Thank you Dr. Gillard for sharing your knowledgeable presentations. I'm sure many people are very grateful for the details you share. Although some may not recognize or understand specific terms this information can be vital to making important and well defined decisions upon treatment. Many physicians don't go into detail during appointments and leave out vital information for the patient. I'm a detail oriented individual and must know specifics in order to trust my physician.
I have listened to a lot of your content and I appreciate the way describe everything so perfectly. As an MA I prefer the medical terminology. It's been most helpful to understand the bulging discs on my L5 and Annular tear in my L4.
This is so good, very well made and awesome for an non-educated, but interested person like me, trying to figure out more about my injury and want to udnerstand my own MRI better :)
Wow, what a great explanation! And the answer that I wanted to hear regarding MRI machines - wehther a 3T one is better than a 1.5T one. Now I am going to find an imaging facility that has a Philips MR 7700 machine
Hi doc! I have been watching your videos because I have back pain and I am very grateful that I have learned so much. I would like to send you a copy of my latest MRI images and hopefully give me some of your insights because I am planning to do surgery. Thank you doc!
What happens to your disks if you don't have the lumbar curve? In my MRI I don't have this curve, my spine looks so straight. I just had a L5-S1 micro discectomy. I believe my L5-S1 disk herniated because of my straight spine. Has anyone done any MRI in those MRI devices where you can stand up on your feet? They said your spine has a more natural curve when standing up as opposed to when you lay down.
If all conservative care has failed, the treatment is surgery. What type of surgery depends on the cause of the stenosis, but it's typically something called a decompression.
Sir I have centrol and both paracentral disc bulge & posterolateral osteophytosis at L4 /5 level causing thecal sac indention, mild spinal stenosis and bilateral neural foraminal narrowing
My MRI showed 3 herniated discs and they want me to go to physical therapy....if the bulging disc is protruding and pushing on nerves to create my pain and siatica, I don't understand how physical therapy can change that.....the discs are not gonna recede back between vertabraes again, so it seems futile....I know ppl who've had a laminectomy and are still in pain after the surgery
The $64,000 question is whether those discs are actually pain generators or are they completely innocent have been there for years? It is well known that about 30% of disc herniations are not pain generators. The trick is to figure out if these herniations match your clinical findings (neurological and orthopedic findings to be exact). Big disc herniations can be reabsorbed by the body - sometimes completely reabsorbed. And this resorption is done by mother nature, and has nothing to do with any type of treatment you will receive. Maybe some decompression treatment might help mother nature along (there's no solid research to prove that, but it makes sense), but all in all, its all about mother nature. If the sciatica is severe and if you start suffering motor loss, then you could get forced into a discectomy - that's a whole another discussion. If you think that herniations are symptomatic, then you should be seen by a spine surgeon sooner rather than later so you can be properly worked up. Discectomy is a time sensitive thing for the most part, so you don't want to wait around too long. The rule of thumb is about four months. Note, this information is for educational purposes only. Please never act on anything I say without running it by your primary health care provider. Good luck!
Hello, I'm sorry to hear about your symptomatic disc herniation, and at such a young age. I do consult with select clients through zoom which you can read all about at this link: www.chirogeek.com/Coaching%20Service/coachingService-2.html
Congratulations. Great lecture for patients and medical students. I have shared your lecture on my blogspot "The Horizons of Neurosurgery" on blogspot.
IT SEEMS I AM AN EVER PATIENT ...... WHERE IS IT POSSIBLE TO GET A M6 ARTIFICIAL DISC REPLACEMENT IN THE US .? I WANT TO REGAIN INTERVERTEBRAL NATURAL FUNCTIONS /
i did my MRI test and the result says..Lumbar Spondylosis with Postercentral Disc Protrusion with Annular tear at L4-L5. so can you guide me what exercises should i have to do?
Pema Wangchen mine said the same thing. But I have a multilevel lumbar spondylosis and three disc bulges. Dr. Gillard has created amazing videos for us to watch. I'm so thankful!! Hang there!🙏
Wow so complicated with so much to go wrong . Its hard to believe evolution came up with so complex structures on its own I think we were seeded by aliens lol .
Hello, I actually just had a MRI done on myself with one series (T2-weighted) of axial and sagittal's done with 2 mm cuts, down the plane of the disc. It took 50 minutes and now I have beautiful crystal clear images from this 3 Tesla tube. Too many MRI centers are rushing people through their machines and getting mediocre to poor quality imaging - I see these every single week, something that I don't see in other countries.
Thanks for a complete and systematic explanation for the general public.
Thank you Dr. Gillard for sharing your knowledgeable presentations. I'm sure many people are very grateful for the details you share. Although some may not recognize or understand specific terms this information can be vital to making important and well defined decisions upon treatment. Many physicians don't go into detail during appointments and leave out vital information for the patient. I'm a detail oriented individual and must know specifics in order to trust my physician.
Probably the most clear and concise video on the net!
Amazing
I’m hooked on your videos, doc. Super interesting.
I have listened to a lot of your content and I appreciate the way describe everything so perfectly. As an MA I prefer the medical terminology. It's been most helpful to understand the bulging discs on my L5 and Annular tear in my L4.
Absolutely the best educational video s, thank you so much. Extremely helpful!
Thank you very much Doctor.
This is so good, very well made and awesome for an non-educated, but interested person like me, trying to figure out more about my injury and want to udnerstand my own MRI better :)
@6:15 omg so then when they are doing a discetomy, is this where the scar tissue will form? Is that why the nerves hurt?
great
amazingI appreciate your efforts thank you very much for the work
Wow, what a great explanation! And the answer that I wanted to hear regarding MRI machines - wehther a 3T one is better than a 1.5T one. Now I am going to find an imaging facility that has a Philips MR 7700 machine
My Spine L4/5 Diffuse disc bulge problem
Very helpful, thank you 🙏
Hi doc! I have been watching your videos because I have back pain and I am very grateful that I have learned so much. I would like to send you a copy of my latest MRI images and hopefully give me some of your insights because I am planning to do surgery. Thank you doc!
god is such a great engineer when he designed us!!! PERFECT!!
I asked for a T3 MRI but my scan only has T1 and T2. I am hiring a lawyer and will send them to your page, thank you!!
can you make videos on how to detect ... ankylosing spondylitis .. both from lumber view and sacro illiac joint MRIs ...
Thank you .🙏
Dr. Gillard, thanks for your teaching on how to read Lumbar Spine MRI, but what about Cervical Spine MRI? Can you advice please.
It was an amazing video. I have sent the link to a lot of my friends 😊 thank u sir for making it n loads of regards from India 😊
What happens to your disks if you don't have the lumbar curve? In my MRI I don't have this curve, my spine looks so straight. I just had a L5-S1 micro discectomy. I believe my L5-S1 disk herniated because of my straight spine. Has anyone done any MRI in those MRI devices where you can stand up on your feet? They said your spine has a more natural curve when standing up as opposed to when you lay down.
👌🌹由圖可知:02:34 就腰椎而言, [小面關節]和[椎盤]這兩結構約可在同一水平面上呈現。
❤️建議3 Tesla的MRI機器且 以 2mm cut做檢查。
🌹03:03
🌹04:10
🌹05:20 在纖維環緣存在Nociceptive痛覺接收器。
🌹08:01 T2-weighted L3 disc level
🌹10:20 T1-weighted
L3 disc level
🌹11:05 T2-weighted L5 disc level
此影像米老鼠的兩耳 是"S1" Nerve Root (感覺和運動纖維已包在一起)
🌹12:55 dorsal root ganglion
🌹12:58
🌹13:35 因為神經根其實在Axial cut 的IVF這一段是"斜" 走向, 故[不會看到完整呈現的神經根]。13:52
🌹14:11 退化的椎間盤往往是纖維環破裂的起因
🌹14:45 T2 image 椎盤內[髓核呈黑色]代表退化性病變證據。
你好請問你是醫師嗎? 有沒有診所呢? 需要您的幫忙
What is the treatment for stenisis?
If all conservative care has failed, the treatment is surgery. What type of surgery depends on the cause of the stenosis, but it's typically something called a decompression.
Sir I have centrol and both paracentral disc bulge & posterolateral osteophytosis at L4 /5 level causing thecal sac indention, mild spinal stenosis and bilateral neural foraminal narrowing
Can you have a disc herniation that does not show on the MRI?
Thanks
EXCELLENT
Most helpful video thx sir :)
Thank you sir
I have a student test on my channel a back x-ray what do you see ? thanks
My MRI showed 3 herniated discs and they want me to go to physical therapy....if the bulging disc is protruding and pushing on nerves to create my pain and siatica, I don't understand how physical therapy can change that.....the discs are not gonna recede back between vertabraes again, so it seems futile....I know ppl who've had a laminectomy and are still in pain after the surgery
The $64,000 question is whether those discs are actually pain generators or are they completely innocent have been there for years? It is well known that about 30% of disc herniations are not pain generators. The trick is to figure out if these herniations match your clinical findings (neurological and orthopedic findings to be exact). Big disc herniations can be reabsorbed by the body - sometimes completely reabsorbed. And this resorption is done by mother nature, and has nothing to do with any type of treatment you will receive. Maybe some decompression treatment might help mother nature along (there's no solid research to prove that, but it makes sense), but all in all, its all about mother nature. If the sciatica is severe and if you start suffering motor loss, then you could get forced into a discectomy - that's a whole another discussion. If you think that herniations are symptomatic, then you should be seen by a spine surgeon sooner rather than later so you can be properly worked up. Discectomy is a time sensitive thing for the most part, so you don't want to wait around too long. The rule of thumb is about four months. Note, this information is for educational purposes only. Please never act on anything I say without running it by your primary health care provider. Good luck!
The Bob Ross of Chiropractic
I'm adnan from Pakistan I'm 27 years old I have disc protrusion and desiccation at l4 l5 left nerve root compression problem I need your help kindly
Can you help on call
Hello, I'm sorry to hear about your symptomatic disc herniation, and at such a young age. I do consult with select clients through zoom which you can read all about at this link: www.chirogeek.com/Coaching%20Service/coachingService-2.html
Doc my wish bone in the photo is bent what does that mean
is a 14mm and 12mm bad?
Thats pretty broad, but it depends on your symptoms
My herniated discs and Seroma disappeared! Lol says my surgeon. Next.
❤❤
Congratulations. Great lecture for patients and medical students. I have shared your lecture on my blogspot "The Horizons of Neurosurgery" on blogspot.
5:00
IT SEEMS I AM AN EVER PATIENT ...... WHERE IS IT POSSIBLE TO GET A M6 ARTIFICIAL DISC REPLACEMENT IN THE US .?
I WANT TO REGAIN INTERVERTEBRAL NATURAL FUNCTIONS /
+erstfiles ALSO CANT FIND MAIL FOR QUESTIONS
i did my MRI test and the result says..Lumbar Spondylosis with Postercentral Disc Protrusion with Annular tear at L4-L5.
so can you guide me what exercises should i have to do?
Pema Wangchen mine said the same thing. But I have a multilevel lumbar spondylosis and three disc bulges. Dr. Gillard has created amazing videos for us to watch. I'm so thankful!! Hang there!🙏
Hello sir how long got that? What is your symptoms?
Thank you l will fine out more 🌐🌍🏪🏥l have al🤒🗂📈📉📂
Wow so complicated with so much to go wrong . Its hard to believe evolution came up with so complex structures on its own I think we were seeded by aliens lol .
I believe we were created by God. Message me if you would like to find out more!
I've been studying treating back pain naturally and found a great resource at Zavrins Back Guide (google it if you're interested)
2mm axial cuts? That sequence will take for ever. 😉 😜 😜 😜 😜
Hello, I actually just had a MRI done on myself with one series (T2-weighted) of axial and sagittal's done with 2 mm cuts, down the plane of the disc. It took 50 minutes and now I have beautiful crystal clear images from this 3 Tesla tube. Too many MRI centers are rushing people through their machines and getting mediocre to poor quality imaging - I see these every single week, something that I don't see in other countries.
Latest 3T rather. 😜 😜 😜