I want to thank you for giving hope with the videos you’ve done about Lumbar Spinal stenosis…. Some other info online about it is pretty dark and depressing! I’ve had back problems that started suddenly 6 months ago (one minute it wasn’t there, then it was) and my physio thinks I may have lateral stenosis based on my symptoms and what hurts or gives relief when I move certain ways. It’s not a definite diagnosis yet (I’ve had no x-ray or mri) but I’ve been doing some of the core exercises you’ve given and also bending/stretching forward a lot for the last two weeks and it really does seem to have helped already. Bless you for taking the time to share your experience and knowledge. With love and gratitude from Stormy Scotland ❤
Just a correction: there is no spinal cord below T12-L1 level. You keep mentioning "spinal cord" in relation to the lumbar vertebral column; but unless the pathology involves the conus medullaris at T12-L1 (or even higher), we really don't encounter the spinal cord in the lumbar spine. Next off, you forgot to mention foraminal stenosis (which may exist on its own, or co-occur with lateral recess stenosis and/or central canal stenosis). Foraminal stenosis that occurs on its own can be treated with lateral percutaneous/endoscopic approaches (either with a uniportal scope system or a biportal scope system) instead of the more well-used interlaminar approach. Lastly, there is no such thing as a "non-invasive" definitive treatment for lumbar neurologic compression (i.e., pinching of nerve roots, not of spinal cord). The definitive treatment of compression is decompression -- reclaim/create space around the lumbar nerve roots (not spinal cord) to restore blood flow and allow the roots to self-repair from reversible ischemic damage. Decompression can be done using open techniques (e.g., classic midline approach or the more modern & less invasive paraspinal Wiltse approach), can be done using more forgiving retraction hardware (e.g., tubular dilators combined with an operative microscope), or can be done using endoscopes (interlaminar & transforaminal approaches). We call the latter as "minimally invasive surgery" or MIS (which is the scientific term used by surgeons worldwide). Nobody says "non-invasive surgery" (because until somebody actually invents nanorobotic machines that can do surgery from the inside, that's still an oxymoron as far as today's technology goes). And yes, MIS for the spine (especially endoscopic surgery) actually isn't that big of a deal nowadays. Classic / open surgery of the spine is a big deal -- lots of muscle stripping & muscle damage, bigger bone removals & ligamental sacrifice, lots of blood loss, lots of pain meds after surgery, slow recovery after surgery, etc. Endoscopic surgery however is not at all like that -- patients are comfortable enough to be fully awake while surgery is being done, and patients can now be sent home as soon as the anesthesia wears off. Post-op pain management is easy with endoscopic spine decompression surgery too. Return to activity is rapid. Patients don't even require undergoing post-op physical therapy nowadays following endoscopic spine surgery.
Excellent Video Dr. David...I have spinal stenosis and I would love to come and see you, but I live in Eastland co. Texas and it would be a 500 mile trip. I'm doing your exercises and I'm seeing benefits. Thank You and God Bless
Hello Dr. I love your videos . I have learned a lot . What do you think about spinal decompression with the Drx 9000 machine . I’m trying to avoid discectomy Surgery and I have already physical therapy ,meds and epidural injections and nothing has worked .
Hi Felicia, Dr. David doesn't currently have any resources for lumbar lordosis but we will forward your comment so that he can consider it for future content. Thank you so much for mentioning this as it also helps our UA-cam Community! 🧡
Hey Laura! You are so welcome, we are thrilled that you happen to find our channel helpful. We thank you for your kind words and being active on our channel! Here is a playlist with all our content on lumbar stenosis for you: “Lumbar Spinal Stenosis Help” ua-cam.com/play/PLJVIPiFvv1mYxifSEM8bNacVpyTmc3_Ys.html In case you would like something more structured then you might be perfect fit for our 28 Day Back Program, you can learn about it here: "28 Day Back Health & Wellness Boost Program" It is designed to help people have the best chance of avoiding unnecessary surgery, injections, or having to rely on pain medications. This course guides people through exercises and stretches that target key body parts that have the greatest potential to prevent back conditions like sciatica, herniated disc, spinal stenosis, arthritis and other back problems. www.epmanualphysicaltherapy.com/back-health We wish you the best on the road to recovery! 🙌
I have spondylithsis of L3-L4,L4-L5,L5-S1. I have been avoiding getting fusion surgery. I do have Rt leg sciatica pain some toes tingling . How can I find the specialist physical therapist to avoid this back surgery, in my area. I live in Orange County California? Can I reverse the spondylothsis?
Hey Jas! Sorry to hear about your spondylolisthesis problem :-( In the US, you can find a physical therapist trained similar to Dr. David at this website: aaompt.org/Main/Public_Resources/Find-A-Fellow/Main/Member_Resources/Find-A-Fellow.aspx?hkey=108c9a56-f793-45e4-b3ed-cefe5d871a94 Dr. David is a fellow of the American Academy of Manual Physical Therapists. His specialty is orthopedic manual physical therapy, which is the ideal specialty for helping someone avoid surgery, injections, and medications. Normal physical therapists are best trained to help people right after surgery.
After extensions and back strengthening, I had an MRI and found to have congenitally short Pedicles resulting in spinal stenosis with ligamentum flavum hypertrophy in the L5. I have a aching legs and cramp easily. Would your series of exercises be helpful with this situation?
Hello AmmonJenson, You would are a great candidate for our program. You can relieve your aching legs and cramping. Here are some videos that may help you. Back Pain Exercises & Stretches ua-cam.com/play/PLJVIPiFvv1mYkrbLk-F5KsUcHPEkdDF-u.html If you're looking for a more comprehensive exercise program for back problems, then you've got to learn more about our 28 Day Back Health & Wellness Boost Program. It's a 100% online and on-demand program for improving back health. It's packed with exercises, advice and coaching from Dr. David. You can learn more about it here: www.epmanualphysicaltherapy.com/back-health 🌟
❤😢😢😢😢😢😢😢😢😢Please help!!!! I am constantly cramping up to the point that at one time my husband had to call an ambulance I had a full body cramp I couldn't even straighten up II was so stiff I wish and entire cramp I don't know what happened yes I do get dehydrated sometimes but it doesn't really have to do with that. Please call and leave me a message or even text me one I need help for my husband and if possible for my cell like I said earlier if I have to make an appointment please call me back with an appointment at least one for himself thank you so much again and I apologize for making my first comment or message to you so long I know I did this one to God bless❤😊❤
Hello, so sorry to hear that the cramping has gotten so bad! We have an option for a virtual consultation where you can meet with one of our doctors to discuss everything that is going on. If you would be interested in something like that here is the link: We highly recommend a Virtual Consultation service with one of our experienced doctors. By opting for a Virtual Consultation, you'll have the opportunity to have a one-on-one conversation with our doctors, where they can delve into the details of your condition and provide you with tailored guidance and coaching. This personalized approach ensures that you receive the individualized support and direction you need to make informed decisions about your health. To learn more about our Virtual Consultations Please click here: www.epmanualphysicaltherapy.com/virtual-visit/
Hey Soumya, great question! It is usually a bit of both! The alignment of the bones in the back can start to press on the nerves that cause neurological symptoms such as pain, numbness, tingling, etc.
@@epmanualphysicaltherapy that means you are telling neurological symptoms pain means i.e radiating pain right. And also the neurological symptoms numbness,tingling also right
Sir I am suffering from lumbar canal stenosis pain since last 10 years. I am 75 years old. Pl. Send me the suitable exercises For me. I shall be very grateful to you. You.thanks n k mittal Gurgaon india
awesome video, thank you for this video and information. The exercises and future therapy. I have had so many surgeries on my stomach that my muscles have ben cut and moved. I don't actually know all the the Dr's have done but have I trouble doing some kinds of therapy.
![[UA] Eternal Fire проти NAVI | EPL Season 20 Malta](http://i.ytimg.com/vi/chvlsDygrZM/mqdefault.jpg)
You're the best detailed and comprehensive explanation I've heard yet. Thank you!!
I want to thank you for giving hope with the videos you’ve done about Lumbar Spinal stenosis…. Some other info online about it is pretty dark and depressing! I’ve had back problems that started suddenly 6 months ago (one minute it wasn’t there, then it was) and my physio thinks I may have lateral stenosis based on my symptoms and what hurts or gives relief when I move certain ways. It’s not a definite diagnosis yet (I’ve had no x-ray or mri) but I’ve been doing some of the core exercises you’ve given and also bending/stretching forward a lot for the last two weeks and it really does seem to have helped already. Bless you for taking the time to share your experience and knowledge. With love and gratitude from Stormy Scotland ❤
Just a correction: there is no spinal cord below T12-L1 level. You keep mentioning "spinal cord" in relation to the lumbar vertebral column; but unless the pathology involves the conus medullaris at T12-L1 (or even higher), we really don't encounter the spinal cord in the lumbar spine.
Next off, you forgot to mention foraminal stenosis (which may exist on its own, or co-occur with lateral recess stenosis and/or central canal stenosis). Foraminal stenosis that occurs on its own can be treated with lateral percutaneous/endoscopic approaches (either with a uniportal scope system or a biportal scope system) instead of the more well-used interlaminar approach.
Lastly, there is no such thing as a "non-invasive" definitive treatment for lumbar neurologic compression (i.e., pinching of nerve roots, not of spinal cord). The definitive treatment of compression is decompression -- reclaim/create space around the lumbar nerve roots (not spinal cord) to restore blood flow and allow the roots to self-repair from reversible ischemic damage. Decompression can be done using open techniques (e.g., classic midline approach or the more modern & less invasive paraspinal Wiltse approach), can be done using more forgiving retraction hardware (e.g., tubular dilators combined with an operative microscope), or can be done using endoscopes (interlaminar & transforaminal approaches). We call the latter as "minimally invasive surgery" or MIS (which is the scientific term used by surgeons worldwide). Nobody says "non-invasive surgery" (because until somebody actually invents nanorobotic machines that can do surgery from the inside, that's still an oxymoron as far as today's technology goes).
And yes, MIS for the spine (especially endoscopic surgery) actually isn't that big of a deal nowadays. Classic / open surgery of the spine is a big deal -- lots of muscle stripping & muscle damage, bigger bone removals & ligamental sacrifice, lots of blood loss, lots of pain meds after surgery, slow recovery after surgery, etc. Endoscopic surgery however is not at all like that -- patients are comfortable enough to be fully awake while surgery is being done, and patients can now be sent home as soon as the anesthesia wears off. Post-op pain management is easy with endoscopic spine decompression surgery too. Return to activity is rapid. Patients don't even require undergoing post-op physical therapy nowadays following endoscopic spine surgery.
This guy is great!!!! Love preventive medicine!
2:36 pm est. I have spinal stenosis. Learn a lot from your videos. Even told my pt. So when are you coming to New York?
What are best exercise doc and the sleeping position
Excellent Video Dr. David...I have spinal stenosis and I would love to come and see you, but I live in Eastland co. Texas and it would be a 500 mile trip. I'm doing your exercises and I'm seeing benefits. Thank You and God Bless
Thank you for all your videos 🙏
You're welcome Claudia!!!
Hello Dr. I love your videos . I have learned a lot .
What do you think about spinal decompression with the Drx 9000 machine . I’m trying to avoid discectomy Surgery and I have already physical therapy ,meds and epidural injections and nothing has worked .
Great explanation
What exactly is osteoarthritis? Is it inflammation?
Exercises for flatback( loss of lumbar lordosis) 20:51
Hi Felicia, Dr. David doesn't currently have any resources for lumbar lordosis but we will forward your comment so that he can consider it for future content. Thank you so much for mentioning this as it also helps our UA-cam Community! 🧡
Thank you for your help.
Hey Laura! You are so welcome, we are thrilled that you happen to find our channel helpful. We thank you for your kind words and being active on our channel!
Here is a playlist with all our content on lumbar stenosis for you:
“Lumbar Spinal Stenosis Help”
ua-cam.com/play/PLJVIPiFvv1mYxifSEM8bNacVpyTmc3_Ys.html
In case you would like something more structured then you might be perfect fit for our 28 Day Back Program, you can learn about it here:
"28 Day Back Health & Wellness Boost Program"
It is designed to help people have the best chance of avoiding unnecessary surgery, injections, or having to rely on pain medications. This course guides people through exercises and stretches that target key body parts that have the greatest potential to prevent back conditions like sciatica, herniated disc, spinal stenosis, arthritis and other back problems.
www.epmanualphysicaltherapy.com/back-health
We wish you the best on the road to recovery! 🙌
Have you ever healed someone with severe stenosis with your exercises? No foot drop. Weak abs. Strong back.
I have spondylithsis of L3-L4,L4-L5,L5-S1. I have been avoiding getting fusion surgery. I do have Rt leg sciatica pain some toes tingling . How can I find the specialist physical therapist to avoid this back surgery, in my area. I live in Orange County California? Can I reverse the spondylothsis?
Hey Jas! Sorry to hear about your spondylolisthesis problem :-(
In the US, you can find a physical therapist trained similar to Dr. David at this website: aaompt.org/Main/Public_Resources/Find-A-Fellow/Main/Member_Resources/Find-A-Fellow.aspx?hkey=108c9a56-f793-45e4-b3ed-cefe5d871a94
Dr. David is a fellow of the American Academy of Manual Physical Therapists. His specialty is orthopedic manual physical therapy, which is the ideal specialty for helping someone avoid surgery, injections, and medications.
Normal physical therapists are best trained to help people right after surgery.
Should I not be using a Roman Chair?
After extensions and back strengthening, I had an MRI and found to have congenitally short Pedicles resulting in spinal stenosis with ligamentum flavum hypertrophy in the L5. I have a aching legs and cramp easily. Would your series of exercises be helpful with this situation?
Hello AmmonJenson,
You would are a great candidate for our program. You can relieve your aching legs and cramping.
Here are some videos that may help you.
Back Pain Exercises & Stretches
ua-cam.com/play/PLJVIPiFvv1mYkrbLk-F5KsUcHPEkdDF-u.html
If you're looking for a more comprehensive exercise program for back problems, then you've got to learn more about our 28 Day Back Health & Wellness Boost Program. It's a 100% online and on-demand program for improving back health. It's packed with exercises, advice and coaching from Dr. David.
You can learn more about it here:
www.epmanualphysicaltherapy.com/back-health
🌟
Thanks! Great explanation, and great advice!
You're welcome Linda!!!
Can I do plank? I do twice daily. I have lumber stenosis. Please advice.
❤😢😢😢😢😢😢😢😢😢Please help!!!! I am constantly cramping up to the point that at one time my husband had to call an ambulance I had a full body cramp I couldn't even straighten up II was so stiff I wish and entire cramp I don't know what happened yes I do get dehydrated sometimes but it doesn't really have to do with that. Please call and leave me a message or even text me one I need help for my husband and if possible for my cell like I said earlier if I have to make an appointment please call me back with an appointment at least one for himself thank you so much again and I apologize for making my first comment or message to you so long I know I did this one to God bless❤😊❤
Hello, so sorry to hear that the cramping has gotten so bad! We have an option for a virtual consultation where you can meet with one of our doctors to discuss everything that is going on. If you would be interested in something like that here is the link:
We highly recommend a Virtual Consultation service with one of our experienced doctors. By opting for a Virtual Consultation, you'll have the opportunity to have a one-on-one conversation with our doctors, where they can delve into the details of your condition and provide you with tailored guidance and coaching. This personalized approach ensures that you receive the individualized support and direction you need to make informed decisions about your health. To learn more about our Virtual Consultations Please click here: www.epmanualphysicaltherapy.com/virtual-visit/
Is it a neuro condition or orthopaedic condition sirr???
Hey Soumya, great question! It is usually a bit of both! The alignment of the bones in the back can start to press on the nerves that cause neurological symptoms such as pain, numbness, tingling, etc.
@@epmanualphysicaltherapy so for having research,can we proceed to have a research in this condition
@@epmanualphysicaltherapy that means you are telling neurological symptoms pain means i.e radiating pain right. And also the neurological symptoms numbness,tingling also right
@@epmanualphysicaltherapy that means when nerve get involved then it comes under neurological conditions ,is that correct sir
Plz can you get it clear becoz i want to do my research on this topic and i m in neurology master in physiotherapy
Thank you for being upfront and honest.
Sir I am suffering from lumbar canal stenosis pain since last 10 years. I am 75 years old. Pl. Send me the suitable exercises For me. I shall be very grateful to you. You.thanks n k mittal Gurgaon india
awesome video, thank you for this video and information. The exercises and future therapy. I have had so many surgeries on my stomach that my muscles have ben cut and moved. I don't actually know all the the Dr's have done but have I trouble doing some kinds of therapy.
Thank you, this is informative. I'm working on my core which seems to help. Blessings 🙏
I dont see where to get your 28 day video. I dont see it listed.
Есть ли текс на руммелм языке