I have learned more from this doctor in all of his wonderful video than all of the local doctors. It helps to give you facts and facts give you peace of mind..Thank you!!!
Your my fav , I am a RN MSN and I have a lump on my thoracic spine and I am seeing my PCP tomorrow, , it showed up suddenly and I have a lot of night pain..its killing me,, it's near my T12,, could be anything , I didn't even notice the lump. I just had increased pain from my arthritis and my rheumy put me on prednisone which did not help,, that's unusual..i was scratching my back a few weeks ago and felt the lump..i pressed on it and it hurt..i am 58 years old..with psoriatic arthritis..the night pain is the worst..probably because I am laying on it,, haven't slept well for a month,, it's probably a cyst or lipoma..i look forward to a MRI..and I have a MRI reader...
1:39 I find with MRI the grayscales can mean many different things. I’m pretty sure the bright spots don’t mean you have more active nerves there than in the darker spots along the cord, if you impede the spinal cord anywhere the same problem should show from that point down, it’s one cord after all. Also dr isn’t saying what type of MRI image he’s using here. Even without imaging tech used, it could also simply be that the cord doesn’t form a perfect line with the saggital cut, so where it goes dark it simply is running a bit distal to it. Also interesting: “Alcohol consumption during adolescence reduces peak bone mass and can result in relatively weak adult bones that are more susceptible to fracture. In adults, alco- hol consumption can disrupt the ongoing balance between the erosion and the remodeling of bone tissue, contributing to alcoholic bone disease.” “Long-term alcohol administration to young, rapidly growing rats signifi- cantly reduced bone growth, volume, density, and strength” From Alcohol’s Harmful Effects on Bone, 1998
Hello,tnx for the info. I just got my MRI and it says that I have a 3 mm l5-s1 circumstantial disc bulge with mild lower neural foraminal narrowing, central canal is normal. I am having pretty severe discomfort on my central lower back when sitting down or driving. Can anybody help to explain my situation?any help would be appreciated, since I have stopped working because of it. Thank you.
Hey Doc, how can you tell in the images the difference between a protrusion and an extrusion with an annular tear? I know sequestration is pretty obvious in the sagittal view but the others aren't so obvious. I'm worried mine is just a buldge/protrusion without a tear. I know that sounds better but they don't usually heal because the body doesn't recognize anything being wrong so it doesn't send the macrophages right?
You have a lot of questions there … yes you can tell the difference between extrusion and protrusion all disc herniations have to have an annular tear. Remember, imaging studies image, they don’t tell you where you hurt.
@@DrTonyMork And apparently they have a much lower chance to heal because the nucleaus pulposas doesn't make it through to the canal so the body's response system doesn't see it.
Dear Dr Tony how can I send you MY M.R.I SCANS DISC FOR YOU TO READ FOR ME ... I Have HAD 3 spinal ops in 6MONTHS ... IS IT LIKELY TO HAPPEN AGAIN.. WHY Didn't THEY FUSE MY SPINE? I NOW HAVE CAUDA EQUINA SYNDROME AND I HAVE A FREEZING COLD FOOT 👣 AND MY HEELS HAVE STARTED TO BURN AT NIGHT IT WAKES ME UP PLEASE CAN YOU HELP ME? MUCH LOVE ❤ SHE X
I have learned more from this doctor in all of his wonderful video than all of the local doctors. It helps to give you facts and facts give you peace of mind..Thank you!!!
Thank you. It's about time I found out where I was looking and how to get where I want to be.
Thank you very much Doctor.
It was very helpful.
Your my fav , I am a RN MSN and I have a lump on my thoracic spine and I am seeing my PCP tomorrow, , it showed up suddenly and I have a lot of night pain..its killing me,, it's near my T12,, could be anything , I didn't even notice the lump. I just had increased pain from my arthritis and my rheumy put me on prednisone which did not help,, that's unusual..i was scratching my back a few weeks ago and felt the lump..i pressed on it and it hurt..i am 58 years old..with psoriatic arthritis..the night pain is the worst..probably because I am laying on it,, haven't slept well for a month,, it's probably a cyst or lipoma..i look forward to a MRI..and I have a MRI reader...
Thank You , Sir.
Thank you sir
Thanks alot sir, very simple explanation.. appreciable
Quite explicit and simplified
Thank you Dr Tony
Great explanation
Interesting explanation. Watching from Auckland NZ.
Thank u
1:39 I find with MRI the grayscales can mean many different things. I’m pretty sure the bright spots don’t mean you have more active nerves there than in the darker spots along the cord, if you impede the spinal cord anywhere the same problem should show from that point down, it’s one cord after all. Also dr isn’t saying what type of MRI image he’s using here.
Even without imaging tech used, it could also simply be that the cord doesn’t form a perfect line with the saggital cut, so where it goes dark it simply is running a bit distal to it.
Also interesting:
“Alcohol consumption during adolescence reduces peak bone mass and can result in relatively weak adult bones that are more susceptible to fracture. In adults, alco- hol consumption can disrupt the ongoing balance between the erosion and the remodeling of bone tissue, contributing to alcoholic bone disease.”
“Long-term alcohol administration
to young, rapidly growing rats signifi- cantly reduced bone growth, volume, density, and strength”
From
Alcohol’s Harmful Effects on Bone, 1998
Can I work with an Anular Tear?
Depends on "kind of work", your pain and disability.
Dr. Tony Mork, MD I’m a janitor, should I continue in this type of work with a minor disc bulge and anular tear?
Dr. Tony Mork, MD I get sciatica and some weakness down both legs sometimes.
It's not really appropriate to "comment on" or "recommend a" work status without a complete history and physical exam.
Dr. Tony Mork, MD If I git a second opinion,who would you recommend? Nuerologist,Ortho?
After annular tear surgery how many years person can live normal life without tear pain??
No pain - 40%. At least 50% improvement - 40%
Can be indefinite
How about white spots on the vertebrae
They say mine are hemangiomas
Hello,tnx for the info. I just got my MRI and it says that I have a 3 mm l5-s1 circumstantial disc bulge with mild lower neural foraminal narrowing, central canal is normal. I am having pretty severe discomfort on my central lower back when sitting down or driving. Can anybody help to explain my situation?any help would be appreciated, since I have stopped working because of it. Thank you.
Is it normal for a lumbar MRI to jump over the vertebral axial views and just show the disc slices?
Yes
Hey Doc, how can you tell in the images the difference between a protrusion and an extrusion with an annular tear? I know sequestration is pretty obvious in the sagittal view but the others aren't so obvious. I'm worried mine is just a buldge/protrusion without a tear. I know that sounds better but they don't usually heal because the body doesn't recognize anything being wrong so it doesn't send the macrophages right?
You have a lot of questions there … yes you can tell the difference between extrusion and protrusion all disc herniations have to have an annular tear.
Remember, imaging studies image, they don’t tell you where you hurt.
@@DrTonyMork I thought protrusions don't make it through the entire annulus? Just a portion of it. That's what all the publications show.
@@vzeller Thats correct
@@DrTonyMork And apparently they have a much lower chance to heal because the nucleaus pulposas doesn't make it through to the canal so the body's response system doesn't see it.
@@vzeller Healing and repair more related to blood supply and oxygen
Dear Dr Tony how can I send you MY M.R.I SCANS DISC FOR YOU TO READ FOR ME ... I Have HAD 3 spinal ops in 6MONTHS ... IS IT LIKELY TO HAPPEN AGAIN.. WHY Didn't THEY FUSE MY SPINE? I NOW HAVE CAUDA EQUINA SYNDROME AND I HAVE A FREEZING COLD FOOT 👣 AND MY HEELS HAVE STARTED TO BURN AT NIGHT IT WAKES ME UP PLEASE CAN YOU HELP ME? MUCH LOVE ❤ SHE X
Just call the office to set something up.
@Dr Tony Mork,MD THANKYOU SO MUCH FOR THE REPLY.... HOW DO I DO that ?
I can bet and not lose my money that this Mri is from a . 2T open Hitachi scanner. A 🦕 😀Nice video and explanation though.
Thank You sir