Neurological exam and structural treatment following lumbar disc injury, flexion-distraction ASMR.
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- เผยแพร่เมื่อ 7 ส.ค. 2024
- Our patient Jeneen had a herniated disc a couple of years ago, and after a great deal of thought and advice, opted for a surgical microdiscectomy. As happens in most of these cases, the healing is not rapid or linear, and she still feels some stiffness in the lower back and tingling and cramping in the right leg as the result of the injury.
We discussed her progress and I determined that there was no present tension on the nerve root with a straight-leg raise, Braggard's test, and Valsalva maneuver. She also had full strength of the toe flexors and extensors, the tibialis anterior, peroneus tertius, and tibialis posterior, and peroneals.
She does have some sensory deficit in the right leg consistent with the dermatome of S1, which correlates to the L5 disc, which is the disc she injured. The conclusion was that there was slight compression of the S1 nerve root on the right.
Following the exam and determination that treatment would likely help, we worked prone through the lumbar and sacral regions using myofascial releases and flexion/distraction, as I try to talk through my thought process and what I'm seeing as I work with Jeneen.
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Intro and discussion 0:00
Leg neurological exam 1:15
Discussion of finding and gentle prone work 7:05
Gluteal fascial release 10:10
Initial prone traction 11:47
Full flexion-distraction 12:18
SI releases using flexion-distraction 14:50
Full back myofascial releases 19:00
Neck work 24:25
Cervical adjustments 26:30
Thank you for watching! You are appreciated! :)
Dr. David Russ
Chiropractor
Portland, OR
www.happyspinepdx.com/contact
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To watch an eminently competent, supremely professional, and exceptionally empathetic practitioner at work, is a real treat. If Dr. Russ was practicing in the UK, I would most definitely be one of his patients! Merry Christmas.
but... in the uk he wouldn't be a doctor. He'd not even be a health care professional. In the uk we recognise he would me a massage therapist. at best.
@@emsservices6090 Thank you for your reply. I was referring to his title as per the video description. Regardless of whether he was recognised as a Dr or not,I would be very happy to engage him in a professional capacity. Kindest regards.
emsservices6090, would he not be classed as an osteopath or chiropractor in the UK?
@@emsservices6090 doctor of chiropractic is different to doctor of medicine and this is recognised in the UK. I've been to a Chiropractic Dr in the UK.
Thank you so much!!
No click bait, just a very knowledgeable and professional guy.
I love your vids doc. As a Chiro in practice for 35 years I appreciate your clear love for the art. keep pushing this out there. the public needs to know what we do and you sir area top tier practitioner.
I appreciate the kind feedback as well as your commitment to a long, sustained practice. Thank you for all of it!
Thank you, for sharing your calming voice. Stimulating explanation, yet the cadence has been putting me to sleep for months. I appreciate your content.
I'm so glad I can educate and inform while providing some soothing and calming energy in the chaos. Many thanks to you!
I’m learning anatomy and have been struggling until I found you Dr Russ! Thank you so much for naming all the anatomical parts you’re working on. It’s really helping me make sense of theory that feels really difficult for me! If you ever offer anatomy tutorials, I’ll sign up!
What kind of anatomy tutorial? This sounds like something I'd be really interested in doing!
Another lovely video ❤ I had a pretty bad S1 injury in 2013, had no surgery just stayed active and I would say it has pretty much healed. Still no achilles reflex but that's it. I hope the patient had a wonderful response 🙏
Great work!
This is just lovely
Once again great work doc your the best
Glad you enjoy it!
Ohhhhh Dr. Russ, wish us veterans had access to this conscientious style of adjustment! I’ve had same symptoms of Janene(also my sisters name:-)for about 15yrs. I have tried everything and I mean everything(outside of surgery)but I am at a crossroads and need injections 2-3 times a year. Just nothing stops the pain. But being only 45, can’t really stop adulting.
If you're ever in Portland, please come in for a session!
@@DrRussInYourPocket :-) I used to be on that side of country but it’d be better if it was
Portland Maine nowadays.
Thanks
Fantastic
Great traction table
Wow! I wish you were in my area in Maine. I keep telling MTs and Chiro my ribs are stuck on right and can't get any of them to listen to me. Chiros I've been to just mash on my ribs and lock them up worse!
Oh no! Sorry to hear that
I love watching and listening to you work; I hope to find a Chiro that's as gentle and thorough as you hear in San Antonio at some point. I had a good one, but he changed careers; the last one I went to manhandled me & ended up making me feel WORSE!
I'm sorry that you had that bad experience, I hope you can find someone good in San Antonio! I visited there once and had a great time. Thank you!!
I was diagnosed with MS about two months ago after dealing with neuropathy from my knees down for 4 years. I would love to either get rid of the neuropathy all together or lessen it. I have lesions on my brain and three places on my spinal cord which is what's causing the neuropathy from what has been explained to me. I have been on medication for the two months. I don't have the tremor or the extreme compression sensation in my back. I use CBD oil on my spine which also helps with the MS Hug.
Thank you for sharing your story, I appreciate hearing from you. I know how difficult MS can be and I wish you health and wellness in your journey. Best, DR
TIL that some people call cramp a rather silly name... I like it 😁
Hi Dr. Russ! Can you tell the difference between nerve damage and nerve compression?
The symptoms will be the same, nerve pain such as tingling, sharp/shooting pain, hot/spreading pain, numbness or cramping. The differentiation is in the history--how long has it been going on? And what is the cause? For example, nerve pain from a severe disc injury 5 years ago is probably "damage" and is probably long-term, where nerve pain from a mild-moderate lumbar sprain is probably "compression and is likely to resolve.
I had a laminectomy with spinal cord tumor resection (t10 t11) in April of 2022. Most of my symptoms are in my left leg (decreased sensation, decreased proprioception, and pain) and are worst at my toes. From what you said I think it’s most likely damage. But, is there anything you would recommend I try? I can still walk but running and balance are still things I am working on.
That must have been quite a surgery to recover from. I am sorry that you have continuing symptoms, but I am glad at least you are able to walk. I can't give you any specific advice, but I can say this: keep working on your balance and strength. You are still just 20 months from major spinal surgery, and you may yet regain more function. Keep working!! @@GreenJellyfish7
Merry Christmas everyone!
Merry Christmas
👍
Very good.but why didnt you take.an xray on the back.to.make.sure their.is.no hardward inside the back
I would never trust the.person
They could.be wrong
Hello and thank you for watching! Good question! As I mentioned in the beginning of the video, I have been working with Jeneen since before the injury and surgery, and I am well aware of the hardware that is present.
Oh man… if you pulled my toes upward like that, my entire leg would seize up and my toes fan out. Even my pinky toe that I can’t stick out on my own will spread 😟
You need to stretch, and don't tell me you do because what you posted tells that you don't stretch at all
Hello! What you desdribe is similar to something called a Babinksi reflex, I suggest you look it up as it might be relevant to your health.
My guy speaks in APA format