Lumbar Spinal Stenosis, Cauda Equina Syndrome, Sciatica, & Disc Herniation: An Advanced Lecture.

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 KZread 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

Пікірлер: 375

  • @DocSeville
    @DocSeville Жыл бұрын

    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.

  • @yvonneblimline3559
    @yvonneblimline35592 жыл бұрын

    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.

  • @eltoro6064

    @eltoro6064

    2 жыл бұрын

    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.

  • @gregb.7564

    @gregb.7564

    2 жыл бұрын

    @@eltoro6064 see

  • @chogokin666
    @chogokin666 Жыл бұрын

    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.

  • @cherylrock3612
    @cherylrock36122 жыл бұрын

    This video is helpful as I have an extensive diagnosis that I didn’t fully understand before watching. Thank you!

  • @sundaysommers1476
    @sundaysommers14763 жыл бұрын

    Thank you so much. This eased my fears and may save me money on surgery. Now I know to be patient and keep moving.

  • @robertrazminas5629
    @robertrazminas56296 жыл бұрын

    Very Good and Educational! Thanks for posting Dr.Gillard

  • @user-uu5vb5lz4r
    @user-uu5vb5lz4r6 жыл бұрын

    The most beneficial lecture about disc prolapse great thanks for you DR Douglas

  • @bundled-micro-coaxial-cable
    @bundled-micro-coaxial-cable Жыл бұрын

    Absolutely amazing! The clear concepts given really make it easy for us to grasp complicated topics

  • @alexanderblack2869
    @alexanderblack28694 жыл бұрын

    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.

  • @marciasloan534

    @marciasloan534

    2 жыл бұрын

    How are you now ?

  • @Waynes_Travels

    @Waynes_Travels

    2 жыл бұрын

    @Alexander black how are you now?

  • @dianadelgrosso1531
    @dianadelgrosso15312 жыл бұрын

    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.😊

  • @douglasgillarddcprofessoro5285

    @douglasgillarddcprofessoro5285

    2 жыл бұрын

    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 KZread video: kzread.info/dash/bejne/c2R7rMGrXdjcoLQ.html Best, Dr. Gillard

  • @petermellios84
    @petermellios842 жыл бұрын

    Needless to say, I'll watch this video a few more times. Excellent, thank you

  • @thomasinahsu5604

    @thomasinahsu5604

    2 жыл бұрын

    You can also check out "the spine guy"... breaks it down very easy to understand. Highly recommend

  • @wandapiacenza1544

    @wandapiacenza1544

    2 жыл бұрын

    Mi fa sentire in italiano , questo problema della stenosi, o un nipote che soffre, grazie

  • @wandapiacenza1544

    @wandapiacenza1544

    2 жыл бұрын

    Oh mio nipote che soffre della nonna

  • @saxhound2003

    @saxhound2003

    2 жыл бұрын

    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.

  • @Jordanexcluxive

    @Jordanexcluxive

    Жыл бұрын

    @@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

  • @Quantum_GirlE
    @Quantum_GirlE7 жыл бұрын

    Awesome of you to keep on going with the illness you have! Hope you feel better!

  • @SH-jg5zq

    @SH-jg5zq

    3 жыл бұрын

    Amazing teaching!!! Thanks 😊

  • @annm.perrone6089

    @annm.perrone6089

    3 жыл бұрын

    I have arachnoditis do you know anything about that

  • @antoniusoosterwaal4883

    @antoniusoosterwaal4883

    3 жыл бұрын

    Thank you beautiful lady

  • @robertcuminale1212
    @robertcuminale1212 Жыл бұрын

    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.

  • @meridaangelina7777

    @meridaangelina7777

    Жыл бұрын

    God bless you and your family. I pray for your healing.

  • @Hellraizorr
    @Hellraizorr2 жыл бұрын

    Bravo! Excellent content, either for the educated patient or interested professional .

  • @maewaid736

    @maewaid736

    2 жыл бұрын

    😟i have everything but the tumors

  • @dkao5826
    @dkao58262 жыл бұрын

    Excellent lecture, doctor!

  • @theMDMentor
    @theMDMentor9 ай бұрын

    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).

  • @foodsearcherCEO
    @foodsearcherCEO4 жыл бұрын

    I'm data scienist researching about MRI reading. Lecture are so good

  • @honerdcouster8723

    @honerdcouster8723

    3 жыл бұрын

    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.

  • @sheilacox1305
    @sheilacox13055 жыл бұрын

    Flavum thickness,disc bulge,c.s.f leak which I had to read in my notes !!

  • @tiggiest1
    @tiggiest12 жыл бұрын

    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.

  • @ambersmith9648

    @ambersmith9648

    2 жыл бұрын

    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..

  • @porterhouselivin2486

    @porterhouselivin2486

    2 жыл бұрын

    How are you feeling now Ms klapstein

  • @monuranakoti

    @monuranakoti

    2 жыл бұрын

    mam please reply endoscopy surgery good ya not how much improvement your pain

  • @kimburr770

    @kimburr770

    2 жыл бұрын

    @@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

  • @theMDMentor

    @theMDMentor

    9 ай бұрын

    You are very lucky you were able to receive stem cells, mostly prohibited by FDA in favor of drugs....

  • @kaminisanjev6361
    @kaminisanjev63613 жыл бұрын

    Thank you so much, you are an best tutor !!!

  • @bishoyheneen7542
    @bishoyheneen75423 жыл бұрын

    Amazing teaching...thank you very much.

  • @andrewh5988
    @andrewh59882 жыл бұрын

    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.

  • @ndiforgroupcompany4861

    @ndiforgroupcompany4861

    2 жыл бұрын

    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....

  • @margaretfrench1623

    @margaretfrench1623

    2 жыл бұрын

    0

  • @SongOfSongsOneTwelve

    @SongOfSongsOneTwelve

    2 жыл бұрын

    @@ndiforgroupcompany4861 Praying for you! Try capsaicin.❤️

  • @ndiforgroupcompany4861

    @ndiforgroupcompany4861

    2 жыл бұрын

    @@SongOfSongsOneTwelve thanks so much. Yes, I will do.

  • @tonymaurice4157

    @tonymaurice4157

    Жыл бұрын

    Back surgery is a scam

  • @RolandElliottFirstG
    @RolandElliottFirstG2 жыл бұрын

    Good lecture, thank you Douglas.

  • @sylviaprado4653
    @sylviaprado46532 жыл бұрын

    Great information just had surgery on my L4 L5

  • @caiyu538
    @caiyu5382 жыл бұрын

    Great spinal lectures.

  • @jamesrogers1010
    @jamesrogers1010 Жыл бұрын

    Awesome I have some of these and its amazing that you have more info then some of the docs I have seen.

  • @CherryCatWhuh
    @CherryCatWhuh5 жыл бұрын

    Thank you very much. !!

  • @TANQUEDOC
    @TANQUEDOC Жыл бұрын

    Excellent! Great job!

  • @debarthachakraborty4764
    @debarthachakraborty47642 жыл бұрын

    Thank you so much for the lectures and very superior

  • @Doc-dv6yt
    @Doc-dv6yt3 жыл бұрын

    Thank u doctor...nice explaination ...

  • @lindasplaylist100
    @lindasplaylist1004 ай бұрын

    Greatest lectures. Thank you.

  • @shannelfurrow5483
    @shannelfurrow54832 жыл бұрын

    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.

  • @wilsonl2605
    @wilsonl26052 жыл бұрын

    Thanks for sharing🙏 this is VERY informative and helpful ✍️👍👍

  • @davidh1927
    @davidh19277 жыл бұрын

    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.

  • @nazariihryniv2832
    @nazariihryniv28323 жыл бұрын

    Great! Thank you!

  • @FnDuK
    @FnDuK3 жыл бұрын

    Hi sir, whats the difference between radiating pain up to above knee level vs radiating down to lower knee level up to the sole?

  • @supernova44
    @supernova444 жыл бұрын

    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.

  • @kevinberymon8415

    @kevinberymon8415

    2 жыл бұрын

    I feel for u I'm in that pain right now in threpy too help 😖😖😖

  • @ritadennant7255

    @ritadennant7255

    6 ай бұрын

    What cause electric shocks in lower back and down into the buttocks.

  • @kimchaney136
    @kimchaney1364 жыл бұрын

    Very informative, thank you for sharing.n

  • @peteschreiber9517
    @peteschreiber95174 жыл бұрын

    amazing.

  • @markayala3565
    @markayala35653 жыл бұрын

    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..

  • @treeherder2201
    @treeherder2201 Жыл бұрын

    Fantastic lecture and great channel. Subbed.

  • @EWQWEQQD
    @EWQWEQQD4 жыл бұрын

    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

  • @juvysmith8544
    @juvysmith85443 жыл бұрын

    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

  • @MrsMinx50
    @MrsMinx503 жыл бұрын

    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

  • @robindanielson7521
    @robindanielson75213 жыл бұрын

    There wasn't a single commercial for this whole lecture Dr Gillard...... nah Saint Gillard choosing education over money

  • @ry5627
    @ry56272 жыл бұрын

    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.

  • @SongOfSongsOneTwelve
    @SongOfSongsOneTwelve2 жыл бұрын

    Great lecture, thank you! What a trooper- powering through, despite your cold!

  • @salmanabualsameed5514
    @salmanabualsameed55143 жыл бұрын

    Thank you

  • @SongOfSongsOneTwelve
    @SongOfSongsOneTwelve2 жыл бұрын

    Please do a series on transverse myelitis 😊

  • @DigitalMedicineMSK
    @DigitalMedicineMSKАй бұрын

    Great lecture:-)

  • @ZoozooButtons1
    @ZoozooButtons12 жыл бұрын

    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)

  • @mahmuttr
    @mahmuttr2 жыл бұрын

    Bravo. Very good

  • @dennisgareau7259
    @dennisgareau7259 Жыл бұрын

    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

  • @generalgrant3189

    @generalgrant3189

    7 ай бұрын

    8 back surgeries!! Good god. Discectomy "scrape" procedure & Spinal Fusion. Enough for me. 8 surgeries - I am astounded at that number.

  • @andreawashington1732
    @andreawashington1732 Жыл бұрын

    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.

  • @lostsoul1465
    @lostsoul14655 жыл бұрын

    i have L4-L5 disc problem

  • @Straitnet
    @Straitnet2 жыл бұрын

    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.

  • @juliayelle2942

    @juliayelle2942

    2 жыл бұрын

    @@bert1450 what is that?

  • @mick7870
    @mick7870 Жыл бұрын

    The best presentation about sciatica and herniated discs I have ever seen. Thank you very much

  • @joemug4079
    @joemug40792 жыл бұрын

    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!

  • @thomasinahsu5604

    @thomasinahsu5604

    2 жыл бұрын

    Another video easy to understand is by "the spine guy" dr. Brian su

  • @vivianejeckelmann5721

    @vivianejeckelmann5721

    2 жыл бұрын

    Traduction français svp merci

  • @dianasabri2365

    @dianasabri2365

    Жыл бұрын

    @@vivianejeckelmann5721 p 00

  • @shughy1
    @shughy14 жыл бұрын

    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

  • @OscarGarcia-dg6is
    @OscarGarcia-dg6is3 жыл бұрын

    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!

  • @gamaltaher9714
    @gamaltaher97142 жыл бұрын

    Good, thanks

  • @MeredithKuntzschArt
    @MeredithKuntzschArt2 жыл бұрын

    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 KZread 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!

  • @litoapplingpressure6946

    @litoapplingpressure6946

    Жыл бұрын

    Pnnonohhh

  • @lindasplaylist100
    @lindasplaylist1003 жыл бұрын

    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.

  • @mandyharris8581
    @mandyharris85814 жыл бұрын

    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

  • @douglasgillarddcprofessoro5285

    @douglasgillarddcprofessoro5285

    3 жыл бұрын

    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.

  • @mehmetsanl6267

    @mehmetsanl6267

    2 жыл бұрын

    How are you now??

  • @fatmatekbas6482

    @fatmatekbas6482

    2 жыл бұрын

    @@mehmetsanl6267 sonu ameliyat olur Mehmet bey bu hastalığı yaşayan bilir çok şiddetli agrilari var

  • @mehmetsanl6267

    @mehmetsanl6267

    2 жыл бұрын

    @@fatmatekbas6482 mesane problemleri yaşatan fıtığa mı sahipsiniz?

  • @fatmatekbas6482

    @fatmatekbas6482

    2 жыл бұрын

    @@mehmetsanl6267 evet 2 aya yakındır Dar kanal daralması ve bel fıtığı ameliyatı oldum Pilatin takıldı

  • @sheilacox1305
    @sheilacox13055 жыл бұрын

    Please how do I upload pics to you xx

  • @eliachalamila2259
    @eliachalamila22592 жыл бұрын

    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

  • @Ann-sj4pt

    @Ann-sj4pt

    6 ай бұрын

    God bless you,just seen your message,hope you are doing better

  • @lindasplaylist100

    @lindasplaylist100

    4 ай бұрын

    Prayers 🙏🏻🙏🏻🙏🏻

  • @hssu9076
    @hssu90762 жыл бұрын

    What's the best treatment then for contained, broad based disk protrusion?

  • @suzanamede5163
    @suzanamede51637 жыл бұрын

    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.

  • @mgahed1870
    @mgahed18707 жыл бұрын

    Great

  • @Deanosthegreat
    @Deanosthegreat3 ай бұрын

    Great to read. Can bilateral foraminal exiting at l5 s1 cause cauda equina?

  • @cathrinekatsigianni8823
    @cathrinekatsigianni88233 жыл бұрын

    Thanks! What is SNRBS?

  • @tomschwartz4853
    @tomschwartz48532 жыл бұрын

    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.

  • @reggieluv31
    @reggieluv312 жыл бұрын

    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?

  • @braveheart9508
    @braveheart95083 жыл бұрын

    Great !

  • @davidang8045
    @davidang80452 жыл бұрын

    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.

  • @brandonkachmar5130
    @brandonkachmar51305 жыл бұрын

    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

  • @sharonp6960
    @sharonp69602 жыл бұрын

    fascinating! You are so great at explaining MRI I would love to get your opion on mine.

  • @benjaminbaca2618
    @benjaminbaca2618 Жыл бұрын

    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.

  • @vsskumari123kumari4
    @vsskumari123kumari44 жыл бұрын

    Sir i have mild lumbar stenosis in l4 l5 is there any problem in feture

  • @wendylynne5010
    @wendylynne5010 Жыл бұрын

    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.

  • @honerdcouster8723
    @honerdcouster87233 жыл бұрын

    Proceduralist are in the cyst and leak business correct? Dont know about nerve dilation and prolapse in regards to scoliosis though.

  • @romanhanajik3185
    @romanhanajik31854 жыл бұрын

    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]?

  • @ItIsWhatItIs8120
    @ItIsWhatItIs8120 Жыл бұрын

    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?

  • @georginamckay9615
    @georginamckay96152 жыл бұрын

    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.

  • @AngeliaLi
    @AngeliaLi2 жыл бұрын

    I have a lumbar disc rupture compression nerve inflammation caused by itching, itching for more than a year, ask for treatment

  • @BiotechRecords
    @BiotechRecords3 жыл бұрын

    Thank you so much for this lecture! Awesome work

  • @douglasgillarddcprofessoro5285

    @douglasgillarddcprofessoro5285

    3 жыл бұрын

    You're very welcome!

  • @sotired7453
    @sotired74532 жыл бұрын

    I watched your whole video and I’m not a medical person but have had many back issues and found everything you said extremely interesting. I wish I could send you my MRI I think you would find it interesting as I I have had a few operations and the Dura was accidentally cut which led to 3 surgeries to finally stop it leaking and now on the MRI you can see how it’s basically a pocket holding the csf by soft tissue, yet I’m a highly functional 60 y.o female Farmer and technically I shouldn’t be able to do the heavy manual labour I do but I’m positive it’s the only reason I can as much as I can due to my back muscles being strong. I understood when you said how walking hurts and I find if I went shopping it hurts more than mowing lawns of splitting wood. My surgeon says I need another operation but I’m really scared as it’s where the pocket of fluid is and when I had the spinal fluid leak it was more painful than child birth.

  • @douglasgillarddcprofessoro5285

    @douglasgillarddcprofessoro5285

    2 жыл бұрын

    Hello, I sure am sorry to hear about your failed surgeries. I do offer a public consultation service where you and I could meet via Zoom to go over your MRI/CT/x-rays. Then I can offer some evidence-based treatment recommendations for your situation and answer all of your questions. You can learn all about this consultation service at this link to my coaching service page: www.chirogeek.com/Coaching%20Service/coachingService-2.html

  • @sotired7453

    @sotired7453

    2 жыл бұрын

    @@douglasgillarddcprofessoro5285 you are a very decent man to answer me but I live in Australia unfortunately and am dead scared if they operate more damage can be done than good and I could or would never want to live through that CSF again I don’t know if you can access our CT and MRI scans from where you are I have never thought of them as failed cause I know the pain I was in prior I just end up breaking down a step further but I do think you will find my MRI interesting even if you use it as you teach students which your welcome to do so 😊

  • @sotired7453

    @sotired7453

    2 жыл бұрын

    @@douglasgillarddcprofessoro5285 to be honest I know they are called failed back surgeries but I feel they really not failed cause I would be bed ridden if I didn’t have them and even though I live with pain 24/7 being a farmer I get up everyday and check the stock take my dogs out they are great therapy and work I can climb a ladder and do roofing repairs, spilt and stack wood repair fencing I shouldn’t be able to do if you seen my MRI and the pain specialist was amazed when she asked how far could I go trying to touch my toes and I planted the palms of my hands on the ground. For myself personally keeping active has so far saved me but I know I won’t be able to stay like this for ever I’m 60 now but will continue on but am very worried the spinal leak could break through the soft tissue pocket then I know what option I will take for that and it won’t be surgery I will join my son who passed just before Christmas 😔

  • @RainbowGage

    @RainbowGage

    Жыл бұрын

    @@sotired7453 You've made me very happy hearing about your story of strong back muscles carrying you through your tough times. I'm wishing your son is the angel that helps save you from further injury and pain.

  • @sotired7453

    @sotired7453

    Жыл бұрын

    @@RainbowGage Hi I just thought I would update if that’s ok we’ll I ended up loosing a 3rd of muscle mass in left leg due to the the impinged nerves so I had to have another surgery or I would have lost the use of my left leg completely so the surgeon came up with a plan for robotic surgery where they cut down either side of the spine so not to hit the pocket of Dura and then at the side of my waist where they accessed the front of the spine and during the 9 hour surgery apparently they did a nerve test and were surprised that my nerve was coming back to life long story shortened a bit I can’t say it wasn’t painful cause it was but my left leg is now about 80% back which is amazing and 🤫 I can get up ladders clean out guttering and repair various stuff around the farm. I’m currently putting together a kitchen in my stables which I guess is heavy lifting and this is 4 months post op, my body knows my limits and if I thought it would damage anything I wouldn’t do it but I’m sure it comes back to building up the muscles over the years that held me together as long as it has. I now have 10 screws and “Scaffolding” as the surgeon called it from L2 right down to S1 with about 3 new spacer discs and I can stand more straight than I had in years. I don’t wish this on anybody it was a painful operation but I can keep doing what I love and that’s living and working on the Farm. Thank you for kind thoughts on my Son it’s been a year now and I miss him so much but I wear his ashes and a lock of hair in a memorial necklace around my neck shaped as a bullet so he is always with me. I would love to talk more but better stop boring you so have a great day. 💞

  • @pedrobanks1188
    @pedrobanks11883 жыл бұрын

    Is inverted surgery performed on lumbar spinal stenosis?

  • @sandramurkerson9041
    @sandramurkerson90413 жыл бұрын

    I have severe stenosis. ..several pinched nerves...thecal solid black...suffered for 21 yrs..dragging left foot....slapping...

  • @mimicro83
    @mimicro834 жыл бұрын

    Best Regards

  • @jameskenneally5644
    @jameskenneally5644 Жыл бұрын

    I think your best work was with Garfunkel !!t. The sound of silence was one of the greatest songs ever written and recorded.

  • @patwest1691
    @patwest16912 жыл бұрын

    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.

  • @danielsmommy2008
    @danielsmommy2008 Жыл бұрын

    I have great photos of my disc ruptured and cauda equina syndrome. I am willing to share my MRI photos.

  • @romanhanajik3185
    @romanhanajik31854 жыл бұрын

    50:33 Optimal time for surgery for CES (CESI, CESR) is until 4-6 hours. Later surgery is also helpfull, but RR(relative risk) is bigger - prognose is worse. Look at works from NV. Todd 2005, 2008, 2014, 2015, 2017, 2019, or Igor Sulla on animals or from other authors, but no at Ahn 2000, which one is mistake and source of lots of disabled persons. Last year was published Hogan 2019 on 20000 patients, who says also death rate is lower with earlier surgery. Attention, Hogan at all was maded from insurance or medical stats and they have info only about date of surgery and they can not do from these numbers stats for 6 or 12 hours, but from DeLong 2008 You can be sure. 😉

  • @katherineharris2080
    @katherineharris20803 жыл бұрын

    My MRI didn't show the numbers

  • @frankrobert9199
    @frankrobert9199 Жыл бұрын

    great. great

  • @cathrinekatsigianni8823
    @cathrinekatsigianni88233 жыл бұрын

    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.

  • @douglasgillarddcprofessoro5285

    @douglasgillarddcprofessoro5285

    3 жыл бұрын

    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.

  • @honerdcouster8723
    @honerdcouster87233 жыл бұрын

    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.

  • @robertagabor3736
    @robertagabor37362 жыл бұрын

    I didn,t see my problem too well, but my problem is that if I stand for 10 or 15 minutes, my back bothers me and I am glad to sit down. Walking does not bother me but I do you a Carex thing it is on wheels and I can support myself with it. That way I can walk without pain. Lately, I have had trouble walking without bending over and I tend to not be able to walk standing straight. I'm 90 years old.

  • @robertagabor3736

    @robertagabor3736

    2 жыл бұрын

    I had an open MRI that showed that I have spinal stenosis.

  • @tinacollins9213
    @tinacollins92133 жыл бұрын

    St marks told me I had cauda equine when I came back to jersey they lost my records I was told I had crones

  • @honerdcouster8723

    @honerdcouster8723

    3 жыл бұрын

    Not easy finding information about the arduous the L1 l2 Tina .You got your hands full. Please update and luck be with you.