Thank you very much Dr Ebraheim for taking the time to create these invaluable videos, and enriching us with great free education. This is the first time I was so compelled to write a youtube comment. Your videos are the most informative and helpful of all online videos I have watched related to orthopedic issues. You are a gem!
This is the most informative I have come across..clear and precise.Watched all your videos and wished I watched them 6months ago at the time I had my back pain.I still do have the pain but not as bad. Thank you sir.
6:02 this is exactly how i document low back pain just superior / lateral / inferior/medial to each PsiS. I treat work injuries from repetitive lifting / repetitive twisting+pulling/ very forceful and rapid movements of torso / direct trauma ( like i stood up and hit it against a corner, etc). Misdiagnosis of this leads to patient unable to tolerate any physical therapy and therefore unable to proactively participate in the same. Muscle spasms gradially develop near the pirifirmis if not addressed with isolation techniques ( like using a back brace to help tolerate rowing exercises without suffering sharp stabbing pain) you can get piriformis syndrome which leads to wild good chase of an Mri looking for answers but never do this show up on an Mri. This is a clinical diagnosis. If i offer injections after exam is confirmatory , the patient can get rapid improvement with local steroid injections but may need repeat shots (arounf and unaddressed / remaining areas, not usually at the exact same location as before). In my work experience, far less than 5 percent of low back pain cases actually have true discogenic etiology. On exam, i have the patient lay prone facing down and do 2 main things : 1) arch the upper back off table wothout using their hands, checking for tenderness just superior to psis. 2) elevate each leg off the table and check for pain lateral to psis or inferior to psis or superlateral pole of sacrum / lateral border of psis. If steroid injection to the offending areas to the TENDINOUS insertion points help (nothing to do with large nerves/spinal cord )- as long as and resolve yhe tendon attachment pain, even if rheir Mri has demonstrwated disc related problems, marked relief ( true, sometimes there is overlap with others),would be possible only if most of the issues were from mechanical back pain to begin with. Bottom line, most of the cases i see in the work environment are straigforward in the sense that if a doctor MISSES THIS EASILY ADDRESSABLE ETIOLOGY, THEY MIGHT END UP GETTING SPINAL FUSION AND STILL HAVE NO RELIEF FOR "SACROILIAC PAIN" - and i am not surprised that you come across so many patients with this issue- this was not addressed correctly. I am an osteopathic physician (do) and i have had discogenic pain down the legs myself without true back pain- and i can attest low back pain is misdiagnosed by a lot of doctors no matter how good their intentions are.
The pain and misalignment will compound over time and can cause deadness in the legs and, in my case, my whole eye went lazy after a fall on my bum as a child. These videos help me manage so much! I had a baby 11 years ago and my perinial tear really has me disabled now...ripped along the same side I fell on and I got stitches on me bunghole. I should have massahed the area as it healed but I didn't know to. I just carried on with military life and now I can't bend to touch the floor
The injections don’t work on me. Now my doctor wants to do surgery on me. I don’t want to do surgery. my friend that’s a rheumatologist told me never allow somebody to cut me in the back. He said most of the time they make it worse. He said I’ll regret it.
Go for alternative medicine... Specially homoeopathy.... Here is a good homoeopathy doctor in india(nagpur city) named dr. Adil Chimsthanawala... Go serch him in google and contact him... U will get cured..
I’m curious about the differential including psoriasis. Could you say a little bit more about why you would have secret iliac pain a relationship to that please?
Just found a way to prevent back muscle spasm pain when standing up from a seated position. Simply place each palms on your laps as near as possible to your hips and press against the laps as you stand up. In this manner it somehow deactivate back muscles from firing and pulling to strongly which in turn helps reducing or even stopping pain during your healing period. Try this to see if it works for you.
I hope you can make a video of the nerves that go from the thoracic to the heart. I'm having big scary issues with my heart that seems to be related to issues with my upper thoracic spine.✌️
Both sides of my sacroiliac joints hurt. My left side is way worse it goes all the way down my leg. My doctor wants to do an invasive surgery on me. I’m so scared because my doctor that I used to have told me never to have back surgery.
My hip is rotated forward on the left side 33 mm. I am having a lot of problems with standing, sitting, stairs, sleeping, circulation, standing straight, walking,etc. So, as you go up my spine, mid-back, around L2 & L3 I think my spine rotates back to the right. Then proceeding up the spine, around my neck, it again, rotates back to the left, then up to the skull. I have about 20 minutes tops to be standing and doing something. Then I have to sit down, because it feels like someone is pushing straight down on my shoulders as hard as they can, and there is excruciating pain that goes down my back, then feels like my hips are shattering. Takes my breath away, and brings tears to my eyes. And I can hardly bend or move. I get a ice bottle and put it at my lower back (my lower hips) and sit with it there, till my hips stop aching .I usually have to move the ice bottle to different areas at my lower hips and buttocks to find relief. My legs and toes go numb. Sometimes on the right. Sometimes on the left. Sometimes both. I can't handle a Job anymore, because I can't control when this happens. And I can't just sit down until it goes away. My feet and legs sometimes retain fluids really bad. They get huge and are very painful. Could this stem from SI also?
![Lp. Сердце Вселенной #60 РОЖДЕНИЕ ЛОЛОЛОШКИ [Финал] • Майнкрафт](http://i.ytimg.com/vi/YoR0pAV9FVQ/mqdefault.jpg)
Thank you very much Dr Ebraheim for taking the time to create these invaluable videos, and enriching us with great free education. This is the first time I was so compelled to write a youtube comment. Your videos are the most informative and helpful of all online videos I have watched related to orthopedic issues. You are a gem!
This is the most informative I have come across..clear and precise.Watched all your videos and wished I watched them 6months ago at the time I had my back pain.I still do have the pain but not as bad.
Thank you sir.
Thank you for this, Professor Ebraheim 🙏
Thanks
Another Excellent video Professor for sharing. Lesson.
6:02 this is exactly how i document low back pain just superior / lateral / inferior/medial to each PsiS. I treat work injuries from repetitive lifting / repetitive twisting+pulling/ very forceful and rapid movements of torso / direct trauma ( like i stood up and hit it against a corner, etc).
Misdiagnosis of this leads to patient unable to tolerate any physical therapy and therefore unable to proactively participate in the same.
Muscle spasms gradially develop near the pirifirmis if not addressed with isolation techniques ( like using a back brace to help tolerate rowing exercises without suffering sharp stabbing pain) you can get piriformis syndrome which leads to wild good chase of an Mri looking for answers but never do this show up on an Mri. This is a clinical diagnosis.
If i offer injections after exam is confirmatory , the patient can get rapid improvement with local steroid injections but may need repeat shots (arounf and unaddressed / remaining areas, not usually at the exact same location as before).
In my work experience, far less than 5 percent of low back pain cases actually have true discogenic etiology.
On exam, i have the patient lay prone facing down and do 2 main things : 1) arch the upper back off table wothout using their hands, checking for tenderness just superior to psis.
2) elevate each leg off the table and check for pain lateral to psis or inferior to psis or superlateral pole of sacrum / lateral border of psis.
If steroid injection to the offending areas to the TENDINOUS insertion points help (nothing to do with large nerves/spinal cord )- as long as and resolve yhe tendon attachment pain, even if rheir Mri has demonstrwated disc related problems, marked relief ( true, sometimes there is overlap with others),would be possible only if most of the issues were from mechanical back pain to begin with.
Bottom line, most of the cases i see in the work environment are straigforward in the sense that if a doctor MISSES THIS EASILY ADDRESSABLE ETIOLOGY, THEY MIGHT END UP GETTING SPINAL FUSION AND STILL HAVE NO RELIEF FOR "SACROILIAC PAIN" - and i am not surprised that you come across so many patients with this issue- this was not addressed correctly.
I am an osteopathic physician (do) and i have had discogenic pain down the legs myself without true back pain- and i can attest low back pain is misdiagnosed by a lot of doctors no matter how good their intentions are.
Thanks for the insight doc
Thank you so much for this explanation Doctor Ebraheim💛
Thanks
I follow your channel from Nicaragua 🇳🇮. Blessing for you.
Thanks for Very important information 🙌
Thanks
The pain and misalignment will compound over time and can cause deadness in the legs and, in my case, my whole eye went lazy after a fall on my bum as a child. These videos help me manage so much! I had a baby 11 years ago and my perinial tear really has me disabled now...ripped along the same side I fell on and I got stitches on me bunghole. I should have massahed the area as it healed but I didn't know to. I just carried on with military life and now I can't bend to touch the floor
The injections don’t work on me. Now my doctor wants to do surgery on me. I don’t want to do surgery. my friend that’s a rheumatologist told me never allow somebody to cut me in the back. He said most of the time they make it worse. He said I’ll regret it.
Go for alternative medicine... Specially homoeopathy.... Here is a good homoeopathy doctor in india(nagpur city) named dr. Adil Chimsthanawala... Go serch him in google and contact him... U will get cured..
Try carnivore diet. You have nothing to lose
Take calcium abd message, stretch and strength the whole leg, from feet, calfs and thighs, seems to be working after years of pain
Thank you for your information..
Thanks
I’m curious about the differential including psoriasis. Could you say a little bit more about why you would have secret iliac pain a relationship to that please?
Good afternoon thank you for video
Thanks
Just found a way to prevent back muscle spasm pain when standing up from a seated position. Simply place each palms on your laps as near as possible to your hips and press against the laps as you stand up. In this manner it somehow deactivate back muscles from firing and pulling to strongly which in turn helps reducing or even stopping pain during your healing period. Try this to see if it works for you.
Very much informative sir ... thank you so much
So nice of you
Helpful , thanks ❤
thank You Dr.🙏🕊️
I hope you can make a video of the nerves that go from the thoracic to the heart.
I'm having big scary issues with my heart that seems to be related to issues with my upper thoracic spine.✌️
Both sides of my sacroiliac joints hurt. My left side is way worse it goes all the way down my leg. My doctor wants to do an invasive surgery on me. I’m so scared because my doctor that I used to have told me never to have back surgery.
Try other methods to heal first and if nothing helps then consuder surgery
Get massages! Use a rolling pin on the painful areas. Massage and cupping has helped me feel SO much better.
My hip is rotated forward on the left side 33 mm. I am having a lot of problems with standing, sitting, stairs, sleeping, circulation, standing straight, walking,etc. So, as you go up my spine, mid-back, around L2 & L3 I think my spine rotates back to the right. Then proceeding up the spine, around my neck, it again, rotates back to the left, then up to the skull. I have about 20 minutes tops to be standing and doing something. Then I have to sit down, because it feels like someone is pushing straight down on my shoulders as hard as they can, and there is excruciating pain that goes down my back, then feels like my hips are shattering. Takes my breath away, and brings tears to my eyes. And I can hardly bend or move. I get a ice bottle and put it at my lower back (my lower hips) and sit with it there, till my hips stop aching .I usually have to move the ice bottle to different areas at my lower hips and buttocks to find relief. My legs and toes go numb. Sometimes on the right. Sometimes on the left. Sometimes both. I can't handle a Job anymore, because I can't control when this happens. And I can't just sit down until it goes away. My feet and legs sometimes retain fluids really bad. They get huge and are very painful. Could this stem from SI also?
You said with the patient has it taken out they usually feel better. What would they be taking out ?
excellent
I have same pain ,visited many doctor's but the problem is same since 10 years .
Thanks sir
Good day. Do you accept students from Kazakhstan?
Can SI joint cause sciatic pain?
💐
Minnettarım.
Great
👍