can't drive very long without being in pain not sure what the fix is I will be in between jobs soon since everything is slowing down at work.
Groin pain can sometimes be referred from the disc itself. You can always have a diagnostic injection into the hip to rule out the hip as a cause of the pain. As a disclaimer you should always discuss this with your surgeon.
I’ve already had L3 L4 L5 fusion. It’s been just over a year and I’m worse not better.. My last appointment with my Surgeon he concluded that the Nerve damage is permanent and I should learn to live with it! I’m considering a 2nd opinion but I’d like your opinion. Any and all suggestions and/or information appreciated greatly.. Thanks
I do not recommend it as a standalone device. It is not meant to hold on its own it is meant to be used along with a cage. There's not enough data now to show it success without the addition of a cage for biomechanical stability.
Hi Dr Su. My last name is Su as well :) what is a key difference between epidural steroid injection and cortisone injection? why cortisone Injection is a lot cheaper??
An epidural injection is where the medication goes. Into the epidural space. The medication itself is steroid which is the same as cortisone. In that sense there is no real difference between an epidural steroid injection and cortisone.
Dr Su, do you accept patients from Canada? I have been diagnosed with 4 compressed nerves that are affecting my buttock, hip, leg and feet. I also have significant arthritis in my lower back. Two separate issues. I do have recent MRI to verify. I have a long history to support my issues. I have had problems with getting a surgeon to do the repairs. Your response will be greatly appreciated.
Thank you for this very informative video! Question: can stenosis cause weakness in the hips? I've got several problems in the lumbar spine and am to the point where I keep getting the weakness & sensation that my hips(& lower back) might give out... like I may fall or crumble with no control. What vertebrae would cause that?
@@DrBrianSuTheSpineGuy Thank you! The VA moves a bit slow- I fell two years ago because I couldn't move my left leg(broke my ankle in three places) and I told them it was because I couldn't move it like there was no signal to it. They just now are sending me through physical therapy for it. I think they are waiting to see if the weakness gets better or worse with PT even though I've told them that it is more than just the leg and includes the feeling like I could fall/ collapse from the hips/waist.
@Dr. Brian Su - The Spine Guy So the VA finally did an MRI. Severe disc bulge at L2-l3 causing Redundant nerve root syndrome. I wish I could post a pic, it's crazy looking. An EMG shows L5-S1 nerve damage that is starting to heal. Are there specific surgical recommendations for Redundant nerve root syndrome or is it to treat the stenosis. How often do the nerve roots return to the normal position? Thank you!
For an individual with symptomatic spinal/foraminal/lateral recess stenosis, what would explain a progression of symptoms where there is no relief with rest or sitting? Or, when pain is not present and the individual can take long walks but it is always followed by pain and disability lasting hours/days?
Hai dr Su. Iam from indonesia. My daughter 41 yrs 48 kg old diagnosed with osteoprosis and having spine lumbar stenosis as well. Local Dr suggested for stenosis surgery..but looking at side effect we are scared. Can it be cured by medication, therapy etc...need your info ..thank you very much...
Hi Doctor Su, thanks for the video. Last week I had a lumbar MRI and the following was noted for the L5-S1 disc: "Posterior central 2.5mm disc protrusion-subligamentous disc herniation extends into the epidural fat and indent the thecal sac. Central canal and neural foramina are patent." In your experience, is a 2.5mm protrusion serious? And, does the term "patent" mean they are not being pressed by the herniation? I DO have bad sciatica symptoms in my right leg and foot (and in the left, but to a lesser extent) , and has been getting worse for the past 4-5 years. Thank you.
@@DrBrianSuTheSpineGuy thank you doctor. I will check and see if my insurance will cover a virtual meeting with you. Meanwhile what does the term "central canal and neural foramina are patent" mean?
Hi I just had lumbar discectomy ,decompression on L4 L5 3 weeks ago and are still getting leg,foot,and buttic pain.no back pain,just wondering if this is normal or not.The pain is worse than before. Thanks
Dr Brian Su, I can't walk for long, not more than 15 mins. as my legs feel weak and feel like falling over, is this also a sign of lumbar spine stenosis? Thx
@@DrBrianSuTheSpineGuy Thank you Sir. I have bilateral severe foramina narrowing at L5-S1 with moderate spinal stenosis by CT. I also have superior facet spurring. My doctor wants to do a bilateral Hemilminectomy with Facetectomy. I want to make sure that will not lead to spine instability afterwards as my goal is to start golfing again in May 2023. Thoughts?
Describes me to a T. My MRI shows a bulging disc as well as the stenosis. I’m trying to put off surgery for as long as I can. But there are days when I don’t know if I can go any longer without help.
I'm 31 and i lost 50 lbs of leg muscle in 6 weeks from this... Get MRIs... Review them yourself... Hey multiple doctors from different network's/cities to review... Pay out of pocket for the information if tou need to.... This is no joke
Love your very understandable vids,I wish I was closer to your clinic i am sure you would be able to help with my Spinal Stenosis...I am in Ontario Canada 🇨🇦
I have compression fracture With fracture in my L3 and L4 with pich nerve. I was also diagnosed with severe osteoporosis and low bone density. Hips,lower back are aching specially if I cough,sneeze and sudden movement. What's the best treatment for this...non so invasive procedure?is kyphoplasty one of the best. I can not afford fussion and I am not ready with that kind of surgery. Please advice me Doctor. I need to improve and if possible get my life back. I am 48 y.o Thanks Godbless.
I have cervical stenosis on C4 C5 and C6, does this cause numbness and a little tingling on front sole of both feet which i have, or could it be the L4 L5 and S1 cause this? Thank you.
Dr. Su. I just got my mri result my L5descending nerve root mild indentation. lL4 exiting nerve root with left intra and extraforaminal component resembling a dumbbell configuration measuring 2.28/0.8cm feature are suggestive of a neurogenic tumour . Do I need surgery for urgent I really very stress can you help me what should I do first step
You should make an appointment with me if you are local. If not you should reach out to your spine surgeon. As a disclaimer this should not be considered medical advice
THANK YOU!!💝🎁💝👍😘My R leg is SO painful. I can line dance for 1/2 hr. My calf will start to have serious pain than my ankle than my knee locks SO I have to stop dancing. Sit down with my knee locked and gently rub my knee and bend it little by little until I can bend my knee. Best to go home lay on the floor put knee up the back of the couch and rub my leg. 😘👍
The audio is out of synch and some of the video doesn't correspond with the audio. For example mentioning the patient on their toes while the patient is on their heal.
I am an Acupuncture Physician and I see many patients with spinal issues. I am going to share these very concise and informative videos and save myself a lot of teaching time in my treatment room. Thank you for your dedication to providing this very valuable insight to people suffering with pain. Understanding exactly what is going on gives patients power to make decisions. You are a prime example of what is all too often missing in Alopathic Medical Care; that is a good explanation. You might want to mention Acupuncture as another non surgical treatment for spinal pain syndromes. Medicaire now pays for Acupuncture specifically for low back pain.
This is the best video I’ve watched about this condition.
Same here
@@Zorrobravo2000Mind blown. Ive learned abput this, finally understand exactly what this all means. Waiting for funds to come thru the gpfund me and im flying to florida for surgery. Im from Ontario, Canada, been dealing with 24/7 shooting leg pain for a year, back issues on ans off for 6 years. Im 34.. last year was told too young for surgery, the surgeon in florida told me I was born with a narrow spinal canal..first time being told that after xray, 2 mri's, and a CT scan.
So informative! thank you for sharing this information
This doctor is Outstanding in his Presentation and Explanation .. THANK YOU Doctor Su !
Dr Su, you are the Best at explaining these spine conditions. I’ve been in pain for 10 years dealing with multiple issues. Your videos are the best in helping me understand exactly what’s happening with me. This information helps me have better conversations with my pain management doctor and surgeon. I can’t thank you enough for taking time to make these videos. 💟🙏🏼❤️❤️❤️❤️
Dear Dr. YOU have been Such a HELP.
I am a mess. Had r knee meniscus operation 2010 l hip replacement 2014
r hip replacement 2016 always doing workout to have strong muscles. Now this Spinal Stenosis is SO painful.
Have to get my MD to know my Orthopedic to know my chiropractor to know my Spine Dr.( found my SS with MRI in 2010). Arthritis IS a challenge. YOU are a BLESSING explaining what is happening.
💝🎁💝👍🤸♂️
What is the best cure for the nerve pain from the hip to the thigh then front part of the leg. I had a painful spark in my lower back which is now causing leg pain. I'm tired of pain killers.
Dr Su, you are amazing, I learn everything about spine from you, really appreciate your work!!!
Another great video Dr. Su. I like how they are short and to the point, and very easy to understand from a patient's viewpoint.
INCREDIBLE AND AMAZING explanation. Thank you.
Incredibly clear, comprehensive and concise info - best I have listened to. Thanks - it's really useful.
Thank you thank you I know that I'm really late but I just found your video, for the past year I have been getting CT scans MRIS going to various doctors and not getting an answer I have had an EMG I've had a lot of things confirmed but not as far as my bone structure. Now I have a PT instructor and I religiously everyday do my PT. So that said I have congenital stenosis wow I wish I would have been told about that one, my family is not communicate very well. I Now understand a little bit of why my left side of my body is not as strong as the right side no matter what I do and why I can only walk 100 yards and sit down and feel better you're the first one to tell me that thank you so much
Dr Brian Su is the best. Your explanation have made us understand about symptoms Thanks so much.
This is a fantastic video that is extremely helpful for me to understand my spinal
Stenosis with more detail. Thank you
Great info. That’s the kind of info a patient needs. Simple terms and explanation.
If I ever needed a neurosurgeon again, I would do whatever it takes to have Dr. Su be my physician. His keen ability to clearly articulate complex phenomenon and his demeanor are evidence of his vast knowledge, expertise and empathy. His approach indicates he carefully listens to his patients' concerns for a thorough assessment, diagnosis and thoughtful recommendations. I fractured L1 and another neurosurgeon performed a kyphoplasty within 3 days of my injury without informing me of the risk, benefits or alternatives. Although I am a Dr. myself (with a different speciality and skill set) this was a troublesome experience and, frankly, I wasn't thinking clearly. I merely wanted rapid pain relief and erroneously had faith in this neurosurgeon.The outcome was poor. She never made arrangements for a follow-up. She could learn considerably from Dr. Su as her mentor. I rightfully acknowledge admiration of Dr. Su. He is an exceptional role model and much appreciated.
Thank you for sharing information about the spine. It really helps in understanding. Much appreciated.
I started out about a year ago with very stiff lower back. This turned into hip pain which now runs through my hip into my leg (left) and often down the front of my shin into the top of my foot. Sitting too much causes an increase in the pain so I spend as much time standing as possible. MRI shows a myriad of issues but this pain through my hip and deep buttock to left leg can get unbearable. Leaning over slightly and reaching down causes increasing pain until I can’t straighten back up without stretching up to hold the top of a door then crossing bent left leg in front of front right leg then reversing that motion. Very painful on first movement but immediate relief after that. Same with putting my interlocked hands behind my head and physically lifting my spine up straight while tilting my pelvis up, very painful at the very start but instant pain relief after that. Chiropractor say my hip SI joints and hip joints are tight but trying to do stretching physical therapy excercises creates that leg and hip pain. I am 66 and have been thrown from horses landing on my tailbone a few times in my younger days
DEAR DR BRIAN SU, THANK YOU SO MUCH. WATCHING PART 1, 2, 3 TRULY HELPED A LOT IN UNDERSTANDING MY 65 YEAR OLD FATHERS CONDITION OF LUMBAR SPINAL STENONSIS. I COULD NOT FIND ANY UNDERSTANDABLE VIDEOS OR ARTICLES IN MANDARIN TO UNDERSTAND THIS IN TAIWAN! THANK YOU SO MUCH DR.
Yaaay for having congenital stenosis! Tried all sorts of medication to no avail and can confirm the shopping cart thing is legit. Walking normally is rough. Although sitting does help, I find I need to alternate between sitting and standing as the pain is constant. I love being old at 27 🤣 It has now progressed to the point where I have numbness on the right side of my lower back, and from my knee down. The pain has spread into my left side of my body as well and I can barely walk as it gets too painful and my leg gives out. I need to use a cane at almost 29 years old and can't even walk around outside. I live in a basement, wasting away, with no money or financial support from the government, mainly because I'm "too young" and "haven't tried everything". I've been waiting over a year now, just to see a neurosurgeon. Meanwhile, my physical, and mental health have been rapidly declining, due to feeling hopeless that nobody will help me and I can't afford anything. I'm $50,000 in debt. I wouldn't wish this upon my worst enemy.
Same thing here!!
Yup might get started at 25 now I'm 28 haven't even hit 30 yet
Shopping cart thing so legit!! This was a awesome video.
Really not funny, at 72 I find it depressing. In my twenties I'd have been suicidal. Good luck.
@@dougyoung221 I have been suicidal over the journey, but I have a loving partner and animals who are helping me through it.
Thank You very much Dr. This video was indeed helpful to me. I have always been going for an xray scan and the results always say I'm fine whilst within me I still feel much pain, tingling and numbness throughout one of my legs to my lower back right from my adolescent stage to my age now at 27. Now I know that what I need to go for is an MRI when i have the financial capacity. But at least for the mean time, there is this relief of understanding what I am going through. Thank You once again Dr.
Ty for the wonderful explanation of this issue.
Excellent. Looking forward to your referenced "next video".
Thank you very much for your time and knowledge!
Very knowledgeable and easy to listen to. I’m 39 now, broke two vertebrae L3L4 when I was 18 and three years ago my right knee went numb, couple months later full sciatica down my back right leg and shocking sensations began, 200 plus a day in several locations throughout my entire foot ankle and toes. Leg shakes and has cold spots. Every surgeon just says emg looks ok and no compression on S1 nerve no need for surgery. They assume my back hurts because my vertebrate look compressed in the MRI but it’s a completely different story when it’s my leg.
Thank you so much for this video! Supwr educational!
Excellent, experienced speaker with very helpful, easy to understand information. Dr Su's videos are well worth the time it takes to view them. Thank you Dr. Su, you are amazing!
First video by a surgeon that actually talks about the conservative treatment in a positive way and that there are some good results for a number of patients.
Super! I am waiting to see the treatment without operation
Superb Explanation /Thank you
Thank you for your reply Dr. Su. I am schedule to see a Pain Management Physician this week - the Orthopedic surgeon indicates I am not a candidate for surgery. My 2020 MRI results indicate L3-L4: Moderate facet degeneration has increased; L4-L5: Disc bulging has increased, Left facet degeneration has increased, Moderate right-sided neural foraminal narrowing has increased; L5-S1: Mild disc bulge with facet degeneration causing moderate to severe narrowing of both neural foramina, increased. IMP: Moderate degenerative changes of the lumbar spine has progressed.
Thank you so much doc...God bless you
It sure would be helpful if you would cover the thoracic spine, too please.
The Best Explanation 👏👏☺️
Dr. Su is amazing!!! He explains well. Too bad he doesn’t practice in Camarillo, CA!
You can always make a zoom appointment with me by calling California orthopedics and spine
Great explanation.
These are very informative. Thank you. I am dealing with this - not ready for surgery just yet, but your videos helped me be less afraid of it, should it come to that. Everything else I’ve read tends to say surgery is relatively unsuccessful, but you seem to indicate it has a good success rate.
I’ve had two surgeries, they definitely did help. Good luck to you.
My advanced lumbar spinal stenosis was seen ( along with large bone spurs, stage 4 DDD & SI joint issue ) on x-ray 24 years after 1st dx. from MRI.
Woot woot for having lumbar stenosis at age 12 and surgery at 15! Then at age 27. Now 32 and just had an mri done and I have it again.
I've had everything you can think of done to my back. Fusion, rods , cages
And the Dr. at USC SAID NO MORE SURGERY!!! The percentage goes way down to almost nothing. I'm just suppose to live like this for the rest of my life. I hope you get cured from all your pain cause I know what the number 10 on a pain scale is. God Bless you.
Laminectomy, spinal stenosis, injections, nerves burned, gone through all this 4 times,
Now my back is so tightly close I can't get a pain pump.i had one of those for 12 years in which case it had to come out for my last surgery and now they are saying they can't replace it?
Very good thanks I understand what is causing me my problem.
Thanks Dr God bless wtchng fr Houston Texaa
Hi Dr . Great Job .
Yes that was a very informative video I really learned alot from it
Your program is very informative thank you for this presentation
Been there. Had a laminectomy in 2007. Lasted under 4 years then needed a L4 L5 fusion for slippage.
Very informative thank you, I have spinal stenosis L4 L5 with horrible neurogenic Claudication and pain, pain from my left butt cheek down the back of my left leg into my calf , the worst pain is below the butt cheek my legs feel tired and weak, hard to do my job, because of it all I'm limping after 3 hours of being on my feet and working.
It sounds like you may be a good candidate for surgical decompression if non-operative methods fail. As a disclaimer you should always consult your spine surgeon
@@DrBrianSuTheSpineGuy yep, I actually saw one last Friday 8/6/2021 they said something about a fusion ? So what would be the difference between a fusion and decompression ?
Wow you are an awesome Dr.. To give us such understandable info on this problem. Thank you so very much.. You are what all Drs should be.. 💕
Thank you for your clear explanation of LSS. I am 67YO and have signs of arthritis at L5S1. I am a runner and when I run that is the only time my back is pain free. Standing after sitting just a few minutes causes 8/10 pain (lessens as I move around). Is this going to be the rest of my life? Thanks for the great videos.
It depends what's causing the pain
Very informative video. Thank you so much.
Thank you for sharing this, I have been dealing with this for the last couple years and recently had an MRI that describes me as having most of these items that you talk about. When I meet with her i will at least have an idea of what she will be talking about.
L4-5 disc bulge, spondylosis, spurring, severe facet degeneration,
degenerative anterolisthesis. Severe central canal and subarticular
recess narrowing with complete obliteration of spinal canal. Mild to
moderate bilateral foramen narrowing. Possible synovial cyst in the
left subarticular recess.
( I have not yet met with my Physician to discuss)
Hi Dr Su , I'm 69 years old and had a decompression of 4 & 5 in February this year as an emergency all was great and had 3 months of work as a plumbing & heating engineer. After returning to work 2months later I started getting the same problems in my right leg from my bottom to my knee,identical back to my doctor and they sent me for a MRI now I'm been told that 2 / 3 / & 4 are showing signs of the same problem. Is this a common factor. Great video many thanks
Thanks you so much Doc🙏🙏🙏
I wish when you’re diagnosed with spinal stenosis from your care doctors rice, rightist doctors that they would explain my way did you have you include everything from what spinal stenosis is to medication and you discussed surgery rate I do have spinal stenosis
Keep posted on non surgery info.
Dr. Su I have been dealing with debilitating back pain for years…diagnosed with degenerative disc disease almost 20 years ago w/ spinal stenosis…then I had a car accident 6 years ago where I broke my neck and have 4 herniated discs…what are my options?? I do not have insurance, it’s hard to work, can’t afford pain management I’m lost and so tired of dealing with judgemental fools… I actually look forward to dearh
You poor sweet woman. I have no solutions as I’m in the same position. I’ve been in excruciating chronic pain for over 10 years now. The only time I’m out of pain is when I’m asleep. I often wake up because of the pain. I know exactly how you feel. Chronic pain changes a person. Their mood, confidence, outlook, personality and my only suggestion is to seek some type of emotional help and support, do you have a family member or friend that can help you through the maze to find medical care, therapy and help with any social services in your area? It’s daunting I know, but if you had help to start a navigation it might remove some of the stress and feelings of being overwhelmed. You must remain hopeful, no matter how hard a day has been. Keep seeking ideas and therapies, especially the cheap and free ones. I found a video that talked of natural path remedie to decrease and dissolve stenosis bone Spurs. It’s cheap and accessible from Amazon. The same remedy was suggested by my own naturopath. It also apparently works on horses bone Spurs so I’m hopeful. Simple mineral supple to, nothing crazy. It can take 3-6 months to see any results but many reviews from different sources have had hopeful results. Start investigating HYLAND’S CALC FLUOR #1 6X and HEKLA LAVA 30ch….they are simple minerals so cheap and very safe but showing stellar results for spinal stenosis in particular. ……when u have been going through pain for so long like you and me, you’re willing to try almost anything to restore hope. I’m wishing you the very best of hope and freedom, you deserve it!
I would like to see a presentation on the w.e.l.l. proceedure
It could be treatment laser disc decoprasion ? Or not?
You described my stenosis, I can't walk. I love sitting down. I lean forward on a shopping cart.
I was just told I have this problem. X-ray confirmation,waiting for MIR next. My are Legs getting numb.
It is painful and inhibits normal body movements like bending, twisting and makes sleeping differcult.
The suffering person is often, grumpy,negative & and gets depressed easily due to a lack of sleep and constant aching pain.
This is exactly what I have
Nice video. I do have lunar spinal stenosis and the video helps. However I don’t know what to do about it.
Please watch the video on non-surgical and surgical treatment of lumbar stenosis
videos of epidural injections, how to do them and what do you use them for :)
Those are coming.
Dr. Su, many thanks for offering us these extremely valuable videos. But I would prefer to watch you having some hair on your head. That would suit more to your scientific image. Please, forgive me for the suggestion, if it is wrong. A monk from Mount Athos Greece.
Fail to mention that during bad flare ups, you are unable to sit, stand, walk or do anything at all but freeze in place. You have to take a shower with assistance and walk with a walker, a walking cane will not hold you up.
I have everything going wrong with my back. So I understand why you say standing, walking, and even sitting all hurt. You may wanna get an MRI of your Coccyx or tailbone done. In addition to all the things wrong with my back, I also experience pain as soon as I sit with lying down as the only position where the pain is a bit reduced. I’m in my late fifties but it hurts my heart when I read about younger people dealing with this. Based on the testimonies I have heard about surgery, I personally don’t want to do it. For now, I’m getting physical therapy and doing stretches at home, taking pain meds occasionally a, watching my diet, fasting and praying and believing God fora miracle. What God canny do does not exist. I pray and follow Pastor Jerry Eze on TH-cam or Facebook. God still heals. It requires patience. Thanks for the videos Dr. Brian
From your diagnosis tool (various muscle usage), it appears I may have S1 pinching (very weak and shrinking right calf). Do you have a stretching/exercise regime to eleviate this???
You should see a physical therapist
I was told I have spinal stenosis years ago after getting a M.R.I done my pain really comes on when I sit or try to sleep so I have been using a heating pad for more than a decade nothing else helps the pain better than a very hot heating pad on my lower back and butt, naproxen helps as well, I can't drive very long without being in pain not sure what the fix is I will be in between jobs soon since everything is slowing down at work.
Hi Dr.Brian Su. I would like to know if it is good to deal with the decompression machine? That's what the doctor was told me to do.
Is there any way possible that a 3-D printer can print your vertebrates and your bone structure for replacement like a 2 piece snap
Your videos are so informative. I am suffering with hip pain. Does stenosis cause pain in your goin area? Thanks for your time & videos.
Groin pain can sometimes be referred from the disc itself. You can always have a diagnostic injection into the hip to rule out the hip as a cause of the pain. As a disclaimer you should always discuss this with your surgeon.
I want to discuss about my mothers spinal stenosis can you give me appointment Dr?
On a scale to 1 to 10 my doctor said I'm a definite 10
I’ve already had L3 L4 L5 fusion. It’s been just over a year and I’m worse not better.. My last appointment with my Surgeon he concluded that the Nerve damage is permanent and I should learn to live with it!
I’m considering a 2nd opinion but I’d like your opinion. Any and all suggestions and/or information appreciated greatly.. Thanks
You can call California orthopedics and spine for a virtual appointment with me
Please doctor next video fracture par defect L4 & L5. What you recommend no surgery or surgery
Watch the isthmic spondylolisthesis series
Thank you so much. I have it. Is a neuro surgeon the way to go ? Or spine surgeon.
You want to go with somebody who is fellowship-trained in spine surgery. That could be an orthopedic or a neurosurgeon.
Can you do one on epidural lipomatosis. Just found out I have one at L3/L4
Yes you can treat epidural lipomatosis with an epidural to take inflammation off of the nerve. As a disclaimer please consult your doctor
L1 - 5.9mm , L3- 5.8mm, L4- 5.8 mm is case of spine stenosis ...no symptom only pain in Hip and little lower area
Do you recommend the Minuteman Procedure for L 4 & L 5 lumbar stenosis?
I do not recommend it as a standalone device. It is not meant to hold on its own it is meant to be used along with a cage. There's not enough data now to show it success without the addition of a cage for biomechanical stability.
Hi Dr Su. My last name is Su as well :) what is a key difference between epidural steroid injection and cortisone injection? why cortisone Injection is a lot cheaper??
An epidural injection is where the medication goes. Into the epidural space. The medication itself is steroid which is the same as cortisone. In that sense there is no real difference between an epidural steroid injection and cortisone.
Will spinal steroid injection weaken the ligamentum. Flav.if it is buckling with marked central canal stenosis
No
Dr Su, do you accept patients from Canada? I have been diagnosed with 4 compressed nerves that are affecting my buttock, hip, leg and feet. I also have significant arthritis in my lower back. Two separate issues. I do have recent MRI to verify. I have a long history to support my issues. I have had problems with getting a surgeon to do the repairs. Your response will be greatly appreciated.
I accept international patients we have a cash fee schedule for that. Please call California orthopedics and spine.
Thank you for this very informative video! Question: can stenosis cause weakness in the hips? I've got several problems in the lumbar spine and am to the point where I keep getting the weakness & sensation that my hips(& lower back) might give out... like I may fall or crumble with no control. What vertebrae would cause that?
Yes compression of The l4 and l5 nerves can cause weakness today as well you should see a surgeon
@@DrBrianSuTheSpineGuy Thank you! The VA moves a bit slow- I fell two years ago because I couldn't move my left leg(broke my ankle in three places) and I told them it was because I couldn't move it like there was no signal to it. They just now are sending me through physical therapy for it. I think they are waiting to see if the weakness gets better or worse with PT even though I've told them that it is more than just the leg and includes the feeling like I could fall/ collapse from the hips/waist.
@Dr. Brian Su - The Spine Guy So the VA finally did an MRI. Severe disc bulge at L2-l3 causing Redundant nerve root syndrome. I wish I could post a pic, it's crazy looking. An EMG shows L5-S1 nerve damage that is starting to heal. Are there specific surgical recommendations for Redundant nerve root syndrome or is it to treat the stenosis. How often do the nerve roots return to the normal position?
Thank you!
For an individual with symptomatic spinal/foraminal/lateral recess stenosis, what would explain a progression of symptoms where there is no relief with rest or sitting? Or, when pain is not present and the individual can take long walks but it is always followed by pain and disability lasting hours/days?
It doesn't always have to go away with rest and sitting
Hai dr Su. Iam from indonesia. My daughter 41 yrs 48 kg old diagnosed with osteoprosis and having spine lumbar stenosis as well. Local Dr suggested for stenosis surgery..but looking at side effect we are scared. Can it be cured by medication, therapy etc...need your info ..thank you very much...
You can call California orthopedics and spine for a second opinion with me
@@DrBrianSuTheSpineGuy any specific phone no.
Or email may be..
I am trying to find out more about vacuum disc phenomenon. Any information on this?
It is gas within the disk space. Usually not painful but can be an indicator of abnormal motion across the disc space or degenerative disc disease
Hi Doctor Su, thanks for the video. Last week I had a lumbar MRI and the following was noted for the L5-S1 disc: "Posterior central 2.5mm disc protrusion-subligamentous disc herniation extends into the epidural fat and indent the thecal sac. Central canal and neural foramina are patent." In your experience, is a 2.5mm protrusion serious? And, does the term "patent" mean they are not being pressed by the herniation? I DO have bad sciatica symptoms in my right leg and foot (and in the left, but to a lesser extent) , and has been getting worse for the past 4-5 years. Thank you.
I would have to look at the imaging you can make an appointment with me virtually at California orthopedics and spine
@@DrBrianSuTheSpineGuy thank you doctor. I will check and see if my insurance will cover a virtual meeting with you. Meanwhile what does the term "central canal and neural foramina are patent" mean?
Hi I just had lumbar discectomy ,decompression on L4 L5 3 weeks ago and are still getting leg,foot,and buttic pain.no back pain,just wondering if this is normal or not.The pain is worse than before.
Thanks
It can take up to a year to get full relief as the nerve heals
Why only 2 Epidural? Does it eventually hurt nerves or spine?
Multiple epidurals have been shown to cause osteoporosis in the surrounding bone.
Cervical stenosis secondary lumber spinal stenosis and d11 D12 herniated C4 C5 c6 c7 bulge
Can it get as bad so you would be paralyzed
Because the signal is not transferred to the muscle, is that why my legs feel so heavy to lift??
Yes. Possibly
Dr Brian Su, I can't walk for long, not more than 15 mins. as my legs feel weak and feel like falling over, is this also a sign of lumbar spine stenosis? Thx
That is a sign of lumbar stenosis. It's called neurogenic claudication. As a disclaimer you should contact your spine surgeon.
V good
Dr Su. I have Lumbar Spinal Stenosis. However, my pain gets worse when I’m seated. What is that ?
Sometimes that can be the case I would have to look at the imaging
@@DrBrianSuTheSpineGuy Thank you Sir. I have bilateral severe foramina narrowing at L5-S1 with moderate spinal stenosis by CT. I also have superior facet spurring. My doctor wants to do a bilateral Hemilminectomy with Facetectomy. I want to make sure that will not lead to spine instability afterwards as my goal is to start golfing again in May 2023. Thoughts?
Describes me to a T. My MRI shows a bulging disc as well as the stenosis. I’m trying to put off surgery for as long as I can. But there are days when I don’t know if I can go any longer without help.
I'm 31 and i lost 50 lbs of leg muscle in 6 weeks from this... Get MRIs... Review them yourself... Hey multiple doctors from different network's/cities to review... Pay out of pocket for the information if tou need to.... This is no joke
Can I be treated for spinal stenosis if I have a pacemaker
Yes you can.
Love your very understandable vids,I wish I was closer to your clinic i am sure you would be able to help with my Spinal Stenosis...I am in Ontario Canada 🇨🇦
This is all me
I have compression fracture With fracture in my L3 and L4 with pich nerve. I was also diagnosed with severe osteoporosis and low bone density. Hips,lower back are aching specially if I cough,sneeze and sudden movement. What's the best treatment for this...non so invasive procedure?is kyphoplasty one of the best. I can not afford fussion and I am not ready with that kind of surgery. Please advice me Doctor. I need to improve and if possible get my life back. I am 48 y.o
Thanks Godbless.
I would have to look at the imaging. Please make a virtual appointment at California orthopedics and spine
If stenosis happened due to disc bulge go away after disc bulge surgery?
Yes it does.
I have cervical stenosis on C4 C5 and C6, does this cause numbness and a little tingling on front sole of both feet which i have, or could it be the
L4 L5 and S1 cause this? Thank you.
Cervical spine stenosis can cause tingling in the feet. As a disclaimer please consult your spine surgeon.
Dr. Su. I just got my mri result my L5descending nerve root mild indentation. lL4 exiting nerve root with left intra and extraforaminal component resembling a dumbbell configuration measuring 2.28/0.8cm feature are suggestive of a neurogenic tumour . Do I need surgery for urgent I really very stress can you help me what should I do first step
You should make an appointment with me if you are local. If not you should reach out to your spine surgeon. As a disclaimer this should not be considered medical advice
THANK YOU!!💝🎁💝👍😘My R leg is SO painful.
I can line dance for 1/2 hr. My calf will start to have serious pain than my ankle than my knee locks SO I have to stop dancing. Sit down with my knee locked and gently rub my knee and bend it little by little until I can bend my knee. Best to go home lay on the floor put knee up the back of the couch and rub my leg. 😘👍
The audio is out of synch and some of the video doesn't correspond with the audio. For example mentioning the patient on their toes while the patient is on their heal.