Myths and Facts about Spinal Stenosis
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- Опубліковано 21 сер 2024
- Learn about some common myths about spinal stenosis and how to treat it. Many times a patient is given a diagnosis of spinal stenosis that doesn’t match the patient’s movements and how their pain and sciatica acts in their life. #spinalstensois#lumbarstenosis#apexorthopedicrehabilitstion#stemosis
You definitely sound like you really care about people and their pain and symptoms. I love how you explain everything! I just had a Microdiskectomy last week.. because of severe stenosis. It was giving me excruciating sciatic pain and physical therapy was making it worse bc they never gave me a mri before they sent me there. I was in the ER 4 days in a row and finally a Dr. Ordered me an mri and my L5 area yes there it was a severe herniated disc.. he said I had no fluid left. And it was basically emergency surgery. It was scary and I had no choice bc of the pain.. I'm in the healing process now. My nerve is still somewhat worked up and I've had some pains here and there but when I woke up I felt imidiate relief from that nerve pain. They say it will take a while for it to calm down. Never in my life have I been in that much pain and I pray to God he would just take it away from anyone who has to feel that. Nerve pain is no joke. And I thought I had a high pain tolerance.. my problem is now I have 2 other bulging disc higher up, and even tho they aren't causing the nerve pain at the moment. What can I do to make those disc go back in and not become so bad like the other one? I don't want to ever feel that pain again and I don't want to hurt the disc that just had surgery. I know I have to heal first. But what sort of things can I do to help myself? He said I have spinal stenosis.. I'm 29. And my father and his brother have it also. Dr. says its a birth defect. I didn't know there was more than one spinal stenosis..
A few basic things is do not sit more than 20 minutes at a time or less if it gives you symptoms. Try and maintain your mobility and start a gentle walking program even if it’s 3 to 5 minutes as long as it’s tolerated and okayed by your surgeon.
I have the exact same problem and I'm 29 too! I'm in severe pain everyday and I do hair and am on my feet 12-15 hours a day I come home cryingggggg
@@nikothesavage5895 i used to do hair too! Have you had any surgery?
How are you doing now?🙏
@@themysticmuse I'm doing better overall because the surgery saved My quality of life but I have bad days and weeks and good days and weeks. But monthly and yearly I have some flare ups some worse than others. I take it day by day. I don't do any physical therapy bc it makes it worse I just walk. I'm still scared for my other disc problems. I hate taking pain medications so I don't take anything unless I have to. Thank God it gets worked up but hasn't reached the point it was before surgery. I'm looking into other forms of pain relief just incase i go down that road ever again with how bad it was. This week I Over did myself outside and im paying for it.
I have had back issues for decades (including 2 surgeries 20 sum years ago)--- and have read extensively to try to educate myself. This is THE best presentation I have ever seen. I wish this therapist was in my area, as I am older now (71) and experiencing some hip and knee pain that could or could not be related to my spinal stenosis.
Thanks!
Very informing! I learned more from this video than from years of visiting docs and PTs. It was like he was talking about my particular problem. I can now make better decisions regarding a plan to handle this situation that has gotten unbearable.
I’m glad this helped you out
Same for me! If you dont mind sharing. Can you please tell me, what did you do to help yourself and how are you doing now?
This is an extremely helpful video! Thank you for creating it, and for sharing your understanding of a difficult and complicated diagnosis.
You sound like a human being, with compassion and caring for the patient. I particularly liked the part about how to talk to your doctor, and what to focus on. Thank you very much.
Thanks!
Thank you. Most rational explanation.I waited six weeks for an appointment with a chiropractor who had an excellent reputation ….. “He’s good,” even doctors said. He studied my MRI and said “I can’t help you. You have too many issues. But I plead with you, do not have surgery.”I am 87, I might add, and was otherwise in good shape. I was so depressed. I had looked forward to that appointment for six weeks! My worst problem is spasms. They are driving me crazy. Yes, pain in front thighs, but I could adjust to that if the spasms would ease up. They even keep me from sleeping.
spasms can be helped with muscle relaxers.. I have them bad..took about 3 weeks of taking them at bedtime --then it started helping me.. ask your dr..
those 2 issues, muscle spams and loss of sleep warrant an immediate visit to your primary dr for assessment, possible medication. if your dr is not treating those 2 issues, find another dr. my best to you.
Make an appointment with a DO aka Doctor of Osteopathic for Spinal manipulation/ OMT ASAP!
My doc said magnesium at 800 mg will help with spasms
This video is highly informative for the layman. You give me hope to be able to conquer my sciatica. At 75 an good health I swim daily in the summer months but this winter I sat for far too many hours with 2 15 lb cats on my lap in a soft recliner and now I have a nasty sciatica on the right side going on 10 weeks. Tried everything. Can't sit or stand without spasms. Feeling like an invalid chiro new tomorrow pt Thurs and pool opens 4/1. 👋👱♀️🐾
19:15 very good information. My doctor told I have this condition spinal stenosis. For 4 years I really didn’t understand the whole situation. Narrowing of the spine all I understood. I’m glad saw your video and I’m more understanding of what going on. I will now write down my questions and all the position that cause me pain. So thank you, very helpful.
Glad it helped!
Thank you sooo much. I injured my back at work felt something pop, had therapy felt better went back to work suffering again. Told it’s spinal stenosis now, suffer a lot from pain down leg to toe. In pain most of time if standing then walking sitting helps always. Can hardly walk a block without sitting but I keep trying. Have good days and bad. I understand stenosis much better now. Thanks for sharing. Now just need exercises to help with it. Again thank.
what kind of pain do you get when u stand or walk? like in the knees?
Thank you for the information.I love the visuals!
Thanks Cynthia
Thank You So So much for explaining these different types of Stenosis and Symptoms. This education was very helpful. I have been afraid that I am going to be "debilitated" for life, though it's not quite that bad. You put me at ease. I appreciate that. Thank You for your time and concern for me, though you don't even know me. Blessings.
Glad you got something from our video! Is there anything else you would. Liked covered in future videos?
Your video explained more than my doctor did. Thank you. I'm almost to the point where I can't walk. Tomorrow I'm going to make another appointment For treatment other than cortisone shots. I feel I can more intelligently explain what my problems are.
Very informative, thank you. A great presentation, your video has provided me with some very useful information which will help me manage my diagnosis
Great to hear! Feel free to ask a question if you have any trouble
Thank You..makes much more sense to me now, just diagnosed with spinal stenosis had an epidural but I'll find out more about the results of that in 5 days
I have had a bilateral laminectomy at which time was told I have an abnormally small spinal canal. Been told I have disc degeneration and spinal stenosis in most of my spine. Years of hard work and play. Was good for 22 years after surgery. Now have a herniated disc at that L4 L5 level. Like you said instant relief when sitting and hard time standing or walking. Something happened walking is not as painful, something changed. Lifting anything is the trigger now. Was considering artificial disc replacement. I would welcome a comment. Great video.
Occasionall large disc herniations can cause similar problems like stenosis. What kind of lifting and type of exercise bothers you?
@@apexmovebetter I am a plumber so crouched over much of the time. Lifting anything causes numbness and weakness in my legs now as does walking too much. I was retired and went back to work for the summer in a supervisory position but a month in and I was working pipe wrenches and crouching. I felt it in my whole spine on pipe wrenches. I was thinking when those back muscles pump up it exasperates the stenosis. The changes that resently happened is no hip pain from walking or standing.
Your video was very helpful. Thank you.
Glad it was helpful!
Good information, but very poor audio, made presentation more difficult to understand info.
I will eventually redo this video. Audio is poor
Barely audible sad
Really great content. Very grateful, thank you.
May I suggest using a tripod ? I feel very well informed but a little dizzy!
Spinal stenosis is horrible, laying down helps me a lot. I’ve had it for 8 years, can’t work anymore. I was diagnosed at 38 and petrified to do anything. Who knows what I do sometimes and my back goes out and I’m screwed for days. So I sit and put on weight more and more
Did you ever get an evaluation from a certified McKenzie physical therapist?
Any relief tammy
I have lumbar stenosis and a bulging disc which has caused a pinched nerve to the left of my spine creating sciatica. I’ve been out of work since June of last year. I just want my life back💔 i hv a very busy 3yo and I’ve been a licensed nurse for 15yrs. In a years time I’ve lost everything and I have no insurance. I HAVE to beat this. I’m determined❤️🙏🏾
Take a look at my live end back pain event. It will give you some information to maybe help you out. Don’t give up!
Sorry princess get used 2 it.had this for years it's cost me millions in lost opportunity.next
Any relief princess
Wonderfully explained. Thanks for being so clear about a complicated issue.
Thank you! This is the best video on Spinal Stenosis I have watched (I watched many!). I have been also seeing physiotherapists but I started to understand that I have to take things in my own hands, There is no quick fix or therapy!
This presentation was very well done! You explained the condition in simple terms but very specific.
Thanks again.
I look forward to more videos from you.
Barb
Very informative thank you.
Your welcome
Very informative - thank you.
Your welcome!
Interesting information
Thankyou for this incredibly informative video following a MBA several years back I am contemplating decompression surgery for "severe lumbar stenosis of the L5-S1" with sciatic nerve impingement ( this in essence as you have explained can be done in a more or less invasive way ) however the surgeon has said until he goes in he may need to do more "fuse the disks at possibly 1-3 segments" this is the part that scares me
Do you have a video that addresses this later option explaining the segment fusion operation & possible treatments to decompress the sciatic nerve?
I don’t but will look to put that into future videos. I would google find a McKenzie provider to see if you have other options for treatment.
In
Wow..... Fantastic..... Thank you..
Esther Brink from South Africa
Thanks
Ty, I am 63 and getting my 1st epidural in 2 weeks for SP, fingers crossed it helps.
Very informative...many thanks. 🙏
Learnt sooo much!! Thank you:: 👌
Very informative video. In October I had cervical spinal surgery for severe stenosis and had a 1 level fusion, C4-C5. Terrible experience as I had post operative TIA, no residual effects. Post operative recovery was excruciating. I now have to contemplate Lumbar surgery and I really don’t want to go thru that again. I have severe L3-L4 central spinal stenosis secondary to degenerative disc disease, ligamentous hypertrophy, facet arthropathy and prominent epidural fat in the posterior epidural space. Moderate bilateral L4-L5, moderate bilateral L3-L4 foraminal stenosis. I have severe pain from the left back Wraping around to the left hip across the thigh and down to the foot. I have heard of a procedure called Veriflex that inserts a spacer between the vertebrae to open the space where the nerve exits. Do you know anything about this procedure. DO I STAND A CHANCE OF AVOIDING SPINAL SURGERY? Please help!!!!
Please see a Neurosurgeon at Johns Hopkins Hospital located in Baltimore, MD.
very informative, excellent explanation. I only wish the sound quality were a little bit better but other wise A+.
Thanks. Is agree I the sound issue
Thank you so much
Is it common for someone in their late 20’s to be diagnosed with lumbar spinal stenosis.
Very basic and informative video
It is very rare at your age
I'm 28 and have been diagnosed with spinal stenosis and l5 S1 disc bulge had not known about the stenosis untill the recent disc bulge pain and had a ct scan which found both bulge and stenosis and bony structures on l5
Any opinions on M.I.L.D. (minimally invasive lumbar decompression)? I'm hearing it's simple and very effective.
Just found this and it's really interesting as I have spinal stenosis. However, just a couple of difficulties I'm having with the actual video - it's VERY quiet, I have to have the subtitles on to understand it and it's not doing a great job of interpreting your speech! Also, the camera wobble is actually making me a bit headachey/sick. Is there any possibility you might be able to address this in future videos? Thanks :)
I plan to redo it since it was a poor quality and when I was first starting videos
@@apexmovebetter Ahh, gotcha :) Many thanks! I have to say I'm super impressed about how you do seem to actually wanting to make a difference to people's health, and how diligent you are at replying to people's messages. Can I throw a question out there? After a LOT of research, I've just bought a high quality kneeling chair which is also made to rock, and also has a little movement side to side. In my case, sitting does help the pain (opening up the vertebrae), but when I sit on this, my default is to be constantly gently moving to flex the spine as I'm sitting. Have you any experience of these chairs? What do you think about them in the case of lumbar spinal stenosis?
@@jayfurjill the key is to consistently move and vary your position. If it is the chair I’m thinking about it tends to arch your back which tends to cause more stenosis. Can you send me a link to that chair? I’m curious.
Thank you
Thank you very much for your insights.
Your welcome.
Terrific video !
Thanks Evan!
Im so frustrated. I had an MRI in 2020 and was diagnosed with moderate to severe foraminal stenosis in L4 and L5. My symptoms seem to be different than what is described here. My pain is lower back, left buttock, across left hip down the front of my upper left thigh and into my groin. It HAS caused urinary and bowel issues. For 2 days after my injury happened, I had no feeling of the need to void. I cant seem to find anyone that has the same symptoms
Describe the urinary and bowel issues
Go to see a doctor asap.
@@apexmovebetter YOURE lying to people when you say it cannot affect the bowels and urinary ability. Cauda Equina Syndrome is REAL and anyone with it needs to see their Neurologist ASAP.
When in doubt see a doctor. It can be caused by other medical issues as well that should be addressed.
@@apexmovebetter Really? Maybe it is MS again?😁
With all respect to you, most of doctors reffer to the same story...😞 Do you know many pople got the wrong diagnose neglected by doctors who are claiming that issues with bladder and bowel are strictly cause of MS? Personally, i am the one who got spine injury (injured nervs in cauda equina through the lumbar puncture procedure) that has been covering by ms diagnose for 13 years up to now. 😶God save us from that kind of docs!🙏
Thank you..best explanation
Thanks!
My scan results show L4/5 showing reduction of disc height and a diffuse disc bulge. Facet osteoarthritic changes bilaterally with mild
ligamentum flavum hypertrophy. This results in a mild canal and moderate bilateral foraminal stenosis. However, standing up straight without bending is my only relief. When I sit is when the pain is at it's worst.
Have you had a clinical evaluation by a physical therapist? Specifically a McKenzie trained physical therapist. It may be worth looking into.
some mentioned it sounded like you care about your patients and I agree. I would bet you own the practice and that is the reason why. I have had bad experience with 3 different physical therapy practices because it seems they just don't care. "just ride the bike and ice and see you in 2 days". Sorry but true and no one can tell me diff. as been dealing with my stenosis for 8 years.
Sorry to hear you have had such a poor experience. We try be attentive to everyone’s needs in the clinic. The business has been driven by high numbers and we have lost the listening aspect and personalization. If you tell me where you live I could make a recommendation for a PT for a better experience.
@@apexmovebetter Thank you for replying to comment and offering help. Like myself and others have stated it is obvious "you" and your facility care about your patients. In the last 5 years have been to 6 PT's in 2 different States with almost exactly the same service and results. That is ride the bike and ice after and the results were no better. But they all cashed my insurance company checks and the last 2 PT's (each 4-6 week sessions) my wife and I paid for as ins. no longer approved because of lack of results. Thanks, God Bless.
ua-cam.com/video/9KO5pXg5348/v-deo.html
AOR, good video and info. But it lacks showing not only the Stenosis (Lumbar is your focal point - but it can and does exist in the cervical Spine), you don't stress the Denegerative Disc Desease (DDD). and OA in the spine. and the impact of Dextroscoliosis... I have all of that and Facet Joint Arthritis. Chronic Stiffness, & pain, referred pain as Dr. Sarno describes in his book on Mind-Body Connection. Also what should be stressed is AO in the spine is Strength Robbing.....draining. Fatigue / Exhaustion from the constant muscle tension is so debilitating !!
Very well explained. Thanks
Thanks
This was so awesome thank you
Thanks! Any questions please post them
I got an MRI in 2018, and I was told I have serious stenosis, especially of the 5th lumbar. For a while, I had some right knee/hip pain and two episodes of major pain. Regardless, I have never had problems walking. Sitting was causing some mild problems. For the last year or more I have had no major problems. I walk almost every day and go to the gym for weight/resistance since I also have dx of Osteoporosis mild not fractures. I am not on any medication for pain. I might have a different stenosis diagnosis.
Thank you very much I learned a lot tonight I’m in that situation pretty much
TY for class, i really learned allot, yes, I'm scared. Ived never been like this before
I'm in extreme pain daily all day when u go short distance & my back is so stiff it felt like it happened over night my husband & ibare still trying to figure out what happened i was active everyday loved to walk.
1 day i was walking fractured my right foot, then my leg felt weird dr's couldn't figure it out i for sure didn't know what happened no one ever explained this could happen then on top MS symptoms occurred drop foot on right leg then pain in back along with stiffness happened its just been a hot mess
I'm trying to decide if i should allow them to do surgery
You've explained more than I've been told about my diagnosis
All was said was loose weight i did 76lbs & counting i can't walk regularly I'm 59y/o i hv so much life in me i still travel & get around in scooters my whole life has changed I'm at a loss
TY fir the education
Thoughts on squatting?
Good stuff. Heading in to dealing with this. Thanks
Good luck!
Your Sound Is very low. Cannot hear You.
Thank you!!
Informative. Thank you.
Your welcome! Feel free to post any questions
I have been diagnosed with severe stenosis with L4-L5 nerve impingement, mild spondylolisthesis, and ligamentum flavum thickening. Surgeon suggests complete lumbar laminectomy with fusion (possibly anterior and posterior incisions). I am terrified of the surgery and the risk of dementia due to long time under anesthesia. I am in terrible pain all the time. I am on pain medication to be able to function. The surgery risks frighten me as well as the risks of not having it. I am afraid I will become paralyzed if I do nothing. Will you please share your thoughts and give any advice you can give. I will be so very grateful!!
I'm in the same situation - L4/L5 stenosis. I just watched a video on ultrasonic tools to remove the arthritic impingement. Low drama to the area, higher success, safer, better long-term outcome. Do a UA-cam search on "innovations lumbar stenosis surgery".
I'm sorry you're in so much pain. Me too, just started treatment, don't know where it'll take me, but living on a walker at 63 is no way to live. My best to you.
Please see a Neurosurgeon at Johns Hopkins Hospital located in Baltimore, MD.
Well done.
Thanks!
Thank you for. Very good explanation of stenosis . I am diagnosed with spinal stenosis . I feel a lot better when I lean backwards. Bending forward does not help. What type of exercises you recommend for my case?
That sounds like exercises like standing lumbar extension or prone press ups may be helpful.
Very informative.
Thanks!
Is arthritis linked to spinal stenosis? I have facet joint arthritis and SS l4/l5. Currently really worried, my symptoms are moderate, I’m still active but have to sit down to alleviate the pain. Should I be worried that this will continue to worsen, how fast is the progression, does it take decades?
Arthritis can cause bone spurs contributing to stenosis. It is tough to predict progression of changes from my understanding
I’m only 36 with mild; moderate, and severe stenosis caused by osteoarthritis and degenerative disc disease. They compared my MRI to that of an 80 year old. I’m significantly limited in mobility and in severe, debilitating, unending pain and only get relief by laying down on my side. Nobody is listening to me and all I have been given medication wise is ineffective gabapentin. They tried injecting steroids into my spine with no success. I don’t know what to do.
Did you get an evaluation from a McKenzie trained physical therapist?
Impinged nerves to shrunken calve muscles,leading to front of feet not working to hold me up and walk properly. That is my deal,it sucks.
I have it too, it really sucks. 😔
EXCELLENT
Thanks!
Excellent
Thanks!
I was diagnosed with spinal stenosis and I can’t stand or walk too long without pain in left leg. Must bend to be able to walk. They want surgery but I am leery so am trying chiropractic right now. I heard that surgery makes it worse. Any thoughts?
Success rates at 2/3 of patients have success. I would try a Mckenzie physical therapist if you can find one in your area. They should be certified or a diplomat. Google Mackenzie Institute and look for find a provider
I have the exact thing you described, how are you now and what route have you took? Thank you in advance. Blessings
@@JustMe-eu3on I still go to a chiropractor and it works well. But it requires going every like maybe three weeks. I am trying to avoid surgery. Heard many cons about it. People are saying after surgery, pain is worse and no better. Saw a friend who had surgery, few months later, he’s still struggling to walk. I am thinking about getting a second opinion with different doctor. How are you doing?
@@shannonlove9176 Thanks for the reply! I'm currently in the process of getting a referral from my primary to see a neurologist to get thier opinion of options. I'm also steering away from surgery if at all possible. I started doing PT via UA-cam for stenosis and it seems to help although its a bear when first done. I pray things work out and take care. Blessings
Hi I'm incontinence. I have 4 herniated disc, bone spurs, 2 bones infused together, how can I find out if my incontinence is caused by all these things going on in my back? Please help
I have herniated cervical discs c3,3 c567 amd cervical stenosis and some ankylosing spondylitis my very last disc is half flat and herniated that’s where the stenosis is. I have parathesia feelings in my cheeks and eye and head pain down my right side forehead head , sciatic burning pain down the legs back pain and it seems walking makes my neck worse and sometimes my back but also minimal relief lol I’m yet to have a tspine mri but it feels like splintering across my back and I even get lung cramps and other issues. I don’t wish this pain on anyone I’m 30 and my doctors give md almost no info just tried to give me meds that don’t work
You probably need a good examination from physical therapist because you seem to have a complex case
I work in housekeeping. I switched from rooms to laundry because the constant bending from rooms was killing my back. I went to a wellness center and they used a machine on me that rates different areas of the body with numbers. All the nerve roots in my spine were 6's which is the highest areas of problem. Is that stenosis then?
Sorry I’m not familiar with that test. I would get an evaluation and maybe a good strengthening program would help you be more resilient with your job. Very demanding doing house cleaning.
I know this post was about a year ago so I don’t know if I will get feedback at this time. I have transforminal stenosis in L4-L5. It has been going on for almost 4 months. I have had a small amount of relief from medications like meloxicam, gabapentin, and tramadol
I had an epidural shot 2.5 weeks ago but that didn’t help much either. The pain clinic wants me to go to physical therapy which I will be starting soon.
The question I have is if the nerve is trapped how can any of these things help heal if the nerve is physically pinched. Even exercise can help stretch the area of narrowing while you are doing but it it is not going to stay that way. Is the nerve swollen and may be calmed down with meds, injections’ and PT
Or is surgery the only way to open up the spine permanently?
It seems like nerve damage would occur if it stays pinched
In cases of true stenosis physical therapy will not help. That being said a number of people have stenosis on mri and X-ray and don’t have pain. I would try PT. Attempt to find a certified McKenzie provider. Best of luck! Tell us how you do.
Thank you! I really appreciate your reply! I have an appointment coming up for physical therapy.
On my 1st P/T visit, I was on a walker, in severe pain, dragging my leg a bit. I was examined and told I was not a candidate for P/T, that I needed medical intervention. P/T also told me to stop dragging my bad leg, to try and take a full stride (as I complained about pain starting in my other leg/achilles tendon), that advise was worth its' weight in gold. Appt for my 1st epidural in 2 weeks, finger crossed.
Can the disc herniation resolve or treat by its self?
Over time a disc Herniation can heal? how long have you had yours?
Good one but what non surgical treatment we can take could have been mentioned ....
I have central canal stenosis It’s been progressing for years. Now I can barely walk 30 feet without sitting down. I’m only 61. I’m soo depressed. Don’t feel like there’s much hope
Thank you. My pain is steady, primarily in the glutes, triggered by pressure of lying or sitting, causing sleep deprivation. My pain constellation doesn’t match up with your descriptions, yet the docs are calling this stenosis. They want to inject steroids in L4-S1. Should I get another opinion?
Classic stenosis typically likes sitting. It may be related to something else.
@Apex Orthopedic Rehabilitation I have central pain and pressure along the spine that effects my feet in the distribution of wearing boots. The two suspects are a spot at around l2-l3 and a spot around T10-T11 or T11-T12. Scans havent been definitive but my pain is severe, Ive had lumbar MRIs with contrast, and a ct myelogram- but only one MRI forthe thoracic and it was without contrast. I have trouble walking during flare ups and butt/leg pain/groin burning pain. Any suggestions? Would a ct-myleogram or a mri with contrast be better at finding scar tissue/stenosis or hard to find causes of my pain. Its very upsetting! Most comfortable spot is lying on my back with my legs "indian style".
I have spinal stenosis L4 L5 with neurogenic Claudication and horrible pain down the back of my left leg, sitting for to long makes it worse and inflamed, can only sleep on my right side because of pain , surgery is inevitable.
Sorry to hear. Certain situations require surgery. Have you had any physical therapy?
@@apexmovebetter yeah, I know all the exercises and have had numerous epidural injections etc. I take 800 milligram Ibuprofen because I can't
take Opioid pain meds due to addiction issues in the pastl ibecause of the stenosis, was going to try a Chiropractors and see if I can get relief that way before I get surgery.
@@billiepulera1008 Definitely try some other therapies prior to surgery. Best of luck!
Wow this video is very awesome! I had a bad sciatic nerve flared up in my two feet, more pain on the left foot. I could not walk for 3.5 months. I like to walk a lot and run 5K marathons. I felt so sad when I was laid up in bed. I can walk now but not much because the pain on my left ankle up to my knees is unbearable. My X- rays show spinal stenosis according to my doctor. I had an MRI 3 years ago when I had a fall flat on my back which showed some disk herniation. I think they said L4 and 5. I am scared to go do MRI so I am not doing that again. But this recent pain from sciatica has me realy feeling depress and anxious. I want to know what excercise I can do and food or supplement I can take, to get better to run my 5K marathon next year in Feburary 2022. Hope I can do it I am 68 years old.
Thankyou kindly in advance.
Good luck!
Maybe try antiinflammatoris for 14 day and try swimming wich is nice on the body.
Swimming can be a nice way of cross training. If information is at the source of the problem sometimes injections in an inflammatory are necessary But I will consult with a doctor first
@@apexmovebetter 0
The disc between L4/L5 vertebral bodies, does it have nerves on (Both) sides inervating the right leg and the left leg? You only showed one side in this video.
My question is IF the disc between L4 & L5 is herniated, thus making the space for the nerve(s) to pinch, is there a nerve coming out on both sides which would render a person unable to walk on either leg because they're both pinched closed? Why is my right leg only in pain...am i simply lucky, or will it eventually effect both legs 😖???
Need a tripod I'm dizzy from camera wobble
What if your spinal stenosis is up and down the spine ? I have this but also have major neurological symptoms . Just had a nural nerve biopsy to tell me if it is ms or some other neurological problem but the spinal stenosis in my neck is definitely bulging discs the rest who knows . Just curious 👀
The question I would ask your physical therapist or doctor is whether the multi level stenosis is corresponding to your Neuro symptoms. The problem is many people have stenosis and bulging discs don’t have any symptoms of back or neck pain
@@apexmovebetter yes it’s definitely correlating with the Brian and spine mri . The beginning was lupus and occasional back pain and numbness now 30 yrs later I can barely walk I have no muscle tone and I no longer feel hot cold sharp dull below my hips . My neuro just sural nerve biopsy . I’ll get the results at the end of March. The neuro surgeon said they only do this test when they think it’s a rare form of ms ,any other neuro disease but because I have lupus they think it has caused lesion on the spine and brain. Anyway thank you for you answer xox
Stenosis has completely ruined my life.now day by day.it sucks.in survival mode every day ???????
According to my MRI,
At L4-L5: there is mild narrowing of both neural foramino. The central canal is not narrowed.
At L5-S1: there is mild narrowing of both neural foraminal. The central canal is not narrowed.
Impression:
Mild BILATERAL NEURAL FORAMINAL STENOSIS.OTHERWISE NO EVIDENCE OF NERVE ROOT COMPROMISE.
Please do help me what stretching exercises I will do. Thank you.
What about stenosis with yellow ligaments closing up the opening with the combination with the disk?I would appreciate more information how to deal with it . Thanks
Please The Sound Is Too Low is Anyone One Else mentioning this Too.
Will do
Hi!great information but I also had trouble hearing
I have very painful back for 8 years now doctors don’t want me to have MRI with out MRI they think I have spinal Stenosis and I leave in UK and health service is very poor i really don’t know what to do please help me ❤
See if you can see a McKenzie trained physical therapist. They must be certified or a diplomate.
Just wondering if you recommend surgery for my condition. I have herniated disc L5L6L7 in my back, and one herniated disc in my neck. I think it’s C5 or C7 I don’t remember. But have been in pain since 2014 car accident. Been very hesitant about surgery, but tired of living in pain every single day. Your thoughts?
What have you tried for your lower back issues
Immediately after the accident, 6 months of therapy with chiropractor and physical therapist once a week. That helped for a little while. Then and now I see an acupuncturist when the pain is just too much. In between i take pain medication. And of course ointment for inflammation, ice pack and heat. I also stretch doing yoga pose. Everything I’ve tried only gives me temporary relief. Can’t sit for long periods, can’t stand for more then 30-40 mins without being in terrible pain. @@apexmovebetter
@@divabydezine177 maybe more of a focus on strengthening at this point. I would look for a physical therapist that certified and an Mckenzie Method. Within a short period of time you should know if you’d benefit from that approach to your problem
@@apexmovebetter thank you 🙏 for your quick reply. I will definitely research that option.
So if my left arm and leg are tingling, is that stenosis?
I am 38 years old and have several severe stenosis chiropractor told me yesterday if I am punched I could be paralyzed then he pop's my neck is it ok to keep going to a chiropractor.
That seems like he or she is creating a great deal of fear. It is a big leap to say you will be paralyzed. A high percentage of people have stenosis. I’m not a fan of professionals that make people feel fragile. Even without stenosis a good “punch” could do many things to many people.
@@apexmovebetter been worried about it since he told me this. think you for you reply back.
I was diagnosed with a large herniated disk between the T-11 T-12 L-1 L-2 did steroid injections was better for about 2 years Now I’m almost completely disabled with my back.. I now have Lumbar Stenosis the surgeons I saw 3 surgeons.. I’m scared of back surgery..Anyway the first surgeon said the stenosis was almost closed this was in April 2021 the other surgeons was not asking any personal questions as you have kindly mentioned here.
I worked medical field before my RSD diagnosis and disability in 1999.. I was not fond of either doctor and never was told the name stenosis until I had got my back and leg out of pain and stopped dragging leg I then thought I don’t need this surgery. I just need more steroid injections.. My question is if it’s almost closed and the herniated disk is so large and I don’t get this surgery is there any relief for me Can the are be opened back up where the surgeons said it was almost closed I saw it on the computer MRI and X-rays it is a tiny opening. I’m just concerned and scared to just let any back surgeon cut in me ? Plus being with RSD I have a pain pump and did not appreciate the attitude I got over asking for something for the pain that was causing me to drag my left leg in excruciating pain..I just want relief and not a back surgeon that just wants to operate Could you give me any advice of what direction to go? Thank you
Sincerely, Mrs Whitehead in Dallas Texas
I would start with a evaluation from a McKenzie certified physical therapist. It may be something you can manage conservatively. Do you want me to send a link to find a provider near you?
Im in northern néw Jersey if you are local for a live visit. Good luck!
@@apexmovebetter I’m in Dallas Texas yes please do I’m always in pain anymore Can’t seem to do anything from the pain..Thank you for the information and replying to the post.
Sincerely
@@Sheywh12 mckenzieinstitute.org/patients/find-a-clinician/
@@apexmovebetter Sadly I looked this up and there no information for them in Dallas Texas? I’m in a suburb of Dallas Thanks Sheila
There's a difference between inside and outside the spinal canal. Outer, being most coo!n as lumbar. Diagnosis. Needs to be distinguished as inner or outer specifically to make it clear. Further more, I've been told by St Elizabeth's Hospital there is no treatment or cure for inner spinal stenosis and it always results in death.
Sound is very low please. Thanks
Will work on that. Thanks for the feedback
@@apexmovebetter it looks good but I couldn't hear most of it, sound is spool low.
@@ric9499 will redo. Sorry
Maybe you have ear canal stenosis😂....audio seems fine.....
If we do the exercises can we expect cure from the malady
The stenosis will still be present but the symptoms may get under control. You have to also manage activities that consistently bring symptoms back
Tell us how you do
BUT you didn`t even explain spinal canal narrowing, you started...but then got bqack to first picture. Could you explain that as well please. My pain managment doctor sayed that spinal canal narrowing and spinal stenosis are not the same thing.
I will have to cover that on another video. Central canal stenosis is different from this type of stenosis. Sorry I didn't discuss that in more detail
Video. Sound too low
What is good for a shopping cart lover, lol, who does not have sciatica? My pain is really bad. By the end of the workday I am almost crying ( well sometimes I do.). My severe stenosis is partly from congenital narrowing and OA of the facet joints. No herniation. RA treatments do not work, other injections do not work. I have lost weight to a normal bmi. I eat anti inflammatory. I do PT daily and without it I think I would be in a wheelchair.
What kind of exercises are you doing in PT?
Great info but poor Camera work. Give the camera to an adult or use a tripod. Camera movement is distracting and diminishes an otherwise superb presentation
Had an mri. Found out i have a bulging disc that leans into my spinal canal. They told me its really minor. Honestly i dont feel pain . Also found out i Have a lateral pelvic tilt. If anything i feel like that bothers me more then my bulging disc . I feel hip pains more then ill feel back pains .
FYI Hip pains can be coming from your back.
@@apexmovebetter is spinal stenosis reversible? Im 21 so ive started stretching more and exercising also eating better . Posture has been my main focus and heat therapy
What is going on if you have more pain when sitting?
That Is typically associated with pain related to disc related problems
@@apexmovebetter wow. Fast reply. Thank you. I am not getting straight forward answers from my PMR. Are you taking virtual patients?
@@kevinwalker7392 if you are in New Jersey I can.
I have severe lumbar spinal stenosis st L4/L5. But hyperextension doesn't cause symptoms. There is no sciatica. The disc is herniated with bilateral facet arthtosis and mild scoliosis. Maybe there is some spondylolisthesis. I'm 73 years old.
There is no mention of foraminal stenosis on the report of the MRI. I have the "shopping cart" sign
The McKenzie method suggests some hyper-extending in some cases as physical therapy. I leaned back gently and held the position for 30 seconds and it seemed to help.
What do you think?
That can happen. Sometimes the MRI is misleading on what exercise will help you. It doesn’t mean you don’t have stenosis but that may not be the pain generator. Mackenzie evaluation takes you through movements to assess which movement will improve your pain and function. With true stenosis arching will typically make it worse your pain and function
@@apexmovebetter Thank you for the education in regard the McKenzie method in regard to lumbar stenosis.
Gentle hyperextension "opened up" my lumbar spine. I went to the gym, jogged, and walked a mile without significant pain. So the pain is likely from bilateral facet arthrosis, DDD, mild scoliosis, and reverse spondylolisthesis (take you pick) but not the stenosis.
I have seen (as a personal injury lawyer) cervical hyperextension actually damage the spinal cord in advanced cases of cervical spondylosis in elderly women because that maneuver can decrease the room in the spinal canal for the spinal cord.
I've seen a spinal surgeon and a doctor of physical medicine. The doctor of physical medicine wanted me to do a radioabation of the spinal accessory nerves. The spinal surgeon said not to get all excited. The MRI was not that bad. He'd seen worse. That was four years ago.
I am getting physical therapy right now. But they focused on flexion. I kind of remember the idea of flexion to "suck" the disc back in for lumbar disc herniation. That's probably not an accurate understanding of McKenzie Method in regard to lumbar stenosis.
I wonder if the spondylolidthesis was "adjusted" like a chiropractic adjustment.
I understand not to attempt this at home. Hold my beer! Thanks.
Sir i have disc bulge and degenerative disc dessication and l5-S1 AP diameter is 8.6 and doctor recommended me 4 week complete bed rest is he right? Plz reply sir
Most often unless you have a unique situation 2-3 days is the maximum you want to do. Get another opinion you can really deconditioned in those tremendous amount of strength during that period. That being said I don’t know your full medical history and you should get another opinion from a physician
I have had 3 MRI's. All three were basically the same. Severe herniated L4/L5 and mildly herniated L5/S1 with annular tear. And severe spinal stenosis in L4/L5 and mild stenosis in L5/S1. Degenerative/Deterioration of the spine. My MAIN issue is actually in my hips. I cant stand or walk for long periods of time. I have got to sit down or i feel like im going to collapse. I have had 7 steriod shots over a 6 year period. They have helped alot. But i still have the hip pain and still have to sit down for awhile to get relief. I have had both hips x- rayed and they say both hips look normal. Back doctor says the hip pain is coming from the spinal stenosis. Is this correct?. What can i do to get more hip relief and make them stronger so i can walk and stand longer. I already do back exercises every morning for about 15 minutes. Also i pull my lower back muscles alot. I can pull my back muscles just by bending over and brushing my teeth sometimes. Is this also caused by spinal stenosis? Its getting to the point where i may just bite the bullet and have surgery.
Oh I can understand that completely. my Left hip is where most of my pain is except, mine goes to the front of my left thigh into the groin area. Its awful and feels like I rarely get relief. Im sorry youre going through the pain in the hips too. I wish you the best.
@Ricky Rush I think it is all because of stenosis. I have the same problems from 2012. too.
Could it be the Peterormis muscle
Piriformis syndrome is one of the conditions that could give you leg and buttock pain but is really not that common.
I feel it’s over diagnosed
Brilliant thankyou
Next time use a tripod. Oy vay.
I can barely hear you with volume maxed.
I’m going to re shoot this at some point.
Did you discuss lipomatosis? That's my issue...
We don't.
@@apexmovebetter Yeah, less info out there about that. I've seen a couple/few videos. All I know is I'm in constant pain. Worse with Any kind of real movement. Hurts like crazy to cough or sneeze. Agonizing rolling over in bed, etc. Surgery consult on June 7.
@@davidober1199 good luck. Not a great on it. If I see anything worthwhile I will pass it on