Surgical Treatment For Lumbar Spinal Stenosis (Part 2)
ฝัง
- เผยแพร่เมื่อ 10 ธ.ค. 2022
- There are many types of surgeries to fix this condition. In this video I review the minimally invasive options!
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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...
Thank you for explaining spinal stenosis. I have suffered for over 30 years with chronic low back pain I finally had a pain pump surgery its helped but now my stenosis has gotten worse. Thanks for giving information to millions of back pain sufferers.
Yes!
I had severe spinal stenosis in my lower lumbar and the first two orthopedic Drs I saw wanted to send me to a bigger city at a spinal institution and were telling me I needed as many as four discs fused. I found a neurosurgeon who used something called an ultra sonic scalpel and without fusing any discs fixed my back. I have no pain in my hip or down my leg at all. He told me I had osteocytes so large that they were pinching some of my nerves almost flat. This was from osteoarthritis. I had this in sections 1-4 in my lumbar. I’m very grateful for this Dr and glad I sought another opinion because I believe a four disc fusion would have wrecked my life.
You’re welcome friend 😇✅
@Kk, congratulations on your successful surgery. Would you please share your surgeons name for those of us who might like to consider/consult them.. thank you & continued good health!! 🙏
@@ninettehalpin2779
Eric A. Goebel, MD
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Eric A. Goebel, MD
Eric A. Goebel, MD
Neurosurgery
Gender
Male
Languages Spoken
English
About
Education
MEDICAL
Indiana University - Indianapolis
Indiana University School Of Medicine - Indianapolis, IN
Indiana University School of Medicine, Indianapolis, In
RESIDENCY
University of Kentucky Chandler Medical Center, Lexington, Ky
University of Kentucky College of Dentistry - Lexington, KY
University of Kentucky Hospital - Lexington, KY
INTERNSHIP
University of Kentucky Chandler Medical Center, Lexington, Ky
Qualifications
HOSPITAL AFFILIATIONS
Ascension St. Vincent Evansville
CERTIFICATIONS
The American Board of Neurological Surgery - Neurological Surgery
What was the neurosurgeons name. And what state?
Thank you so much.
I am 68 years old, had spinal stenosis since I was a in grade school, strengthening core muscles is the answer! The only time my back didn’t hurt was during military service, until I tried picking up something too heavy ! Good luck to all!!!
Let’s talk!
Sir reply me when disk cut out some time disk again why
Do reckon core strengthening will help if you got severe lumbar canal stenosis shooting pain , weak legs pins needles ?
@@mohamadalikhan2162 YODA???? Speak not understand why not how. 🙄🙄
@@Yourbestfriendisyourpockets Your best friend is your hand in your pocket???? HUH??? duh.
I have lost all feeling below my waist .it started with electric shocks from my butt down my legs . I’ve had injections that helped for a month or so . Now my arthritis . I just had a nural nerve biopsy .I have lupus demyelination and so much going on. But I can barely walk these days . Thanks for explaining xo from Sydney Australia
oh wow
Got the same.debilitating.doctors don't listen/or care.ive seen 4 so called experts/there crap.
Thank you for the explanation. I was just diagnosed with sever arthritis on my L4 and L5. I also have arthritis in my hip. My Dr. never mentioned any type of surgery for my back, just my hip. I work in law enforcement and I am having a hard time standing for long periods and walking. I wish I lived in Texas, I would definitely make an appointment to see you. Thank you again for the in depth explanation. Detroit Mi.
OMG I have the same symptoms. The electric shocks down my legs makes my legs give out !!
I am going to have a ALIF MEDTRONIC is this safe I am 59 and very concerned about scar tissue from previous c sections and the veins artery’s there
I think it’s awesome that you answered everybody that’s just amazing and that shows respect and trust for me
I try to get to almost every comment
Amazing explanation!!
Glad you think so!
Thank you so much ❤
You're welcome 😊
Thank you for your straight forward explanations!
Yep!!!
Nice Job Doc. Terrific content and immensely helpful
Thank you for the subscribe!
Really good explanations! Thank you!
Glad it was helpful!
That is the best explanation I have ever heard thankyou so much
Glad it was helpful! Share!
Very good explanation of our alternative’s.
Glad you liked it
Thanks for a very comprehensive explanation of spinal surgery.
Of course
Thanks Doctor! I’m in the DFW, so I’m making an appointment today to meet with you soon..
That would be so good!
Wow. Thank you for such a clear and precise explanation. I sure L5/S1 and are having surgery in 2 weeks. Now I can ask more pointed questions
✌️✌️✌️✌️
So well explained to the laymen (myself).. truly world class. thank you
Thanks!
Thank you doctor for your detailed descriptions of surgery and other alternative treatment. I now fully understand how the process will be. I fear to get surgery even though I'm suffering nerve neuropathy. Thanks a lot.
Thank you for the subscribe!
Excellent! Great, easy to understand discussion of all the things. The more we know helps patients make important decisions. And play with the kids.. 👏👏👏
Thanks!!
@@DonnallySpineConsult sir I am from Pakistan and I have disc degenerative disease I need disc replacement but unfortunately I can do in pakistan and I belong to poor family please as human being support me my life is so painful
@@DonnallySpineConsult sir I will waiting for your reply plz don't ignore
@@DonnallySpineConsult I'm screwed
You explain the steps very clearly. I have lost muscle strength in my left arm,hand fingers, left leg, foot and toes. Neurologist diagnosed my symptoms as parkinson's.
Let’s me help it!!
. Thank you for this precise description. My husband now 80, has lumbar stenosis. Walking is very difficult and he now uses a cane as his hips are also a pain problem. He lap swims 3 times a week and this keeps him mobile, with pain medication and now a heated back brace when gardening. I had a laminectomy L5 S1, some 20 yrs ago due to pinched nerves which gave me indescribable pain and finally my specialist decided to operate when all else failed. What a relief to stand up but I would not choose to go through it again. I maintain my core strength and seldom have a problem other than standing upright from bending forward which I try not to do. Comparing our spine issues, mine is great at 76 but his is worsening which has greatly restricted his once very active life.
Thank you for the subscribe!
What your explaining fits me. I've been in pain for 11 years and 2 years ago I got a nerve burn( prob not correct term ) but I was pain free and med free for 9 months. After that it was back to meds but now I'm having all the symptoms your explaining. I was told I have peripheral neuropathy. Now they gave me another burn but it did nothing, I'm past miserable and life sucks. So they did another test burn last week and behold all that nerve pain I had from my hips to my toes was gone. So now he want to do another burn but I would like to have my life back and I personally don't think another burn is what I need if they know the last test worked. What can I do. I've even in serious pain for so long. What do I do? I haven't been able to work since 2012 and I'm 61 now. I would like to enjoy the rest of my life with my wife of 28 years now whereas of having her watch me suffer. Please help 🙏
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- recap: email us, get CDs, 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 sonoSpineSurgery.com and they can try to help connect us!
Ive had stenosis lumbar for 5 years which has caused weakness and foot drop , difficulty in walking as a result. Gabapentin for a year after lbuprofin and daily exercises no relief. In GB covid halted all treatment but suddenly ive been told i definitely need decompression and instrumental fusion. L4 L5 and lower disc , s1 i think . Your presentation is very thorough and i can tell you are extremely careful about options . Ive just had new x rays mri and ct scans for up to date info and if these ar e good enough its crunch time . Im 73 and people have alerted me of problems . Im attending the famous walton centre in liverpool so im lucky really , hey its no good worrying
Good to hear
Thank you for the video Doctor. You mentioned pros and cons to artificial disc replacement. Could you please be more descriptive in terms of ADR, specifically in the L5-S1?
yes i have in a few other videos
Don't get any of those procedure's! Check out Dr. Scott Hodges total joint replacement! You get a new titanium bone joint with an artificial disk! Fusion only has a 35 percent so called success rate! But total joint has a 98 percent success rate!!!
Hi Doctor. I had a flare up on Christmas Day. This is after receiving the epidural shot just two weeks ago. I was told to get an MRI - IMPRESSION: Degenerative disc disease with mild degree of disc space narrowing along with broad-based disc herniations are seen from L3-L4 through L5-S1 as described above. Spondylosis changes are seen posteriorly at L4
-5 level. Spinal stenosis with thecal sac compression at L 4-5 level is seen. The exiting right L 4 nerve root at L4-5 level and bilateral descending S1 nerve roots at L5-S1 level also appear to be compromised. Clinical correlation is recommended. Findings at L4-5 and L5-S1 appear to be more prominent than the prior study.
Need to see x ray and mri
Well, lets Telemed📲 email insurance info! THEN mail📨 or upload💿💻 MRI & X-RAYs from within 1yr. See my bio more info!
📧: Spine@TSCspine.com
-
th-cam.com/video/HpKOfI_1FSs/w-d-xo.html
I have never seen any positive comments for these procedures
Read comments and you’ll see otherwise
Thank you for the most comprehensive video I have seen. My husband has been in pain for 6-1/2 years, and we have tried almost everything short of surgery, which he hopes to avoid. He was diagnosed with a disc herniation and now it is considered an annular tear. He has tried injections, massage, at home PT, back braces, etc. He now has a new symptom - foot drop. So, your expertise will enable us to make a more informed decision. It has been a challenging journey.
Y’all should reach out for a telemed
How do we reach you?
Thank you for your video explaining different treatment for peer lumbar stenosis. I have a spinal cord stimulator in my back right now which is not helping. Having that, would it mess things up from other surgical treatments?
👍
ouch packed with information
Yep
@@DonnallySpineConsult
Sir what is the cost of Artificial disc replacement for 2 discs
L4L5 L5S1
thsnks but I really wanted to hear you say sth about endoscopy methods as well. things like microdisectomy, and stuff like that.
are these not standard procedures yet?
thsnks a lot doctor.
Those r good also
Do you have any comments on the use of minimally-invasive ultrasonic techniques in the surgical treatment using high frequency ultrasonic vibrations to dissolve painful bone spurs
The Missonix bone scalpel is something in almost every hospital that does spine surgery. I use it for every laminectomy. Advertising it as super high tech and unique is something I should do more of that others really promote. It’s a great tool, and very common
I had a laminectomy at the age of 23 in 1980. I'm told that I have what's called widespread stenosis in my lumbar and thoracic and cervical spine, and that's why they don't know what to do in order to alleviate my neurogenic claudication in both feet. I do core work and some stretching, yoga and pilates every other day at my house and I use a chi vitalizer swing, because there's no way to know how to do surgery on it. But I'm afraid I'll never get my walking gait back.
Wow!!!
Thanks for the info. What is your reccomendation for patients experiencing bowel incontinence along with leg weakness?
go to the ER
Just has lumbar epidural yesterday. Go back in one month to concentrate on the left side . I know this is a stop gap, but I do not want surgery anytime soon. Can chiropractic help keep me in better shape with the stenosis and bone spurs? Great video!
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
Thank you dr ,my surguen told me about doing laminectomy on L5 pulling back lamina and shave inside the canal to make more room for nerve and putting back lamina to where it was before but you're saying screwing it with bolts.this is fusion its not laminectomy as i understood.
🇺🇸🙌👍
Oh Thankyou sooo much. Since 5 years old after a traffic accident my spine has been damaged,badly. But back in the day I didn’t get sent to hozzie even though I was very bad ,head injuries,blood all over.
Only started to feel my back showing pains. Hozzie discovered after ordinary X-ray,my spine Usher to left. Half not grown properly. And had an infection discitis.
Not much help since 2014. Maybe because I’m old wench. 73 years. Because of DISCITIS a anesthesiologist said he wouldn’t risk me to be operated on at all! So I’m on my bed ALL DAY. Never go out only to hozzie visits. My daughter moved in to help me. . I’m very depressed. Suicidal for years. I’m bipolar now. Too old for any surgery. No injections into muscles work . Well longest 3 weeks. IT WAS INCREDIBLE! WONDERFUL. I COULD WALK ,THO WOBBLY ! Then back it came ,my depression is worse now. Also having A.S. SO I’m told. Or saccorolic joint trouble. My whole spine is damaged.
CANNOT BELIEVE IVE BEEN LEFT LIKE THIS ALL MY LIFE . MAINLY SINCE MENAPAUSE. BI HAVNT ANY TEam on my case.
What says you ,kind Sir ? What should I do?
What should these docs do at hospital do?
I cannot live anymore this way. Mental illness since little girl. REASONS???
😢
I am not sure
He is not a real doctors his answer are so stupid
Im facing major surgery because i was disgnosed with spinal stenosis with neurogenic claudication in lumbar region. As well i have severe scarring that has created a hump protruding outward from the spinal column. Its now bone on bone as my prior fusion in L4-L5 is to blame from the pressure to the verebrates above and below. Im dreading having to undergo a 2nd back surgery but the sciatic pain is constant making walking difficult.
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!
This was amazing. I thank you so much. I am 73 years old female. I’ve had degenerative arthritis, severe they tell me for 20 years now. All of a sudden my back is in excruciating pain lower lumbar. The other day it felt like somebody stabbed a knife in my back, and I lost control of my bowels and my bladder. Of course I’ve made a doctors appointment right away but what kind of doctor do I need to be seen for this?
Thanks for the follow
Wish i had health insurance to diagnose what i have. I already had 2 lower discs operated on 22 yrs ago not to mention a hip replacement opposite side in '98. Mine doesnt really go down to my foot like the hernias did, but it so painful at the site and around my hip where it seemed like i was operated on. So i thought arthritis, but it could be stenosis. 3.5 yr and ill be on Medicare if i can wait that long. 😔
Ok
What are the long term side effects, mobility, arthritic conditions associated with cage emplacement?
In most cases- your body is already trying to fuse. This just gets you to fuse in a better spot. Can still tie your shoes ect
@@DonnallySpineConsult - I am extremely grateful for your consideration and note. That is a very interesting thought: The body is trying to fuse!
Why is that?
I might guess you would say, "Because the body is no longer stable..." and so on. Or, "The body is struggling there against gravity and failing..."
That is what it seems to me. As the inflammation around struggling muscles, tendons and ligaments continues unabated, calcium falls out of solution: we start to see Enthesophytes & Syndesmophytes. With DJD imaging typically shows osteophytes.
The cause: the body fails to cope with gravity; and, issues like inflammation will over time lead to compromising problems (such as neurogenic claudication).
Some interesting thoughts: Why is the body failing against the forces of gravity? It seems the problem is often a consequence of aging. Why? Can we take measures to over come this problem prior to resorting to cages or other assorted hardware?
To be sure, things can eventually 'get so bad' that the solution requires surgery and perhaps hardware. But when that happens - the surgery and hardware - it seems the patient is consigned to some significant limitations and will require maintenance surgery over time.
I lack the training and skill to implement surgery. What I search for is the "CAUSE". Can I correct the underlying cause? What is that underlying CAUSE and why?
Do you ever use coflex with a laminectomy?
I’m not a pain doc doing spine surgery, I’m a spine surgeon doing spine surgery- so no I wouldn’t ever use a coflex
Doctor, thank you for the information. Currently at 69 I have lost the use of my left leg inner thigh and left leg calf muscles. I’ve been diagnosed with spinal stenosis 10 years ago. I am having a full mri of my upper and lower spin. My neurologist believes that my problem originates in my central nervous system. I have had back problems since I was 14. That said, pain is not my issue. It’s the loss of my left leg inner thigh and left calf function. Can you help me?
Thank you for the subscribe, I definitely think I could help. Please reach out to my office and we can set up a TeleMed.
What happens to the lamina after it’s removed? Is it put back? Is the area left without it? If so what protects the nerves underneath?
Depends on the issue
@@DonnallySpineConsulthummmmmm not very long answer
Send me the insurance card first
What about congenital short pedicles... nobody ever talks about it and I can't get answers about my symptoms from my doctor
Good point
How is a sleeve cyst treated in the L5-S1 area?
Need to see mri
@@DonnallySpineConsultand insurance card first
Hello. Hello doctor. Can I ask
I have numbness and loss of sensation in my both palms along with some relative mild muscle weakness in my fingers. It feels like I have pressure in my palms making it a bit difficult to move my fingers.
I also experience tightness in the diagram, balance problems and hyper reflexes in my legs. When I move my neck it feels like a nail of sort push in the spinal canal then I get light uncontrolled movements in fingers, weakness in hands and feet It have a constant feeling of vibration in the lower part of the body.
also sometimes when I lay down and try to sleep it feels like I’m drowning. I’m scared. What do you think it is. Help me plz
Lets look at the MRI
Hey doc. Your videos titles are not showing up on TH-cam web. There are weird shapes instead of words and letters. Please check it out.
I would really like to know more. I wonder if you can screen shot and DM on IG or TT?
For a healthy male in his late 30’s what(ball park) would the recovery time be for this? To get back to a physical landscape job?
Depends
Steleos my son has a sixty five degree curve in his back what is the best thing to do
Hard to say
Formilia stenosis. How do fix that with surgery? Got it a laminectomy
Yes that could
I hope you can reply on my message.
I have lumbar spinal stenosis, I am immobile, cant even walk, stand,move my legs and toes. What could be the best treatment option? Is endoscopic spine surgery possible?
Hoping for your reply. Thank you 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
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
And don’t forget you insurance card for payment first
Hi sir sir l4 l5 s1 oprait surgery when disk cut after some time disk again no or yes plz reply me I don't speak English
Ok
How to connect with the doc ?
Need CD 💿 of X-Rays & MRI. On top of my website (in bio) is link to upload images, FROM YOUR HOME! 🤯🥰
Please email: Spine@TSCspine.com
-
th-cam.com/video/HpKOfI_1FSs/w-d-xo.html
I live in the uk, and have severe spinal stenosis. I was offered a Laminectomy but didn't take it. The surgeon said that I could end up in a wheelchair, could this be true?
✅👍
Can you elaborate? Is this true? Thanks very much. Sonia
I've got this problem with my spine and in my neck do bad that my spinal cord in my neck is being pinched off
Sorry to hear
Sir I need your help
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!
How about COFLEX? For spinal stenosis
no role in spine care, at all
@Chester Donnally III, MD why you say that ?
@@DonnallySpineConsult Laminectomy for spinal stenosis than put coflex. What you 🤔
@Chester Donnally III, MD I will fax you my MRI. What is a good number to fax you?
@@DonnallySpineConsultI had a laminectomy with coflex at l3 l4 and l4 l5. Now 7 years later I have extreme spinal canal stenosis with numbness down left leg to foot. Are you saying the coflex should not be used with a laminectomy?
Ablations work for my husband, but they do have to be repeated every twelve months or so.
Happy to help thanks for the follow
I got my spinal stenosis from my husbands abuse. I’m suffering so much, it’s the worst pain I’ve ever suffered , my doctor won’t send me for surgery, but is happy to describe me terrible dangerous drugs which could leave me an addict.🌈🌈
Thank you for the follow
Why not endoscopically??
That’s an option also
My doctor is going through my side. I can’t find anything about this.
Thank you for the follow
You didn’t mention LLIF
I should make longer videos
'Ruin your life' is well put.
Yes
Are you a real doctor
Yes
That was as clear as .........MUD!!! Now I know the same as I did before. duh. 🙄🙄
You have many nice comments. The internet is lucky to have you
@@DonnallySpineConsult I know. 🤣🤣🤣🤣 It's a dirty job, but someone has to tell the truth. 🙄🙄
Dear Sir, I am Mohammad Jiban Rahman. Guys from Bangladesh, my disk has many problems. I have been suffering for a long time but I am poor so I don't have much money. I watch your videos regularly, I like your videos very much, but I don't know where your country is. I want to take treatment from you. But how to meet you? let me know please please
I replied to other posts. happy to look
Mirodisckmty
Yes
I will fax you my m. R. I
Need actual Cd, not report
@@DonnallySpineConsult I can mail it to you.
What do you think about ultrasonic surgeries? Dr cantor in tampa, fl does these and im possibly going this route
Many many do them, see my newer videos 👏
Don't get any of these surgical procedures! Get the Total Joint replacement perfected by Dr. Scott Hodges!!!
Good idea lol
@@DonnallySpineConsult why would getting a surgery that will actually help vs damage your spine for life be funny to you?