What is Lumbar Degenerative Spondylolisthesis - Part 1
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- เผยแพร่เมื่อ 27 มิ.ย. 2024
- This video will give you a better understanding of what Lumbar Degenerative Spondylolisthesis is. Anatomy, imaging, diagnosis and symptoms are explained in detail.
#thespineguy #lumbardegenerativespondylolisthesis #spinesurgery #spondylolisthesis #forwardflexionxray #sciatica #pinsandneedles #cramping #backpain
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
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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.
I have the same condition that you are describing. I have never had anyone explain this to me the way you have. Thank you for the great video and I have been like this for over ten years.
Thank you. I am a better patient because I am now an educated patient. I appreciate your clear examples and explanations.
Fantastic clear, concise information. Thank You!
Thank you for spending the time making our conditions clear and understandable.
Best description ever. CrYstal clear.
That was incredibly helpful. Clear, concise, and totally understandable. Thank you
Another awesome video..... concise, thorough and easily explained!!!!!
I was dx with this condition 3 years ago and the Dr never explained the details like in this video. Thank you so much!!
Thanks for this detailed lecture. Please keep them coming
Absolutely beautiful explanation on such important topic. Thank you .
Thank you so much for your video. I suffer from these conditions and they have never been explained so thoroughly and understandably.
Thank you so much. This is the best break down of what is happening with this condition that I have ever heard.
Dr. Thank you once again explaining the spine so that I can fully understand my condition. Sincerely, Ray Donahue
You have been the best dr. I have ever explain my condition. Thank you.
Thank you, excellent easy to understand information.
Very clear and concise. I love how you showed the back and stomach side of the spine. Sometimes in these videos, the person twisted and turned the example spine so much it became confusing. Thank you.
Thank you for this quite clear description. I do have this condition, am in PT, & still able to take my daily 2-mile walk. Your presentation helps me to be much more aware of how things are working. Now, on to Part II!
Thanks for clear explanation on this condition. 👏👏
Thank you for the very thorough explanation
A great explanation now I understand the symptoms
Most informative video !Thank you!
Excellent presentation Dr. Su. I wish you lived closer to home!
Clearly explained thank you Dr
Thank You so much.... Superlative explanation and visuals...
This is very good. Thanks.
Thank you very much Dr Su for your excellent and clear explanation.
Hi. Love your videos and how easy you make it for the average person to understand. I was diagnosed with spinal stenosis 15 months ago and am still waiting for the operation to correct things. Unfortunately for me the symptoms are getting worse. Numb feet and severe lower back pain now after only walking 30 to 50 yards. They say the delay is all down to covid as all operations have been put back. I am from Glasgow in Scotland. I wish you could come over here and sort me out. So much for the NHS. I don't know how much more pain I can take. Anyway thanks for listening. CHEERS
Hello, I have similar issues, for the time being as I am waiting for surgery, I am trying this "sit and decompress back stretcher" and it does provide some temporary relief. Please do check with your doc however, I don't wanna cause you more trouble :) but it works for me on a very temp basis. Hope you get well.
I have spine problems doc. The videos are great they help better understand what's going on in the back
Great Video Dr. Su. !!!
Tks for your time and information …
Great video, thank you!
Thanks so much. Living with this aliment every day.
Thank you so much absolutely excellent exposition🙏🏽🙌🏽💫
Giving thanks to Doctor Ani John is something I will always take personal because he brought me back to my full health he is a good man and trustworthy so kind to every patient,
contact Dr.Ani John on TH-cam channel now for help for Any kind of health issues..
Visit Doctor Ani John on his TH-cam channel his herbal medication is the best and permanent solution to all kinds of virus disease and STDs contact him now for help he cured mine completely within 12days.
Thanks you docteur
Well explained, thank you. This is me starting to experience degenerative lumbar spine pain for months at age of 53. I had my x-ray and it showed I have a problem.
Dr your a gift! Ty so much!!!!!!
Many thanks for Very informative video Dr
Awesome video! My MRI says reverse Spondylolisthesis of L2/L3 level through the L4/L5 level. Thanks for helping me understand why my spine feels like a slinky
Best synopsis I've seen. Thank you! I love to have my questions narrowed down for my doc's precious time. 👍🙏
Very very good explanation of what I may need in my procedure for spinal surgery in L4 and L5 pain of back pain daily barely can walk great explanation of what I may need to feel better
Thank thathelped make it clearer!
I have a prolapsed s5 l1 and watching these gives me some kind of idea of what I’m in for in the future, and at least I have an idea what I’m talking about when I speak to my surgeon !
Great video- very informative
Awesome!
Thanks for the information that’s my problem now
Thank you!
Thank you very much for this very informative video on spondylolisthesis. I had an appointment with you recently and considering getting the appropriate spinal surgery. Thank you.
David
wow thank you doctor. Your explanation is quite clear. never understood this topic clearer than when you explained it
Thanks😊
I have this, and it's very painful! Best explanation I have heard, and the visual is great! Thanks for sharing 💯❣️
Right? I now understand what I am suffering with and enjoyed seeing the X-Ray and MRI. The doctor explained it so well.
@@theresahickscch6581 So, what are the best treatment.. I've gone thru all the PT, one surgeon wants to ladder. Anyone publishing results?
Dr Su thanks a million for being beautifully clear and sooooo helpful. I have L4/5 slippage and a protruding disc and a cyst. Buttock and leg pain , 75% numb L foot and toes and right big toe. could you clarify about cysts I’m on the surgery list for cyst removal.
i’m currently scheduled for surgery in 3 weeks to correct this condition at L4 L5 along with L2 L3 nerve impingement Thank you so much for explaining everything God Bless You All
Thank you 🤍
This is a great video. It describes to a T exactly what I have and will be having surgery soon to correct this condition.
How did your surgery go?
Your videos are highly informative. They have helped me understand things and clarified what is going on with me. Wish you were in Australia.
Giving thanks to Doctor Ani John is something I will always take personal because he brought me back to my full health he is a good man and trustworthy so kind to every patient,
contact Dr.Ani John on TH-cam channel now for help for Any kind of health issues..
Visit Doctor Ani John on his TH-cam channel his herbal medication is the best and permanent solution to all kinds of virus disease and STDs contact him now for help he cured mine completely within 12days.
Amazing in depth information. I need this info so I can demand a standing X-ray /Mri Thank you
Thank you so much, Dr. Su! I sent this video to my family so they could understand what I am going through. You are right the pain in the buttock and leg (the right side for me) is much more debilitating than the lower back pain.
Exactly, I feel the same, going through same thing om left side
My doctor went through this with me. That's the good news. The bad news is that I can't put him on hold or put him on rewind. Other people need him too. I can't thank you enough for doing this. Your probably have no idea of how many people you are helping. Thanks Doc!
Thank you very much we appreciate your comments.
Thank you so much for your explanation. I understand clearly like teaching us in the class. I really appreciate it my sister has so pain because of this disease. I hope you will get surgery. Thank you so much.
I hope she will get surgery.
THANK YOU very much for the explanation and im now hope when i watch your video'im in pain just two weeks ago im stress 'i want a doctor like you'they dont explain that to me'i pray i can be in your clinic'if i just enough money' i will do'thank you very much
That’s crazy how a person can live their entire life w this condition without paralysis or just crashing to the ground. My facets are severed w no disc & my
X-Ray, the spine takes a sudden right angle turn literally w severe curvature along thoracic. The PA said it was caused by poor posture but it’s really that it’s was so weak -had been since 7-yrs old that it caused me to rest my upper weight on whatever I could and slouch w shoulders forward my whole life. Now I have to rest my weight if I’m standing I cannot bare the pain & it’s impossible to hold myself up. I’m VERY lucky that I don’t have Sciatica to foot. Mainly seems to have been, be nerve pain & constant muscle spasm & swelling. Maybe fibromyalgia saved me? Weird thought. Probably not!
TY for these videos. Ur great!
Great video, what type of symptoms would this person?
Terrific videos. Concise clear voice and explanations. A star!
Nice SMP Bro!
Thank you, Dr Brian Su. Extremely informative. I had 2 operations. I am still heading for a third one. The second one was approximately 7 hours. The Neurosurgeon advised me, I still need a third one. I have improved quite a bit. I do honestly thank my Neurosurgeon. But am still waiting for the 3rd big one. Dr, Brian Su's explanation is just super clear!! Kind Regards, Colin.
Fantastic demonstration and Cristal clear explanations. Thank you Doctor ⭐⭐⭐⭐⭐
In my case I don't understand to why I get the symptoms of stenosis (pins, numbness, and extream pain, just as I step up from bed in the morning for 2 to 3 Hours I can't walk. Then when I do stretch over these Hours the pain start to reduce gradually and I can walk normally. But the same repeat every day!. Any idea?
Thanks
Great video. I have a grade 1 spondy that I have had for years. But also stenosis in the above joints. It has been an ongoing debate among doctors that I have seen, if I need a fusion in that spondy area! Or just repair the stenosis and wait and see if the spondy slips further.
I will publish the video on surgical treatment for a spondy. The surgical treatment for grade one has evolved quite a bit. I am rarely fusing those patients now and if amenable I will perform a minimally-invasive bilateral decompression from a unilateral approach called the u l b d approach. It is less destabilizing. If you do have significant foraminal stenosis along with Central stenosis a fusion may be indicated. Every case is different.
Thank you so much for your informative videos that are easy for the lay person to understand. I have learned a lot from watching them. Do you discuss compression of the cauda equina caused by severe canal stenosis in any of your videos?
I will do a separate episode on ces. Typically occurs with large disc herniations
@@DrBrianSuTheSpineGuy thank you so much. I look forward to watching those upcoming videos. I really appreciate all you do to help all of us who suffer various spine ailments to better understand them.
So interesting and informative. I'm glad I stumbled across your site. I too have a Spondylolisthesis (Grade 2) which was reported to me 34 years ago. The surgeon, back then, didn't want to operate due to my also being born with Spinabifida oculta (Meningocele closed) which therefore meant there would be a lot of nerves to navigate. ?? Or so I remember him saying. But now as a 54 year old and hearing you explain the condition in easy to understand terms, has allowed me to learn so much more about the spine. I'm even just about to dig out my old x-rays and Mri scan from 1990 to get a greater understanding of my spine. Again, my thanks go out to you Dr Su.
You may also want to watch a video on isthmic spondylolisthesis series
Thank you, Dr. I must have missed that one during my ‘video surfing’. I will indeed take a look today. 👍🏼
All the best 🙏🏼
I had that due to stress fractures that I developed as a child or teenager. I had spinal fusion to correct it two years ago.
Thank you for your clear video explanation. Now I understand what causes the pain on my lower back and on my left lack. It's more than 10yrs experiencing this lower back pain. And now I'm experiencing the pain from my left but going down on my leg. I was informed that is the sciatic nerve pain. I really appreciate the way you explain the scan pictures. Keep it up Dr. 😊🙏🏽
Yes, this is me. When I lay down I feel better. When standing for too long severe pain. But my Doctors tell me I shouldn’t get surgery because there are changes of negative outcomes .
And it also may not get rid of the pain your having and limit your movement! I know because I had it done and had my spine fused front and rear on 6 disk with 20 screws and an 8 inch plate in the back and a 6 inch plate in the front behind my throat 🤔😳
I do not recommend surgery, my dad had the same problem years ago then went for the surgery, now he's worse than ever!
The pain was much tolerable before the surgery, now he's in severe pain.
My L4 was nearing 75% off of L5. Had a mini back fusion in 2011. Get a second opinion.
I've got this. And broke my spine in 2 places. I personally wouldn't recommend surgery as I'm in the same condition with less mobility. However I do sleep better. Definitely do not recommend the surgery. I cant stand still... Still.
😅😅😅😅😅
I have it and it’s very painful. I had physical therapy which did not help. My doctor hasn’t offered treatment or referral to a specialist. It certainly has slowed me down.
Thank you very much for this detail explaination,exactly what im suffering for a year now..Please are there stretches or exercise that can help with the hip and leg pains?
Appreciate it. Still no info about retrograde SL, my case.
Wow! I just discovered you. Very informative videos. Thank you! Can you please do a video on Modic 1 Endplate changes?
Please see my video on degrn disc disease. It talks about modic type changes
TY for your reply. I listened to lumbar deg. Disease ...well pt 1&2 and didn’t see mc1 unless I’m missing something . I’m a bit squeamish about surgery videos thus didn’t listen to pt 3. Is that where you speak of mc1? I’m wondering if you think they can be from P. Acnes such as in the Denmark double blind study from 2013. Again thank you.
These are very good, very clear and very informative videos. :) I wish I had found them sooner. In case this is read: is it possible to know if the spine has fused naturally over time with spondylolisthesis (Gr. 2 to 3, Meyerding, it says on the report) and pretty severe stenosis? If so, it could make a difference as to what sort of surgery is done, or? Thanks.
A CT scan would look at whether or not it was fused
Hi Dr. Brian. My question is about strengthening the core. When there is an umbilical hernia and diastasis recti. Making strengthening much more difficult what would you suggest?
Thank you for your clear explanation of the mechanics of spondyloisthesis. It helps me understand how the slippage can affect the nerves. I have pain that goes from my back around my hip and into my groin. My orthopedic surgeon has had an X-ray of my hip done and there is no apparent degeneration of the hip bones. He said that my L1-L2 nerve is causing the problem. He has referred me to a pain specialist who, as a first treatment, has done a steroid injection. The effect of this lasted about 3 weeks. He has told me he has other ways to treat this, and I’m sure we will discuss this in my follow-up visit. Do you have any videos that discuss this problem? I’m guessing it isn’t as common a problem as the L4-L5 problem.
You can watch the surgical treatment video
@@DrBrianSuTheSpineGuy Thank you. I will.
I appreciate your videos! I stumbled across them looking for information on Vacuum Phenomena in the SI Joint and Spondylolysis in the lower lumbar. Is Spondylolisthesis similar to Spondylolysis? I’m waiting for an appointment with a specialist to find out more about this but I’d love to try to learn about it ahead of my appointment
Spondylolysis is arthritis which is normal as people age. Spondylolisthesis is slippage of the bone.
Can you doing a snapping ,popping hip video?
Awesome vid, I hope this is not what I have as well. Sounds like it. Pain is well going on my 5th week of non medicated pain untolerable dwn my right leg. Jst can't handle it. I'm hoping Mon the 12th of Dec I will get a shot for the pain to do therapy or I won't be moving at all. This sucks I'm 46 yrs old w degenerative spine. I think I should get surgery, it's only getting worse so why not this pain is no joke
Hi Dr. Su I am a patient of Anky loosing Spondilitis
Awesome video!
My L5 is off the sacrum & the disc is completely gone under it.
They recommend fusion surgery & put a titanium disc under it. Not sure if I should go surgery route or do other methods.
Would love your thoughts!
It sounds like you should watch the videos on isthmic spondy on my channel. That should help you understand your options
Great explanation and visuals.. I have all of that and more. I hade steroid shots. Nerve oblation. Just recently I underwent facet fusion using the ION facet screws on 29 Dec, today is15 Jan. So far all of my leg pain is gone and I can walk better. Still in the recover process so I am not doing a lot of lifting and definitely no twisting.
I’m currently scheduled for L4 L5 Spondylolisthesis surgery along with L2L3 nerve impingement in 3 weeks may God Bless you All🙏 8:23
Thank you for this video. You are amazing and have been my go to when I need to study a condition to work with a client. Thank you!
Love your videos is DJD the same as DDD?
No djd refers to degenerative joint disease
I have this at L4/5 with a compression fracture fused from L2-L5.
Now I know about it, how can we treat it?
Unfortunately it is many years I have this problem.
Thank you so much for your explanation. I have a 4mm anterolisthesis of L5/S1. The pain is severe, PT is not helping and this is a holiday week, and my PCP has me on 500mg Tylenol, 800mg Advil alternating every 4 hours. I get some relief but the weakness in my legs is concerning. I am 64, and just retired from a healthcare career. Nothing like this ever occurred while I was treating my patients.
It is also very depressing.
That sounds Ike me exactly.
I just got a steriod injection at L5…I get around with a walker …I am 72… I am 5’3 ..weigh 160….I get worse with some PT activity… I am a retired nurse…. I never put together the leg weakness as part of this syndrome… I jut thought I just don’t have stamina for 12 hour shifts… now I see I need a complete plan or I will be in a w/c….
What is the down time on having this surgery procedure? Your details on this spinal issues is truly on point. I love how u explain it detail by detail. Great job
It depends with the surgery is specifically 4 to 6 weeks
@@DrBrianSuTheSpineGuy ok im getting the spinal injection this Thursday my Dr. is great he did say I needed surgery but try the injection first.So Dr Su if the pain comes back in four months should I get the surgery my Dr told me about? Let me know thank u again.
Best explanation seen . why does the vertebrae slipps forward ? and , what is your opinion in putting Coflex or similar accesories . from mexico city ,Guillermo Alcocer
It usually slips forward because of an alteration in the biomechanics that sometimes begins with a facet or the discs. Coflex can be appropriate in certain situations. You would need X-rays and an MRI to evaluate.
May I know will I treat my back pain? When is the time for me to have an operation.
Could you talk about cervical spondylothesis? I can't seem to find any videos on TH-cam discussing it. Thank you.
That usually does not cause issues because the nerves have already exited the spine but I can make a video on it
Did you say Marin county?
Hi Dr Brian, Can you please do a video on scoliosis. Thanks
Yes that's on the list
@@DrBrianSuTheSpineGuy good, I have a double scoliosis. And a hyper lordosis.
Please help Dr. Su, Tim Tafilica
what excise i must do to resolve the pain in hip be cause off lumberdischernition
What can I do?