Part 1 - What is Lumbar Spinal Stenosis?
ฝัง
- เผยแพร่เมื่อ 23 ก.พ. 2021
- Lumbar spinal stenosis, or narrowing of the spinal canal, is one of the most commonly seen problems at our clinic.
This video uses models, x-ray and MRI to explain what lumbar spinal stenosis is and goes through the symptoms that present.
#lumbarspinalstenosis #spinesurgery #neurogenicclaudication #thespineguy
Dr. Brian W. Su, MD
Spine Surgeon
Chief Development and Strategy Officer | California Orthopedics and Spine
Medical Director of Spine Surgery | Marin General Hospital
Director | Marin Healthcare District Board
Chairman | Marin Specialty Surgery Center
Yelp:
www.yelp.com/biz/brian-su-md-...
Contact two locations:
www.caorthospine.com/
415-927-5300
2 Bon Air Road, Suite 120
Larkspur, CA 94939
7100 Redwood Blvd, Suite 200
Novato, CA 94945
Curriculum Vitae:
www.caorthospine.com/brian-su...
FTC: This video is not sponsored.
Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Information obtained from this video should not be taken in lieu of your own medical provider's advice and treatment plan. Please consult directly with a physician or other healthcare professional regarding any diagnosis or treatment plan options. Content provided on this TH-cam channel is for informational purposes only and should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose , treat, cure or prevent disease.
This is the best video I’ve watched about this condition.
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.
So informative! thank you for sharing this information
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.
This doctor is Outstanding in his Presentation and Explanation .. THANK YOU Doctor Su !
Dr Su, you are amazing, I learn everything about spine from you, really appreciate your work!!!
Great info. That’s the kind of info a patient needs. Simple terms and explanation.
Thank you very much for your time and knowledge!
Ty for the wonderful explanation of this issue.
Thank you so much doc...God bless you
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.
Excellent. Looking forward to your referenced "next video".
Very informative video. Thank you so much.
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.
INCREDIBLE AND AMAZING explanation. Thank you.
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.
Great explanation.
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
This is a fantastic video that is extremely helpful for me to understand my spinal
Stenosis with more detail. Thank you
The Best Explanation 👏👏☺️
Dr Brian Su is the best. Your explanation have made us understand about symptoms Thanks so much.
Hi Dr . Great Job .
Thanks you so much Doc🙏🙏🙏
Incredibly clear, comprehensive and concise info - best I have listened to. Thanks - it's really useful.
Super! I am waiting to see the treatment without operation
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
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!
Your program is very informative thank you for this presentation
Very good thanks I understand what is causing me my problem.
It sure would be helpful if you would cover the thoracic spine, too please.
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.
Thanks Dr God bless wtchng fr Houston Texaa
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.
Yes that was a very informative video I really learned alot from it
Been there. Had a laminectomy in 2007. Lasted under 4 years then needed a L4 L5 fusion for slippage.
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.
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 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.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.
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.
I’ve had two surgeries, they definitely did help. Good luck to you.
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
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.
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.. 💕
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?
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
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
I was just told I have this problem. X-ray confirmation,waiting for MIR next. My are Legs getting numb.
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.
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 ?
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
Thank you! Such an informative video. None of my Doctors have sat down with me and explained what these medical terms meant all I got from my primary was "This just means wear and tear. I can send you to a surgeon and they can dig it out." I have since changed my primary care. I've done the shopping cart thing it's great until I need to stand erect. I can barely get back into a normal position why is this?
When people have lumbar stenosis they typically like to be in a flex posture. There are quite a few non-surgical and surgical treatments on my videos. As a disclaimer please consult your spine surgeon
Keep posted on non surgery info.
You described my stenosis, I can't walk. I love sitting down. I lean forward on a shopping cart.
This is exactly what I have
V good
I would like to see a presentation on the w.e.l.l. proceedure
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
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
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?
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.
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!
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.
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?
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.
Please doctor next video fracture par defect L4 & L5. What you recommend no surgery or surgery
Watch the isthmic spondylolisthesis series
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
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!
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, 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.
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
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
videos of epidural injections, how to do them and what do you use them for :)
Those are coming.
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
On a scale to 1 to 10 my doctor said I'm a definite 10
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
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.
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.
Why only 2 Epidural? Does it eventually hurt nerves or spine?
Multiple epidurals have been shown to cause osteoporosis in the surrounding bone.
I've had five radio frequency neurotomy so far in the last two and a half years I had a laminectomy on l 3 L4 and L5 and now I'm still having pain in my quadricep on the front of my leg after I just had number five radio frequency neurotomy can't take these pain pills forever
You may want to consult an anesthesia pain medicine physician.
Because the signal is not transferred to the muscle, is that why my legs feel so heavy to lift??
Yes. Possibly
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.
👍👍👍👍👍👍👍👍👍
If stenosis happened due to disc bulge go away after disc bulge surgery?
Yes it does.
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?
Dr Su I use do more activities especially walking I love walking now I can't even walk 5-10 minutes a day when I have to hurry up from walking my dog cuz my back hurts so bad .I'm having a lot of pain for probably 7 years from the middle of my back, it feel like I'm carrying a bag of cement when I walk my dog it hurts is so uncomfortable and now my lower back by the tailbone down my leg my hips both sides of my hips can't sleep having these leg syndrome now I end up hitting my legs so much that I could say eggs so much it hurts I'm crying not sleeping sometimes I don't even sleep for a few days ,Dr. said that he seen on x-ray that a screw is unloose on the bottom by the tailbone somewhere,but I'm having a MRI on 9/1/22 I guess I go from there. My question is if a screw is to lose in the Bottom by the tailbone somewhere is it a an hour surgery that they just do a small incision the bottom and tighten the screw ,but what I think is there's a pinching nerves on both sides of my hips that it hurts very bad it's like somebody just kicked me in the lower back that stops me from walking sleeping in the pain on my both legs. I've been watching a lot of your videos and you're saying something about bone spurs that could be the problem is and I like to see if they could do what you're doing by put this metal in between the bones to stretch it up from not pinching . What kind of surgery should I get? I had confusion surgery in 2011 when I had from L1 to L5. I'm wondeing what to do. Thank you for your video's , I've been watching.
I do have sciatic pain shooting down my legs and my right leg I notice I can't even fold it in half cuz it hurts so bad shooting pain in there never hurt like that before .I do have arthritis as well comes with age.😰 I just have to wait to go get my MRI and then see a surgeon and see what the Dr. say from there .😢
I'm hoping for the best and 🙏🙏. I hope they fix whatever is going on. I like how you trim the bones and widen up the space from L1 l5 on your videos. Hopefully the Dr. Can come up with a solution to help me from all this pain I've been suffering, cuz it's very painful hurts so much . I do walk three times a day because of the pain but I push myself because I have to walk my dog and myself for a little exercise ,but at night time I'm stretching my legs and hitting my legs holding my lower back cuz it hurts so much. I just cry and say please stop and I get up and walk up & down the hallway during the night, I do chores like vacuuming ,washing clothes
before I have to sit or lay down because of the pain it sucks my life sucks right now I hate it... But thanks for hearing me out and 😢 for Help and maybe a input will be greatly appreciated by me ...Thank You for your videos.
Thank you! Dr. Su
It sounds like you need to talk to a spine surgeon.
@@DrBrianSuTheSpineGuy
Yes after my MRI I am going to talk orthopedic surgeon about what Dr. going to do. Thank you 😊
What do you do with doctors doing nothing that do nothing 5 or 6 levels C,T,L,and S spine bear lying walk legs going out t travels along ribs effects breathing and digestion?????compression of cord not just nerves.
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 🇨🇦
Can this manifest in pain out to the hips ?
The upper lumbar nerves l1 to L3 can often manifest as pain in the hips. You would have to be examined to discern that. Often doing a diagnostic injection into the hip joint or over the upper lumbar nerves will help with the diagnosis. As disclaimer, this is not considered medical advice and you should always seek the advice of your spine surgeon
@@DrBrianSuTheSpineGuy
Appreciate your reply Dr Su and your channel is excellent.
I’m having an MRI done for a lumbar issue and I’m hoping to get some clarity.
Keep up the great work !
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..
Cervical stenosis secondary lumber spinal stenosis and d11 D12 herniated C4 C5 c6 c7 bulge
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
This is all me
Why am I constantly feeling a STABBING PAIN underneath my SCAPULA. IT'S FEELS LIKE A HOT KNIFE AND IT STINGS WITH CERTAIN MOVEMENTS
Can it get as bad so you would be paralyzed
I’m 40 years old and I recently had an xray done that said I have disc space narrowing between the L5-S1. I already was diagnosed with sciatica months before the disc space narrowing symptoms. My main problems are: pain in my leg, mainly calves, hyperreflexia, trouble sitting, standing, or walking too long, and I have symptoms of claudication in my left leg which is painful. I have gait problems that come and go. I’ve been referred to get an mri two times, but my insurance keeps denying it. Will this be permanent or can it get better with treatment?
Depending on what the MRI shows you should be able to get better with treatment.
I will like to have a conversation with you dr.
Dr. Su. I don't know if you read the comments. But I'm 34. I have been having trouble with my back, hips, and legs since I was 15. I'd love the opportunity to speak with you because the doctors I've seen can't pin point the problem. I have watched your videos and have done the stretches that the doctors and you have mentioned but get no relief. Well maybe for about an hour or less. Or do them and can't feel my feet and can't move. I need help!!!!!
I do virtual appointments through my office at California orthopedics and spine.