Lumbar Spinal Stenosis, Cauda Equina Syndrome, Sciatica, & Disc Herniation: An Advanced Lecture.
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- เผยแพร่เมื่อ 17 มี.ค. 2017
- In this advanced lecture, Dr. Gillard covers the topics of lumbar spinal stenosis, cauda equina syndrome, sciatic, and disc herniation at an advanced level. This is not for the beginner! This is a makeup lecture from winter 2017, week #10, and this material will be on the final. The doctor also puts forth some interesting real cases which you should find fascinating (especially the reabsorbing disc herniation).
If you are a layperson, Dr. Gillard has more beginning level lectures on all of these topics. Just check out his TH-cam page for your area of interest. And remember, this information is for educational purposes only and is not medical advice. Please consult your primary treating physician with any information or ideas you may glean from this video.
If you want to talk about your own personal spine problems and have your MRI images/CT images reviewed, please visit my website (www.chirogeek.com) and look at my coaching service page for information on how to set this up. Or email the doctor: chirogeek@chirogeek.com
Thank you for this information. At 63 I have severe, debilitating stenosis. The "shopping cart" thing was classic! I have to grab a cart immediately and hunch over it. I am trying different surgeries to relieve pain.
This video is helpful as I have an extensive diagnosis that I didn’t fully understand before watching. Thank you!
Had a Laminectomy about 10 years ago. Successful. Dr. Hartl NY Presbyterian. Loved the direction against flexive physical therapy, lol. Exactly what several docs rx'd. And of course made it worse. Very interesting lecture. Should add the diagnosis was Caude Equina, severe stenosis.
Very Good and Educational! Thanks for posting Dr.Gillard
I had severe pain in my lower lumbar. sciatica, groin down leg to knee all on my right side. Orthopedic surgeon said it was L4 and L5. I started physical therapy for 8 weeks 2 times a week and go to pain management doctor for spinal injections about every 4 months. I take Tramadal on days when pain kicks up but it definitely is about 90% better without surgery. I had all symptoms people are exhibiting. Laying in bed at night was torture
I am so lucky to have found relief.
I had spinal stenosis at my L4-L5. Sciatic nerve pain down both backsides to my knee and ankle. The surgeon I saw took one look at my x-ray and put the fear of God into me. He said by right I shouldn't be even standing let alone walk. He advised me to get surgery without delay, blablabla. Guess what, I took the surgery, and now I cannot pee or shit naturally. I had to use a catheter to drain my bladder and my finger in my rectum to void the shit. That was 2011. There is numbness down both cheeks and my genitals, down to my ankle, and my toes on both legs. My advice to all backpain sufferers, get all the research you can get, check out all options. Best of luck.
@@eltoro6064 see
Excellent, comprehensive and easy to understand if you have a basic understanding of spinal anatomy. The Chiro Geek is a born teacher, as well as a patient, and everything he says makes sense to me as an Emergency physician and interventional pain specialist (retired).
As I weigh-up the prospect of back surgery, with symptoms of right low back, groin and pain to knee level, with the inability to stand upright or walk even a few steps before excruciating pain fires up, I thank you SO much for this information. This has empowered me to speak with my neurosurgeon with a level of clarity and understanding of the situation and options. All the very best for you.
How are you now ?
@Alexander black how are you now?
Thank you so much. This eased my fears and may save me money on surgery. Now I know to be patient and keep moving.
Needless to say, I'll watch this video a few more times. Excellent, thank you
You can also check out "the spine guy"... breaks it down very easy to understand. Highly recommend
Mi fa sentire in italiano , questo problema della stenosi, o un nipote che soffre, grazie
Oh mio nipote che soffre della nonna
Very insightful sniff cough and images clear throat showing potential existing phlegm indicating some natural irregular drainage consistent with allergic reaction to seasonal pollens mixed with bodily collisions that can have damaging effects on bone health and overall ability to focus and concentrate on published educational presentation without audience experiencing every snort & dribble. Please, listen to complete sound track five consecutive nights before sleeping & consider re-making this potentially A+ video without sound OR keep video and have student intern help make entirely new sound track, over track this one.
Hope you are feeling better.
@@wandapiacenza1544 I’m so 🙂 😅😅😅😅😅😅😅😅😅u 😅😅 y😅😅u😅😅u😅😊😅😅😅😅it😅😅😅😅😅i😅u😅😊😊yeah 😅😅😅😅 😅🙂 I’m not gonna t you😊 😅😊😊😊😊😊😊😊😊😊😊😊😊😊yes you do and yes 🙌🏽 we do 😅😅ty😅😅😅😅y
Absolutely amazing! The clear concepts given really make it easy for us to grasp complicated topics
The most beneficial lecture about disc prolapse great thanks for you DR Douglas
I had non-invasive surgery by endoscope for spinal stenosis and am so very happy with the results. I could hardly walk, had severe leg pain, couldn’t sleep on my sides, before the surgery. The doctor lasered off some calcified bone that was pressing on my spine to give some relief and packed the area with stem cells. I walked out of there the same day and am so much better now. Almost back to normal.
What was his name? I desperately need help .. I have a massive bone spur that grew over my disc implant in 2 months . My body is so swollen.. my body is full of pulse ations.. feel like my heart is going to give out..
How are you feeling now Ms klapstein
mam please reply endoscopy surgery good ya not
how much improvement your pain
@@ambersmith9648 my guess is u already had small bony projections present your surgeon missed it and you should have had them taking care of first then you should have had the disc arthroplasty reconstruction depending on what condition you have do you have multi-level injuries is it cervical was it lumbar was it thoracic do you have CSM DDD so your surgeon probably fucked up and never should have did the artificial disc replacement without taking care of the bony projections first if they are at same level ur disc replacement is then u should not get any bony projections at that same level you should be fine bone spurs start because the disc shrinks all the fluid leaks out and then it's like no padding there so that's when you start to get the bony projections happens when your left untreated for a long time or if you have multi-level injuries then he should never done the disc either you should have probably had a fusion because if other levels are injured and he puts that disc in matter of time before the other levels starts degenerate or whatever and shit moves it's just no good. I feel you I'm going through the same thing I have CSM cervical spondylitic myelopathy I'm neurologically symptomatic spinal cord compression with my myelmoaiacia my neurological exam upper extremities include bilaterally positive Hoffman sign with an abductor twitch at the coming on with deep tendon reflex challenge at the elbow flexors and brachioradialis the formal manual test is positive only on the right at the legs we find very brisk deep tendon reflexes at the knees largely absent ankle jerks and no conus C3-4 motion segment is kyphotic and my bulge is big enough to traverse the subarachnoid fluid bath impacting the spinal cord my MRI clearly states I have and uncovertebral joint degenerative hypertrophy and I have problems from C2-C3 C3-C4 C4-C5 C5-C6 C6-C7 I have at every level impingement on the thecal sac lot of narrowing at the intervertebral foramen have small disc bulges and large Central disc protrusion I have a broad-based disc bulge my cervical spine is worse from c3 c4 c5 c6 signs of cord deformity at c3 c4 and c5 c6 my first MRI was January 16th 2019 the orthopedic neurosurgeon I saw Dr Drew a bedner wanted to do decompression discectomy and artificial disc replacement which made no sense because I have unconvertible joint degenerative hypertrophy and I have multi-level injuries you can't put an artificial disc in like that because you're just going to cause problems down the road it's called Brian's disc replacement or some shit I don't fucking know and I got to call 3 years later let's book your surgery come and sign the papers so I mentioned to him cuz I still love research so I can't have the artificial disc replacement because of the bilateral unconvertible joint degenerative hypertrophy he said yep you need a fusion I still haven't had my surgery because of covid I forgot to get a covid swab I was hooked up to IV the surgical down you're in with it pump hot air into you didn't surgeon came in and told me already good luck finding a new one to my second MRI my updated one for my cervical was December 22nd 2001 showing a progression getting worse moderate Central canal stenosis with indentation and deformity of the ventral cord parenchyma
You are very lucky you were able to receive stem cells, mostly prohibited by FDA in favor of drugs....
Excellent lecture, doctor!
Bravo! Excellent content, either for the educated patient or interested professional .
😟i have everything but the tumors
I'm data scienist researching about MRI reading. Lecture are so good
You have a dream job for sacral tarlov cyst gonna put your career on the map. Doctors dont know the proper MRI technique to detect them. Not for high intensity image of entrapped cerebral spinal fluid. Every fibromyalgia has the cyst. Might be true for a hold host of neurologically conditions. Forget everything that you been taught.
Good lecture, thank you Douglas.
Amazing teaching...thank you very much.
Awesome I have some of these and its amazing that you have more info then some of the docs I have seen.
Thank you so much, you are an best tutor !!!
Great spinal lectures.
Awesome of you to keep on going with the illness you have! Hope you feel better!
Amazing teaching!!! Thanks 😊
I have arachnoditis do you know anything about that
Thank you beautiful lady
About 20 years ago I awoke with horrific back pain. I could barely leave my bed. My right foot wouldn't lay flat. I was walking on my toes. I went to my regular doctor and was referred to a spine surgeon. I went through all the conservative treatments. My wife was a Physical Therapist(PT) and she puzzled about some of the exercises and treatments I was getting. Regardless, nothing worked and a Laminectomy was scheduled. I was sent to a pain clinic for a steroid shot. I had the strange sensation of cold water being poured down my leg.. A week before the surgery the pain became more intense. The pain came in spasms which at their peaks left me unable to do anything except lie on the floor as they passed through me. I went to the ER and I was given a course of four drugs twice by IV. I fell asleep for an hour. My wife said I was going through the spasms in my sleep which was why I was run through the second time. At last it all stopped but my foot was worse. It was completely uncooperative.
The steroid shot had pushed disc fragments down into the nerve bundle. The surgeon spent nearly an extra hour removing them. The pain diminished a great deal after the surgery. I walked with a limp and my leg and foot hurt. Regardless I went back to work. I owned a company installing voice and data cabling systems. My right leg was week so I used the let on to lift me up the ladder with the right one following. I was slow but I got it done. I passed more of the climbing work onto the employees and I did the equipment ends.
Two years later the same thing occurred on my left leg and foot. I had another laminectomy and there was improvement. Three years later the pain had increased greatly and I had a third laminectomy. The results were minimal and I resolved not to have another ever.
I'm now retired. I work in my yard raking and sweeping. I have 10 birds feeders I take care of daily. I also put out corn for the 20 or so deer that come every day. When the pain becomes too severe I stop and rest. I take a 30 mg Morphine ER tablet three times a day. I guess it helps. I've never stopped it to see the difference. A few years ago I developed Type 2 Diabetes. That has caused much swelling in my legs and feet. I also have three kinds of arthritis. Every joint hurts but I keep going.
I've accepted the fact that this is my lot in life and I refuse to give in or up.
God bless you and your family. I pray for your healing.
Great information just had surgery on my L4 L5
The best presentation about sciatica and herniated discs I have ever seen. Thank you very much
Flavum thickness,disc bulge,c.s.f leak which I had to read in my notes !!
Excellent! Great job!
These lectures are perhaps the most informative I have come across. I have a bit of a mess in my back and Ill upload the MRI to your site in the coming days and schedule a coaching session with you.
Great lecture, thank you! What a trooper- powering through, despite your cold!
Thanks for sharing🙏 this is VERY informative and helpful ✍️👍👍
Thank you so much for the lectures and very superior
I'm paraplegic and lying in BLK-MAX SUPER SPECIALITY HOSPITAL PUSA ROAD india due to neurosurgery of thoracic and lumber spine tumor ( myxopapillary ependymoma). Pray for me brethren
God bless you,just seen your message,hope you are doing better
Prayers 🙏🏻🙏🏻🙏🏻
Greatest lectures. Thank you.
Fantastic lecture and great channel. Subbed.
Great video, I’m 72yrs old with a spinal fusion done on my L2 and L4 two yrs ago. Unbearable pain for the first year and a half. Taking 8 tramadol a day until I realize I had to slow down and take it easy. I’m off tramadol and only taking celebrex once a day now . I have been diagnosed with spinal stenosis and living with some pain even though I can go for a walk up a hill for an hour. If I had my time back, I don’t know if I would have taken surgery. I couldn’t stand for ten minutes with out my thighs burning like hell but now it isn’t to bad.
How did you come with that much tramadol? Was there side effects? Here in Cameroon, tramadol is banned so one can't get any relief drug. No drug like celebrex here. Four years on, I can't get any relief for my spinal cord problem. So so hard....
0
@@ndiforgroupcompany4861 Praying for you! Try capsaicin.❤️
@@SongOfSongsOneTwelve thanks so much. Yes, I will do.
Back surgery is a scam
Thank you soooo much for this amazing presentation. As an experienced physiotherapist I learned more from that course than many other presentations that I have attended. You Sir are phenomenal. That was an awesome advance lecture indeed
I’m 80 year old woman who has had stenosis for many years. The past 4 or 5 have been the worse. I saw 5 or 6 doctors, over the last 3 years, all said I needed fusion. Laminectomy would not help me. I have beginnings of osteoporosis, and at the last minute my planned surgery was cancelled due to a bone density. I was told I need a hyperbolic doctor for shots. I went to a doctor who said at my age, it wouldn’t work. Back to square one and pain.
I tried injections, after a year or two, didn’t work anywhere.
I went to another back surgeon, he suggested a laminectomy; I had pain in. Uttocks, thigh, calf and outside foot. Numbness, I stability, shooting electric shocks an low back pain.
He said in 85% of patients will be helped with the remainder a mixed bag. I had no other choice, so I took the chance one month ago.
I find that my thigh, and calf has regained feeling; no more numbness. Y foot is the same. It gives. E hope. The doctor said that if I’ve had this pain a long time, it will take me longer to heal. I heard you say that if you’ve had sciatica more than one year, nothing will work.what are my chances for healing?
I’m such an active person, but I can’t walk 1/2 block that I have to stop. I’m at my wits end. Please help with guidance.😊
Hello Diane, I sure I'm sorry to hear about your struggle central stenosis and the associated claudication. In order to help you, I would have to know more about your orthopedic and neurologic status, as well as see your latest MRI /CT with my own eyes. I do offer a consultation service during which you and I would meet via Zoom to go over your imaging; after which, I can put forth some evidence-based treatment recommendations for your unique situation and answer all your questions. You can learn more about this consultation service (I call it a coaching session) at these links:
^ Learn all about Dr. Gillard's coaching service via website:
www.chirogeek.com/Coaching%20Service/coachingService-2.html
^ Learn all about Dr. Gillard's coaching service via this TH-cam video: th-cam.com/video/A0GJ_r-uvpQ/w-d-xo.html
Best,
Dr. Gillard
Excellent lecture! Perfect review on some things I already knew, but presented in a way that firmed up the reasons why behind certain theories or outcomes . And then Dr. provided a wealth of information about things I had always had questions about or had never known before. Done in a clear, logical manner that is so easy to understand. One of the best videos on TH-cam and so valuable to medical staff, students, and patients alike. Everyone can get a nugget of gold out of it. Thank you so much for sharing your time and expertise! Fully enjoyed!
Pnnonohhh
My father suffered for years from vascular intermittent claudication of the aortoiliac vessels, both legs. Needed to stop walking and stand still to allow some blood to flow, then he could resume walking. He had bypass surgery and could immediately walk forever. Happy man!
God Bless you both!!!
Wuuuuuuejhda
Best info I've heard so far. I had that rare problematic central disc herniation on L4_5 and left lateral L5_S1. It blew one month post microdiscectomy and then I had retrolisthesis L4'5 . TLIF on both levels left me with scar tissue on nerve roots and intractable pain. Now there's central and foraminal stenosis, DDD, facet arthritis in all spine levels. Not a happy ending.
I feel for u I'm in that pain right now in threpy too help 😖😖😖
What cause electric shocks in lower back and down into the buttocks.
Very informative Lecture, a must watch for anyone really interested in MRI findings of various spinal conditions and requirement of spinal surgery and its outcome. It is also of great interest to radiologists who want to report on MRI of spine.
Thank you very much. !!
I am very interested in your in your brain’s a smart talk. I will be following you permanently I recently was studying medicine and had not gotten quite this far in spinal fluid Verdie and very courios on some side effects. You definitely blow my mind. Big booms coming from all around.
Hi sir, whats the difference between radiating pain up to above knee level vs radiating down to lower knee level up to the sole?
Thank u doctor...nice explaination ...
Hello,
I noticed you saying not to do McKenzie excercises. Is that a rule of thumb in general or just for certain cases? Are there cases where it could help?
Thanks!
Great lecture:-)
Thank you Doctor for your brilliant and precise explanations. I love you, you don't talk very fast. Perfect. But the only thing is your board, it can't be read. The letters can't even be seen. VERYVERY tiny. But the pictures are very good
XXXX
Great! Thank you!
Please do a series on transverse myelitis 😊
Thank you so much for this lecture! Awesome work
You're very welcome!
Even though I’m not in the medical field, what brings me here of course if my progressive back problems, I find this so interesting. I have curiosity for any kind of learning. Listening to educational and intelligent discussion is also calming. Thanks for you’re posts!
Another video easy to understand is by "the spine guy" dr. Brian su
Traduction français svp merci
@@vivianejeckelmann5721 p 00
fascinating! You are so great at explaining MRI I would love to get your opion on mine.
Excellent job describing teaching and explaining assessments and diagnosis always trying to learn more myself just had my eighth back surgery third fusion genetically have less annular fibrosis rings very prone to herniated disc
8 back surgeries!! Good god. Discectomy "scrape" procedure & Spinal Fusion. Enough for me.
8 surgeries - I am astounded at that number.
Dr Gillard, just stumbled upon this Vid. I'm no doctor, but I am a sufferor of a number of spinal issues including stenosis and facet joint arthritis throughout the spine including scoliosis and chronic pain and stiffness. I have been to at least 5 different spinal and neurosurgeons during the past 3 years, seeking relief. I have done tons of my own research , not in medical journals but on line dissertations like this one and from other doctors & chiropractors who offer advice and information. I have consulted with excellent doctors at Mt. Sinai, Columbia Presbyterian, Stamford CT Spine center and White Plains Hospital Spine center. All of the surgeons said - no surgery for you. Dr. McCormick at Columbis Presbyterian in fact said "no one will touch your lumbar spine....... I'd have to reconstruct your lumbar spine.......Pain Management. I also have cervical issues of herniated discs, stenosis, and "military neck". What the hell can I do? I have a shorter right leg by 1 inch a result of a fractured femur at 15 years of age , in a body cast for 4 months and the right did not grow , but the left leg did !! I'm 69 years old now. Lots of thigh and hip weakness, calf cramping and feet problems . Bouts of bladder incontinence. What a freakin mess
Same here, spinal stenosis, facet joint syndrome, lumbar and cervical nerve damage, tell me no real help, have hard full brace an heavy medication.
Such as life in this world. So many sad stories. Go to God. Eat well, no sugar, alcohol etc.
We have to build immune system.
Sorry for all you go thru. I understand.
I pray and read my bible. Use moist heat pads, stretches that can do help. God Help Us for we have worked hard in this life!
@@juliayelle2942 afraid god isn't into spine information or is asleep, NO god isn't the answer, science is the solution, nothing personal Julia, just a fact
Перевести на русский язык текст
There wasn't a single commercial for this whole lecture
Dr Gillard...... nah
Saint Gillard choosing education over money
Very informative, thank you for sharing.n
Very interesting this video gave me a very good in site into what is causing my hip and leg pain. I have spinal canal stenosis as well as bilateral neural foramin stenosis on 3 levels with various severities. Thank you. I am looking into artificial disc replacement been looking for data from studies on that.
I suffer from spinal stenosis degenerative disk disease.. Just got thru with spinal cord stimulation trial.. I seemed to help with lumbar/ sciatic nerve pain..
What's the best treatment then for contained, broad based disk protrusion?
Please how do I upload pics to you xx
Thanks! What is SNRBS?
i have L4-L5 disc problem
Could you comment on psudomeningocel and the possible effects of a screw into the disk space. L2- 3 Had ant. and post long spinal fussion with pinning 2009 had pain since. Now it is really bad. Had to retire early from nursing. Nerve pain mostly R leg. Numbness to L foot and lower leg Sever back pain and muscle spasms. Difficulty sitting and standing. Walking a little better. Laying flat is my only relief. My spine surgeon said he could not do anymore. Had second opinion he wont touch me. I do have an appointment with a neursurgon who specializes in complex spinal conditions for a 3rd opinion. I have a dx.of scoliosis. Love your videos!!! Thanks for sharing your expertise.
Bravo. Very good
I had an MRI scan they found I spinal canal stenosis , and they also found a blockage which they don't know what this is yet . I have had difficulty walking for the few years but worsened 2yrs ago there is a weakness in the right leg , and I know I'm suffering from claudication as I have numbness and heaviness in upper and lower limbs the blood pools on my ankles and feet also my hands , I live in Britain and they dont know whats causing this I have been awaiting another scan for over 1 yr I'm worried they are missing something
This is so interesting, I've got sciatica and waiting for epidural injection for L5 nerve block, and if that doesn't work then surgery, I believe the problem all simply came about by too many years sitting at computer, thank you for great explanatory video
Thank you, my hip needs replacing and my lower back l4 l5 needs removing. I am looking for anything that can give me the relief I hurt all day and night it wakes me from my sleep with a sharp and burning in my groan.
please drs Ihave aswelling on the side of my spinal,i only have pain when i over sit then around the neck whever ichew hard stuff. it as lasted for 5yrs now. what could my problem be plis help.
amazing.
Thank you
So many PT etc recommend the Cobra pose( back extensions) for sciatica - very dangerous.
I am sure I got my herniation from extending back - in the gym - overhead pressing - Cobra pose made it worse - and also squatting with a weight on my shoulders. Deadlifting is ok if I do not extend backwards. Today got an epidural, after Nsaids and Prednisolone failed.(just hide the pain)
Proceduralist are in the cyst and leak business correct? Dont know about nerve dilation and prolapse in regards to scoliosis though.
I can't stand still for more that a minute, depending on the day, 30 seconds. I just plop down to my knees due to severe low back pain. Spinal stenosis, sciatica and quite a few other things. Is there anything that will help me stand longer? I have pretty much everything. My disks are herniated or just the other one with the black stuff over grown. My family Dr is not sure if back surgery is worth it, since I have so much going on. Thanks! Can you recommend a safe exercise?
Can you help me possibly or direct me to help. I have been suffering for close to three decades. I have chronic compression fx of thoracic vert. MRI 06/07/2018: T4,5,6,7,8 and 9. Vertebral loss of losses as follow: T4 10% mid, T5 30% mid 50% anterior, T6 no significant loss, T7 50% mid and anterior, T8 greater than 50% both mid and anterior and T9 25% mid and anterior. Accentuated Kyphosis of the Thoracic Spine. T5-6 Minimal posterior central disc bulge, T9-10 Minimal disc bulge, T11-12 minimal disc bulge. I just had an ACDF on 10/03/2018 of C4,5,6 on Oct. 3rd, 2018 for herniated C4/5 abutting the cord with myelitis at C5 and disc bulges at C5/6 and C6/7. Foraminal and Canal Stenosis and uncovertebral joint hypertrophy contributing to the bilateral foraminal stenosis. The ACDF seems to have helped the neuropathy in the arms but is still present. Now on to the Lumbar. MRI 10/02/2018: L1/2 Minimal broad based disc bulge, L2/3 Broad Based Disc Bulge extending into the bilateral neuroforamina. Moderate to Severe facet degenerative changes, Mild central canal stenosis and mild bilateral neuroforaminal stenosis. L3/4 Broad based disc bulge and moderate to severe facet degenerative changes. Moderate central canal stenosis and moderate central canal stenosis and mild bilateral neuroforaminal stenosis. L4/5 Broad-based disc bulge. Moderate to severe facet degenerative changes. There is mild bilateral neuroforaminal stenosis. L5-S1 Minimal disc bulge. Moderate facet degenerative changes. History of a 40-60 foot fall on 03/31/2005 in which the right fibula was fractured and dislocated. Had an open fixed reduction and internal fixation with a distular plate and ten screws. History of Grand Mal Seizures adult onset of idiopathic origin started in 1996. Pediatric history of Viral Spinal Meningitis and Encephalitis with Petit Mal Seizure at age 9. Septic thrombphlebitis and septic thrombosis from infected iv catheter while having a broken rib evaluated in 2008 and MRSA, DVT, Septic Pulmonary Emboli, and acute renal failure. Bursitis of the hips bilateral. Sciatica and other neurogenic conditions. I need a doctor who cares and will help me. Social Security denied me at the ALJ level back in March of 2018 despite all of these. Also, I suffer from Stressor Effective Disorder (PTSD), Depression, Anxiety, Panic Attacks, ADHD, inability to urinate effectively, suicidal ideation and thoughts with previous failed attempts, idiopathic cardiomyopathy, hypertensive disorder, previous history of acute pancreatitis, non-cardiac specific chest wall pain, previous ventricular tachycardia and more. Yet I cannot get proper help and Social Security will not approve me for disability. I am beyond myself after typing all of that out and realizing the list of disorders and impairments that I suffer from. I need help soon because I am not planning to stay alive much longer in this world without help because I just cannot take it much longer. I have suffered since childhood and I have seen people have more compassion for sick dogs and animals than they do for humans like myself. Brandon Kachmar, ytech1758@gmail.com
Good, thanks
1:04:27 Fantastic. I didn't even read about that!
1:04:50 Where is list of sources with ids [14],[22], also for a slide before this one? :)
1:06:13 Big true!!! But also source [95]?
Sir i have mild lumbar stenosis in l4 l5 is there any problem in feture
Great to read. Can bilateral foraminal exiting at l5 s1 cause cauda equina?
I would like to know if that artery I side the tail sprout could cause some intermittent signs of vascular with mainly Neurogenic stenosis in a failed fusion of L5&L4 misaligning L3 and herniated the L3 disc?
Is inverted surgery performed on lumbar spinal stenosis?
I am 47yr old and was previously working as a food delivery rider using motorcycles. To a start, I have numbness on & off on my groin area and down along my both leg if I sit too long on the bike, or when I stand still for a minute or so, numbness appear. Later part, I experience extreme right calf pain, tiredness, pull on my right thigh as well. I also could not press myself up using my right feet. Despite taking an MRI and got a steroid jab at my L3, 4 & 5 lumber after consulting a musculoskeletal doctor at a local hospital. Till date, I still have yet to make significant improvement. Please advise.
I have a lumbar disc rupture compression nerve inflammation caused by itching, itching for more than a year, ask for treatment
My MRI didn't show the numbers
I'm L5-S1 spinal stenosis,have already had fusion at L4-L5 , I recently mentioned to my ambulatory specialist,that I was having bladder issues and he kind of sluffed it off,i;m on the wait list for some rods and screws,another fusion,and praying for a miracle
The new development of bladder issues is considered a medical emergency. A new MRI should be obtained to make sure nothing is severely compressing the thecal sac/cauda equina. Fusion alone is not the treatment for spinal stenosis. Decompression is and then its controversial whether or not fusion should accompany that decompression. All depends on whether or not you're stable at L5/S1.
How are you now??
@@mehmetsanl6267 sonu ameliyat olur Mehmet bey bu hastalığı yaşayan bilir çok şiddetli agrilari var
@@fatmatekbas6482 mesane problemleri yaşatan fıtığa mı sahipsiniz?
@@mehmetsanl6267 evet 2 aya yakındır Dar kanal daralması ve bel fıtığı ameliyatı oldum Pilatin takıldı
I sure wish i could get a doctor to frickin listen......i can take much more....lord help me
Tammy Murphy Moat doctors in US don’t want to help people. All they care about is billing insurance and pushing pills. They are too lazy to want to spend any time helping people. It’s all about money.
Tammy Murphy Try zero carb/sugar. Eat mostly green vegetables. Try OMAD.
You ok love I’m here to talk if you like
I don't have alot of back pain....but very weak legs......legs hurt at night....wide gait...balance trouble....having surgery in 2 weeks.....pray it will help me walk..
Sandra i wish you the very beat life💕
I would like to ask a question.
Am a 52 year old man I have been diagnosed with back problems.
Because of family situations I had to work I started working in construction and tree removal at 12yrs old stopped going to school in mid 4th grade I have had pain since I was a child I would like to find out if there is help for me I spent many years addicted to oxycontin but I quit in 2012 but the pain with my back neck and shoulders is horrible! I have been told I have stenosis and narrowing but other than that have not had much done about this as my insurance and money are not great.
vascular intermittent claudication, do you often find the other findings of smooth shiny hairless legs as well with poor wound healing?
Thanks
Very good. Atypical means possibly the image is untrue. Smells like victory. A sacral tarlov cyst awaits though. Now your in the ring with Ali. This is fun.
I loved this video! I learned so much. having had surgery and hearing you say " needs to be done soon as possible, less than a year" really shocked me because I went over 15 years with back pain and siatic pain before I had surgery. it's Been 10 years since my surgery ,I still have "neuropathy " and a very stiff lower back. the more I get out and move the better I feel. I'm wondering if I don't have arthritis?
Same here. I have it in lower back and lower neck. Right side of my body has most of the pain.
@@joelegend761 yep. read my commments. spinal instability undiagnosed. #1,4,6 leading causes of disability and chronic pain. were you in a crash? (or similar traumatic event)
30% of surgeries help with pain alone, a 1-5 yr follow up, most are not more helpful than placebo.
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great. great
Ugh story of my life. Blown disc's, spinal stenosis chronic injury, new symptoms: thighs and hips going numb now with severe inflammation. I'd give anything for surgery.
To all people in the spine field (first another thank you to Dr, Gillard), as I am waiting to hopefully see or hear from Dr. Gillard, I am putting together many photos and videos onto a web page with my symptoms. I am willing to pay a reward at this point to help me figure out what is causing my burning / stabbing pain in my mid to upper back / center almost between spine and edge of left side body. I have been in agony for 17 years now and all I hear from doctors is...My pain makes no sense. Please leave a comment if you want to be notified when I finish this web page project and you would like to take a look at all my images, maybe something will jump out or maybe I need different types of scans which I am willing to do. Thank you.
@@bert1450 what is that?
Great
Great !
I have severe stenosis. ..several pinched nerves...thecal solid black...suffered for 21 yrs..dragging left foot....slapping...
Does unilateral chronic L4,5 pain with a history of central disc prolapse imply lateral stenosis? Pain does not radiate to buttock or legs. Comes with pelvic twist when sitting for a long time, leaning towards one side, goes away when exercising, moving, walking.
Hard to say. I would need to look at your MRI Images and then possibly order SNRBs and Flexion/extension radiographic study to figure out.
Best Regards
I have had 8 spine surgeries with 10 fusions. All were very successful with the exception of the 1st which was a discectomy and a total screw up. I would not ever go that route again.
I am almost 78y4s old, I have spinal stènosis in lower back. I have been on tagging for more years than I like to admit, however I broke the 2 pedicals on the l .2 8n 2016 since then everything seems to go wrong. I push myself to at least keep the house clean but I pay a heavy price for it. I would like a treatment for this to make life easier.
Hi there, I'm a health care professional with a really bad disc protrusion that led to a severe stenosis, my providers opted for conservative therapy because although it was compressing my cauda equina, I had no bladder issues or saddle parasthesias etc.
Anyway, you mentioned you had some core exercises on your website? Would you share a link please? Thanks! :)
But I have read that surgery is the only way to treat CES???? and what are your symptoms now????
@@sarcasticmeeeeee5499 Yes! I should have said "near" the CE, I didn't have CES proper but they were concerned about it per imaging, but when they tested my nerve function it was all intact. Basically, I got super lucky.
Initial symptoms had been severe pain and numbness and myoclonic jerking of my legs with peripheral neuropathy. Now with injectable steroids, medications and physical therapy it's generally just mild to moderate pain, standing intolerance, with some mild neuropathy.
@@rachaelm.7802 i got central broad based disc protrusion and i am dentistry student.i started to thinking leaving dentistry for pharmacy school for the fear of having CES.Knowing that you are healtcare professional and you got central disc protrusion, what are you think about it?
@@mehmetsanl6267 It sort of depends on how you are most comfortable. I went pharmacy before my injury and got injured in school so I knew I couldn't stand for long periods, thus I really couldn't work retail, so I found a pharmacy call center job instead. Something like a call center in whatever field is a good goal if you can't stand or walk a lot (like me).