Відео

HELLO DR BRIAN. I HAVE JUST SEEN THIS VIDEO, AND YOU ARE BRILLIANT. PLENTY OF TLC, WHILST AT THE SAME TIME, TELLING IT AS IT IS. HAVING SPENT MOST OF MY LIFE IN HOSPITAL I APPLAUD " SAYING IT AS IT IS" ! I MAY HAVE FOUND YOU TOO LATE, BUT IS IT OK IF I ASK YOU SOME QUESTIONS? I WAS BORN WITH A " FRIDAY AFTERNOON JOB...(WHEN GOD LEFT THE ANGELS TO FINISH MAKING ME !) SORRY....TO BE SERIOUS. I WAS BORN IN 1964 WITH HUGE CLOACAL EXTROPHY. WAS RUSHED TO GREAT ORMOND STREET AS SOON AS I WAS BORN, AND STAYED THERE ALMOST UNTIL MY 1ST BIRTHDAY. LOTS OF INSIDES FROM WAIST DOWN WERE EITHER MISSING OR SO TANGLED THEY WERE AROPHIED NO BLADDER,BOWEL,WOMB, URETHRA, VAGINA. ETC. OOPS, FORGOT, JUST ONE KIDNEY, ( WHICH IS HOVERING BETWEEN 3RD AND 5TH STAGES. I ALWAYS THOUGHT IT WOULD BE MY KIDNEY THAT WOULD SEE ME OUT, (AS NO OPTION OF TRANSPLANT) , I HAVE A MITROFANOFF POUCH, WHICH WAS A BAD MOVE. SO, ALONG WITH ALL THAT ON GOING SURGERY, I HAVE HAD A STROKE, 2 DVT, APPENDICITIS, NEWLY DIAGNOSED OSTEOPOROSIS, REPEATED BOWEL SURGERY AND GYNAECOLOGICAL OPERATIONS , I KNOW IVE MISSED SOME THINGS OUT, BUT THESE WERE KIND OF THE BIGGER THINGS ! I HAVE BEEN EXTREME PERIPHERAL NEUROPATHY, AND LOSS OF FUNCTION IN BOTH HANDS. FINALLY AFTER 4 LONG YEARS DURING WHICH I KEPT ON AND ON SAYING THAT I THINK THERE IS MORE TO IT, SOMEONE LISTENED. ! I WAS SOOO GRATEFUL, AND HAVE HAD REPEATED NERVE CONDUCTION TESTS, CT, AND MRI, WHICH GAVE THE FOLLOWING DIAGNOSIS. I WILL TRY AND WRITE THE STAGE I AM AT NOW.....I WOULD VALUE HUGELY YOUR THOUGHTS, WHILST ALSO HELPING OTHERS GOING THROUGH SIMILAR ... ALTHOUGH I AM S... SCARED. IF I CANT COPY WHAT IT SAYS, I MAY JUST TRY SCANNING THE LATEST LETTER..? ..? I HAVE MY BIG MEETING WITH A SURGEON FROM SOUTHAMPTON HOSPITAL ON WEDNESDAY.....IVE LEFT IT VERY LATE ( PLUS THERE IS A HUGE TIME DIFFERENCE) BUT IM KEEPING EVERYTHING CROSSED. PRESENTS WITH SIGNS AND SYMTOMS VERY MUCH WITH CERVICAL SPONDYLOTIC MYELOPATHY, SECONDRY TO SPINAL CORD COMPRESSION AT C5- C6 LEVEL. SHE HAD AN MRI SCANS AND CT SCANS THAT BOTH CONFIRMED THAT THE SPINAL CORD COMPRESSION IS SECONDARY TO MASSIVE OSTEOPHYTIC BAR FROM THE C5 VERTEBRA WITH A HUGE ANTERIOR BRIDGING OSTEOPHYTE AS WELL AT THE SAME LEVEL! NORMALLY IN AN OTHERWISE FIT AND HEALTHY INDIVIDUAL, SURGERY WOULD DEFINITELY BE THE BEST OPTION TO STOP FURTHER DETERIORATION OF THE UPPER AND LOWER LIMB FUNCTION. IN HER, HOWEVER, SHE SEEMS TO HAVE SIGNIFICANT CO MORBIDITY IN OUR UNIT,, WE HAVE AGREED TO START LMWH AS A PHROPHYLACIT DOSE 48 HRS AFTER SURGERY, PARTICULARLY IN EITHER ANTERIOR OR POSTERIOR SPINAL SURGERY, AS ANY HAEMATOMA WOULD EITHER LEAD TO SIGNIFICANT DEGREE OF SPINAL CORD COMPROMISE AND COMPLETE QUADRIPLEGIA OR SIGNIFICANT DIFFICULTY SWALLOWING AND COMPROMISE WITH BRUISING REQUIRING FURTHER REVISION SURGERY, WHICH WOULD BE ATTENDED WITH HIGH MORBIDITIES THAT MAY PRECLUDE HER FROM SURGICAL INTERVENTION. I HAVE MY DOUBTS ABOUT HER TOLLERATING GENERAL ANAESTHESIA. AT A PUSH, AND IF ALL WAS WELL AT THE TIME OF SURGERY IN TERMS OF HAEMOSTASIS, I WOULD BE HAPPY TO START ENEXOPARIN 24 HRS FOLLOWING SURGERY, AS LONG AS CATHERINE FULLY UNDERSTANDS THAT THERE IS A COMPROMISE AND HENCE, THERE IS A RISK OF BLOOD CLOT AT THE OPERATION SITE. I FULLY APPRECIATE THAT WE ARE IN A TERRIBLE SITUATION, AND IT COULD BE A CASE OF THAT FOR CATHERINE'S SAFETY, THAT WE MAY AGREE TO TREAT HER CONSERVATIVELY. I AM REALLY SORRY THIS IS SOOO LONG WINDED, BUT I HAVE TYPED MOST OF THE LAST LETTER. I GO AT 10.00AM TO SOUTHAMPTON, ON WEDNESDAY, IF THERE IS ANY CHANCE AT ALL OF ME HAVING ANY OF YOUR THOUGHTS AND/ OR YOUR OPINION I WOULD BE MASSIVELY GRATEFUL. BEST WISHES, AND BLESSINGS. CATHERINE ( KATE) PHONE IS 01202 625587 OR MOBILE 07980 916626. E MAIL IS. kate.coombs@gmail.com. 😊 ❤

Im getting this 😅

What about groin and quad pains?. Those are originating from l2/l3/l4 regions. Butt and ham sciatic pain originates from l4/l4/s1 regions correct?

Hello Dr. thank you for the video.

Good Day, I have the Saunders traction device and used it for radiculopathy as well. Question: Is there any contraindication for this device if you also have cervical central canal stenosis?

norco has no tylenol, for people that need a higher dose

Good Day... I've watched many of your videos initially because I just love medical science and your presentations are always really well done. Now, I have my own cervical spine problem and need to think about when and who I want to fix it. If I were on the west coast I'd be calling you. But, I'm in Pennsylvania. I have seen one neurosurgeon who is conservative and like you suggest, considers surgery as that last resort. He told me I'd probably need surgery in the next year or so but that he would wait a whole lot longer based upon my symptoms and imaging. I realize that ACDF is the "gold standard" for cervical stenosis with radiculopathy and/or myelopathy. However, because I've been told I need a 4 level ACDF I have investigated some other less invasive procedures that I'm wondering about. While I've seen several options, including Discseel and the like, one that interests me most is the procedure done at Deuk Spine Institute using a laser. It is basically a laparoscopic procedure that does not include fusion. I guess not having fusion is the part that makes me so interested. I'm wondering if you could either point me to any longitudinal data regarding success of that procedure and/or your own thoughts about it's success. Thanks again for your well made videos.

I’m having mine done on May 31 , C3 to C7 and some shaving

The first time i had it done, it was by a radiologist. I asked for something to relax.me and he told me i didnt need it. He stuck me in three different places. When he did the first one, i told him he was a liar cause it hurt like hell. It lasted a week. I went back to my ortho doctor and told him him he sent to a quack. I the. Got referred to pain management. Wish i had been sent there first. Now i have ptsd from that first guy. Pain mgmt team makes sure i get sedation now cause i start shaking as soon as i get on the table for the procedure. I have had only one bad bad experience. They decided to do a nerve ablation but you have to do two test runs first. The first one caused the nerve in my leg ro hurt all the way down to my big toe. I thought it was a blood clot and so did the trage nurse. Ended up in the er. They shot me up with something good and sent me home after testing to ensure it was not a blood clot. Didnt happen the second time. Got the nerve ablation 6 months ago and no sciatica pain since then. Knock on wood. Still lower back pain but a got trigger point in bilateral sacral joints and now absolutely pain free. I can again stand in one spot for more than 3 minutes without running for a tramadol. Love my pain mgmt team. Dont want surgery.

fascinating ..i have just had this done ..still have some pain but is minor in contrast to what i was having before ....i found the procedure painful at times

Thank you.🙏😘

Very good cast, thanx

great work with your videos

Thanks so much for that wonderful explanation of my condition. I’m very nervously awaiting for neurosurgeon appointment.😩🙏🏿

But can the surgery fix tech neck for good?

If I get a fusion at L4,L5 will I be able to train at my Karate dojo in 6 months or so? I am 68. I teach Karate in Tokyo Japan. Of course I would avoid training to hard, but I am hoping to be able to still kick. My teacher is 82, and he is still training.

I have myelopathy with cord compression C5/C6 with dizziness and hands/legs weakness. These symptoms started around 4 weeks now and no other symptoms. I am able to walk and get down the stairs. Do I need to have Surgery ?

Was anticipating hearing you discuss PRP & stem cell treatments?

Is your clinic able to do a percutaneous aspiration and fibrin glue injection procedure? I'm trying to help a family member who has a tarlov cyst (cyst in their sacral area). We spoke with Dr. Feigenbaum out of Dallas who wanted us to pursue this method but we are having the hardest time finding someone on the West Coast who does this (we live in Alaska).

I had this procedure eight months ago on my C3/C4. I'm in more pain than I was before the surgery. Any reason why this would make me worse? I chose this surgery because I wanted to avoid a fusion.

Greetings Doctor Su. Can you tell me if you accept military Tricare for life. Thank you and have a great day!

Good video - very clear info presentation.

I had 5 of them before my Dr. would schedule surgery. They didn't do a thing, are more painful than any surgery I ever went through and were a complete waste of money.

Wonderful ❤

Oh my goodness!! Very well explained. I’ve been diagnosed with this issue, and I’ve been told fusion surgery is recommended AND I got second opinion-same thing. I’m in a bit denial, lots of stress and have fear and anxiety about any surgery. I keep putting it off and at the same time trying to save up sick time etc at work. In case I go ahead with it. I’ve heard good and bad stories about back surgery. I’m 53 and over weight. I’m in the process of getting rid of 50 lbs for my health, my psyche and bettering my recovery ❤️‍🩹 time from surgery IF I go for it.

Excellent video. Reasoned, sensible, and not alarmist. Every moment of it was informative.

Question, I just had this done. I blacked out and got extreme nauseous after and vomited. Is this common? I have 2 areas that are problems. This was to focus on just the L4 L5 severe stenosis. I had a lot of pain for a few days in new places. Now a week and so much better. Still some but tremendously better.

I love your videos and thorough explanations! Wishing you the best! What an awesome human being, ❤

It's nice to have a better understanding of what the surgery was, what happened and its purpose. Thank you

First video by a surgeon that actually talks about the conservative treatment in a positive way and that there are some good results for a number of patients.

Don’t need to be relived I need it gone forever I’m 21 dealing with this I had dreams of being a professional boxer I’m too young to have it

I have had degenerative discs for years & all i can get is cortisone injections !! but my spine surgeon never says if it is trapped nerves, !!! it has caused me pain beyond belief at times, i would give anything to be pain free. !!!

Can you talk about S2. My sibling (65 yrs old) went in complaining of foot-arch pain. Dr sent to do EMG of low back, and that neurologist says S2 nerve is pinched and suggested 2 months of PT, and electrical CET. If no response, then atrophy in weak toe may get worse.

So interesting. Thanks.

Brilliant thank you. Mild to moderate myelopathy and radiopathy with some symptoms long term and a bad age group, got to keep laughing

Thank you so much for this very informative video. I’m currently waiting to see a neurosurgeon because I’ve been symptomatic and have cord compression on my MRI. I sort of went down a rabbit hole of worry not being able to ask anybody any questions while I wait. This answered so many questions for me. Thank you so so much.

Are the majority of lumbar disc issues considered herniated discs? Or can you just have the annulus bulge out? Thank you very much for your super informative videos.

My doc refused to give me IV sedation for this. They gave me a Xanax which really didn’t help. I’ve always had IV sedation for every injection.

That’s what I have, is it better to see a neurosurgeon or orthopedic surgeon?

My spine doctor referred me to a pain management doctor. I received two injections that helped about 50 percent (symptoms groin/hip pain and upper buttock pain). They now want to do an ablation. You did not mention this in your video. Any reason why?

🤔 I appreciate the information, absolutely, but… still… not the answer I was looking for. 🙏 Thank you for sharing, Doc, but… I don’t know how to give up, so… I can’t accept the worse case scenario, not just yet… no. ✊

I experienced this (cauda equina) 14 years ago. I had already had a discectomy 1.5 years earlier. I was playing basketball and a guy landed on me, and by the end of the day I could not walk and my legs were having spasms. I had other issues too (loss of bladder control) and ended up in the emergency room having another discectomy. I was immediately better. They said I was lucky to get in when I did. And you're right, when I mentioned bladder issues they got me right in. 14 years later I've had two back fusions (neck and toe fusion too), and am actually doing really well. Your video is spot on with my cauda equina experience.

I have ankylosing spondylitis and I have myelopathy and radiculopathy. Currently I'm redoing imaging so my neurosurgeon can determine whether or not I am a surgical candidate. I really appreciate your cervical stenosis videos, they have given me a lot of useful information. I am praying that I am a candidate for laminoplasty surgery. I feel empowered and educated Thank you Dr. Su❤

This is gonna be in my immediate future. I've already missed two days of work because I can't even walk for two minutes without wanting to cut my leg off. I always knew that arthritis and related stuff was aggressive in my family, but this was crazy. The sciatica in my left leg went from zero to 8 in less than a week, and it hasn't backed down from there. They want me to go into physical therapy, but this may be the only way I can do that. You kinda have to be able to move first...

Your videos are so amazing Use of electronic devices has ruined us We of the forward head nod generations Your instruction is amazing You should be at Stanford !!!

OMG finally a US doctor talks about Cauda Equine-there are many videos from Europe England about CES. I am so concerned I could have CES. I have back pain and dealing with fecal incontinence since 2019 pain is getting so much worse now strange sensation at anal area which causes me to not want to eat. Now also through out the day aching pain across the sacrum area switching to stabbing pain to left butt cheek switching to pain shooting down inner left thigh to knee switching to sharp pain in groin area. I'm 70 female have complain to doctor for several years as pain keeps getting worse. With his guessing attempts I have had colonoscopy, 3 internal hemorrids removed, been to physical therapy (no help) shot in SI joint (no help) pelvic doctor says my coccyx bone bent all the way up. Pushed pushed for MRI- MANY things such as multilevel degenerative spondylosis most prominent L3-4. L5-S1 disc protrusion , severe right neural foraminal narrowing, right and left degenerative facet change ligamentum flavum hypertrophy. L4-L5 disc bulge with overlying osteophytes, effacement of anterior thecal sac L3-L4 spondylolisthesis, osteophytes, severe left neural forminal narrowing, compression of left L4 nerve root L2-L3 severe left L2 neural forminal norrowing degenerative facet changes L1-L2 disc bulge extrusion extending cephalad, anterior thecal sac, degenerative facet, ligament flavum hypertrophy , foraminal norrowing , T12-L1 disc bulge degenerative facet, ligamentum hypertrophy lateral recess narrowing The MRi was only of lumbar area though I ask to include down to coccyx. Spine dr - PA suggested epidural (did not help) sent copy of MRI to Texas Spine in Dallas, Tx mentioning concern CES have not visited I live 200 mi away Many dr there. A doctor replied don't think you have CES but referred to another dr that maybe my fecal trouble is due to coccyx bent(which does show on MRI) and other pain may be due to 19% scolocsis curve which is not even mentioned in MRI notes. I am in rotating pain ALL DAY LONG What type of surgery is done for CES and how invasive is it.

Wow thanks for the great explanation…I’m dealing with a laundry list of back issues & don’t have insurance. Buzzwords are my friends!

Thanks for the very thorough explanation!! The surgeon I consulted with didn't provide any helpful info.

I'm going in later today for this. After reading some material and watching this I feel all the more comfortable. The comments were a big help as well. In conversation with others --they all seem to have had a good experience. Only negative I've heard really is from ppl afraid to have the procedure.

I had severe retrololisthesis, which I don’t hear much about, is that rare?