Man I love this channel! I've been suffering for years with DDD with nerve compression (sciatica that prevented me from even be able to stand for more than 6 months), and SI joint pain that I've only recently been able to diagnose, and all of this information is so helpful. I don't have health insurance and can't even work or get help so this has been 3 years so far of pain and depression from it. Also you're extremely cute so it's doubley enjoyable to learn from you. LOL
I have this , grade 3 spondylolisthes, double nerve root entrapment, you can see the spasams in my legs every day , diagnosed with prostate cancer just before christmas , 3 weeks after that i fibd out i habe full blown osteoporosis, double sacrum fracture, started iv infusions over next 3 years , im 45 dont drink dont smoke, eat healthy , my advice train your mind just as much as your body
I’m on day 7 of your program, Dr. Ryan and I couldn’t be happier and more excited. After 4 years of chronic left pain from my L4-L5 disc (which then added SI joint pain on the right after 2 years of overcompensating), I feel I’m actually progressing and doing the right, sustainable thing and the pain has reduced significantly on both sides already. Thank you.
I really like your approach to DDD. I have been battling this for a few years, two ER visits and lots of different treatments. I regret that you caution against the vibration platform. In my case it kept me off pain meds for an entire year. The theory is stimulation of stem cells in the bone marrow.
Thank you for this explanation. Recently diagnosed with DDD. I have surgery at L3 L4. I have to figure out how to strengthen core and low back. My journey begins.
What about replacement discs? There's not much US data, but in the EU there is some great data showing that modern prosthetic discs extended the performance of top-tier semi-pro and professional athletes (especially in tennis) by an average of 5 years! I'm a triathlete, and I want that longevity. Another metric to consider is net height loss, and where that loss has occurred. At peak height, my father was 6'1" and I was 6' even. My dad is 94 and I'm 68. My dad is 6'0", a loss of only one inch, and I'm down to 5'10", 2 inches down and still shrinking. My personal approach has been multi-faceted: 1) Maximize core (back, abs, oblique) strength and stability. Lots of static planks and supermans, plus dynamic and weighted/resistance equivalents. 2) Lift vertically, and avoid outstretched/reaching lifting. (Edit: My DLs and RDLs are epic.) 3) Add heel padding to walking shoes (soften the heel strike) and run with a forefoot strike (using my calves as shock-absorbing disc stand-ins). Yet I still want my height back, to regain the body's natural cushioning, and the associated vertebral resilience and mobility. (Edit: And to hopefully reverse the extensive mild-to-moderate inner leg and foot numbness after severe bilateral sciatica.) There is a wide variety of prosthetic discs available on the market (and more soon to be available), though few are yet approved by the FDA: The EU is far ahead, and the cost of a plane ticket is trivial (edit: Compared to the deductibles). The key differences between replacement disc types involves how the disc is assembled, implanted, its durability, and how it moves. The elastomeric one-piece replacements are by far the best mechanically, yet are by far the hardest to implant (needing large vertebral separations). I think there are precisely 2 US surgeons authorized to implant such discs, and even then only as part of investigatory studies blessed by the FDA. The next factor for me, as I have progressive DDD losses spanning multiple lumbar discs, is getting multiple prosthetic discs implanted. There is only one multi-level lumbar replacement disc type approved by the FDA (NOT for L5-S1), but it is indicated only for sedentary individuals, not for active athletes. The EU is doing far better, and Asia has recently been advancing quickly as well. It would be very cool to learn how many athletes in the 2024 Summer Olympics are competing with prosthetic discs. Edit: I have made other compensations to continue in triathlon. For example, I can only comfortably ride a bike in two positions: Aggressive aero (back parallel to the ground) and fully upright (ebike with a cushy seat, shock-absorbing seatpost and large tires). My race bike frame is by Titanflex, with a titanium "boom" that provides significant isolation between the road and my butt. I tried riding with reduced tire pressure, but the efficiency loss drove me crazy, so I now ride with extremely hard tires and let other subsystems handle the road vibration and shock. And I love ISM Adamo saddles!
Wow from my understanding artificial disc have fail from what they promises, to conserve natural movement, will be really interesting to see if there are athletes with artificial disc competing, I think you are very brave to keep as a triathlete, my respects....
Thank you, this was really interesting and I will be very cognizant of using my hips more and work on strengthening them for I too have degenerative discs and lesions throughout my spine. That made so much sense about avoiding vibration! I assume gravel biking is something that would aggravate the spine?
Thanks doc, you indeed solved questions I had regarding this topic. However, there is still something I am wondering. If you adapt a lifestyle that focuses on hydrating regularly, decompressing your spine regularly, and training core stability regulary, wouldn't that promote disc rehydration? The body has regenerative capabilites, which when combined with good care of your spine, wouldn't it be possible to regain disc health on top of just stopping degeneration?
When you say stay away from vibration does that include boating sometimes on rough water? 😢😂 I'm a boater & my back bow hurts after boating on a rough day.
@@divacassandra1 that is indeed a difficult item for many. I had fusion surgery.. it took me 10 + years to get even a connection to my core again.. biomechanical changes due to surgery too..
Man I love this channel!
I've been suffering for years with DDD with nerve compression (sciatica that prevented me from even be able to stand for more than 6 months), and SI joint pain that I've only recently been able to diagnose, and all of this information is so helpful. I don't have health insurance and can't even work or get help so this has been 3 years so far of pain and depression from it.
Also you're extremely cute so it's doubley enjoyable to learn from you. LOL
I have this , grade 3 spondylolisthes, double nerve root entrapment, you can see the spasams in my legs every day , diagnosed with prostate cancer just before christmas , 3 weeks after that i fibd out i habe full blown osteoporosis, double sacrum fracture, started iv infusions over next 3 years , im 45 dont drink dont smoke, eat healthy , my advice train your mind just as much as your body
What is a good exercise to engage hips
I was diagnosed with DDD in my early 20's.
I’m on day 7 of your program, Dr. Ryan and I couldn’t be happier and more excited. After 4 years of chronic left pain from my L4-L5 disc (which then added SI joint pain on the right after 2 years of overcompensating), I feel I’m actually progressing and doing the right, sustainable thing and the pain has reduced significantly on both sides already. Thank you.
I really like your approach to DDD. I have been battling this for a few years, two ER visits and lots of different treatments. I regret that you caution against the vibration platform. In my case it kept me off pain meds for an entire year. The theory is stimulation of stem cells in the bone marrow.
Thank you for this explanation. Recently diagnosed with DDD. I have surgery at L3 L4. I have to figure out how to strengthen core and low back. My journey begins.
What about replacement discs? There's not much US data, but in the EU there is some great data showing that modern prosthetic discs extended the performance of top-tier semi-pro and professional athletes (especially in tennis) by an average of 5 years! I'm a triathlete, and I want that longevity.
Another metric to consider is net height loss, and where that loss has occurred. At peak height, my father was 6'1" and I was 6' even. My dad is 94 and I'm 68. My dad is 6'0", a loss of only one inch, and I'm down to 5'10", 2 inches down and still shrinking.
My personal approach has been multi-faceted:
1) Maximize core (back, abs, oblique) strength and stability. Lots of static planks and supermans, plus dynamic and weighted/resistance equivalents.
2) Lift vertically, and avoid outstretched/reaching lifting. (Edit: My DLs and RDLs are epic.)
3) Add heel padding to walking shoes (soften the heel strike) and run with a forefoot strike (using my calves as shock-absorbing disc stand-ins).
Yet I still want my height back, to regain the body's natural cushioning, and the associated vertebral resilience and mobility. (Edit: And to hopefully reverse the extensive mild-to-moderate inner leg and foot numbness after severe bilateral sciatica.)
There is a wide variety of prosthetic discs available on the market (and more soon to be available), though few are yet approved by the FDA: The EU is far ahead, and the cost of a plane ticket is trivial (edit: Compared to the deductibles). The key differences between replacement disc types involves how the disc is assembled, implanted, its durability, and how it moves. The elastomeric one-piece replacements are by far the best mechanically, yet are by far the hardest to implant (needing large vertebral separations). I think there are precisely 2 US surgeons authorized to implant such discs, and even then only as part of investigatory studies blessed by the FDA.
The next factor for me, as I have progressive DDD losses spanning multiple lumbar discs, is getting multiple prosthetic discs implanted. There is only one multi-level lumbar replacement disc type approved by the FDA (NOT for L5-S1), but it is indicated only for sedentary individuals, not for active athletes. The EU is doing far better, and Asia has recently been advancing quickly as well.
It would be very cool to learn how many athletes in the 2024 Summer Olympics are competing with prosthetic discs.
Edit: I have made other compensations to continue in triathlon. For example, I can only comfortably ride a bike in two positions: Aggressive aero (back parallel to the ground) and fully upright (ebike with a cushy seat, shock-absorbing seatpost and large tires). My race bike frame is by Titanflex, with a titanium "boom" that provides significant isolation between the road and my butt. I tried riding with reduced tire pressure, but the efficiency loss drove me crazy, so I now ride with extremely hard tires and let other subsystems handle the road vibration and shock. And I love ISM Adamo saddles!
Wow from my understanding artificial disc have fail from what they promises, to conserve natural movement, will be really interesting to see if there are athletes with artificial disc competing, I think you are very brave to keep as a triathlete, my respects....
Thank you Doc for sharing this information very helpful.
Thank you for your video
I am from INDIA, u r genius
How do you exactly "hinge the hips"? Please and thank you.
Yes. Same question- like when standing at countertop - how do we “feel” the hip engagement to decrease the trunk flexion/back extension? Thank you.
Just saw you on FB I have done like 8 hours of breathing and some stretching and I feel phenomenal
Thank you for your time doing your videos. You explain so easy and thoroughly. Your videos are VERY educational.
Thanks doctor ❤
Awesome information! Thank you.
Thanks
Would you continue running - regular as exercise or playing sport?
Hey doctor my report say you have partially dehydrated disc bulge at l5s1 level will it be cured?
This information is valuable. I'm
Thank you
Do you have any recommendations if you have degeneration/herniated discs as well as a torn hip labrum? Thank you!
Thank you, this was really interesting and I will be very cognizant of using my hips more and work on strengthening them for I too have degenerative discs and lesions throughout my spine. That made so much sense about avoiding vibration! I assume gravel biking is something that would aggravate the spine?
Thanks doc, you indeed solved questions I had regarding this topic. However, there is still something I am wondering.
If you adapt a lifestyle that focuses on hydrating regularly, decompressing your spine regularly, and training core stability regulary, wouldn't that promote disc rehydration?
The body has regenerative capabilites, which when combined with good care of your spine, wouldn't it be possible to regain disc health on top of just stopping degeneration?
Reply doc
When you say stay away from vibration does that include boating sometimes on rough water? 😢😂 I'm a boater & my back bow hurts after boating on a rough day.
Is playing football or just running bad for DDD? Does running make big vibrations to our spinal discs?
Fibromyalgia + DDD + Hypermobility Spectrum Disorder + Myofascial Pain Disorder + 32 degree thoracic-lumbar scoliosis + cervical instability. I don't even know what neutral should feel/look like.
I am almost the same. I hear you!
@@divacassandra1 that is indeed a difficult item for many. I had fusion surgery.. it took me 10 + years to get even a connection to my core again.. biomechanical changes due to surgery too..
👍👍👍