Interesting lecture particularly as it related to Spondylolisthesis: So a 50 year old female diagnosed with Spondylolisthesis L4/5 Grade 1. After carrying heavy load (approx 7kg walking approx 8 hours over normal terrain and up and down stairs) - with No previous history of any back, shoulder, neck or leg pain), visited hospital the following day after carrying the load cross body (right shoulder held bag strap so weight hung over left hip) with severe back, buttocks and radiating down the leg pain (sciatica) numbness and tingling, had MRI scan was diagnosed within 5 weeks and within 3 months suffered an herniated disc L4/L5. Nerve conduction study showed mild bilateral S1 radiculopathy, No boney injuries and normal boney appearance in the hips, thoracic spine and sacroiliac joints. After a year of conservative treatment had an L4/5 laminectomy & foraminotomy - how relevant was the weight borne in this diagnosis? Is this purely degenerative Spondylolisthesis? or is there possibly an exacerbation of asymptomatic Spondylolisthesis? P.S. after the surgery 70% improvement within 6 months. I just think there is more to consider with Spondylolisthesis. This female was otherwise active, healthy, fit, well within healthy BMI - No drugs, nor alcohol consumption but intermittent smoking since 23 years old, could say light smoker but what does that mean as smoking light, heavy or anything in-between plays a role (however, since then a non-smoker). No children so no physical stress from child bearing. Hope you can respond🤞
Douglas Gillard, BS, DC, Spine Researcher please dont ever stop making lectures. Your voice itself is helping students burn concepts down in their head
at 10:00 "a grade 5 manipulation...could result in disaster". I went to a chiro just for the hell of it. They "cracked my lumbar & thoracic spine". I assume that to produce these "cracks" they employed Grade 5 manipulation techniques. These were performed in late Nov 2020 which coincidentally was the start of the ski season. Had severe back back pain following my first day of skiing for the ski season. This pain prompted me to review CD of a CT I had received in 2018. This CT was done in an ER as part of their process to diagnose a small bowell obstruction. I was only given the CD, a hardcopy of the radiologist report was not provided. Due to my back pain, I finally open the CD, and after an hour of effort, found a copy of the radiologist report. In included a comment about a unilateral L5 pars defect. The ER Dr. apparently didn't feel the need to bring it up.
How are you? Any update on your health? Myself also having same disease doctor recommended spinal fussion, Im confused either to agree or not for this fussion procedure, Please share yours
Can u ask me a question?? What does nerve root impingement mean?? Ive got DDD and its a severe case with all cervical and all lumbar except for 1 involved with nerve root impingement/protrusion/bulging/and 3 compromising thecal sac amoung problems speaking my voice sounds like an old man until i lean my head back and it goes back to normal and im scheduled to see a surgeon this next Thursday...i know im headed for surgery...but if u can answer that question of what nerve root impingement means id greatly appreciate it
Interesting lecture particularly as it related to Spondylolisthesis: So a 50 year old female diagnosed with Spondylolisthesis L4/5 Grade 1. After carrying heavy load (approx 7kg walking approx 8 hours over normal terrain and up and down stairs) - with No previous history of any back, shoulder, neck or leg pain), visited hospital the following day after carrying the load cross body (right shoulder held bag strap so weight hung over left hip) with severe back, buttocks and radiating down the leg pain (sciatica) numbness and tingling, had MRI scan was diagnosed within 5 weeks and within 3 months suffered an herniated disc L4/L5. Nerve conduction study showed mild bilateral S1 radiculopathy, No boney injuries and normal boney appearance in the hips, thoracic spine and sacroiliac joints. After a year of conservative treatment had an L4/5 laminectomy & foraminotomy - how relevant was the weight borne in this diagnosis? Is this purely degenerative Spondylolisthesis? or is there possibly an exacerbation of asymptomatic Spondylolisthesis? P.S. after the surgery 70% improvement within 6 months. I just think there is more to consider with Spondylolisthesis. This female was otherwise active, healthy, fit, well within healthy BMI - No drugs, nor alcohol consumption but intermittent smoking since 23 years old, could say light smoker but what does that mean as smoking light, heavy or anything in-between plays a role (however, since then a non-smoker). No children so no physical stress from child bearing. Hope you can respond🤞
Support from Croatia ❤
Hi guys, make sure you watch this in HD, for there are a lot of images in here and they won't be very clear unless you set the quality to HD (720)
Douglas Gillard, BS, DC, Spine Researcher please dont ever stop making lectures. Your voice itself is helping students burn concepts down in their head
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at 10:00 "a grade 5 manipulation...could result in disaster". I went to a chiro just for the hell of it. They "cracked my lumbar & thoracic spine". I assume that to produce these "cracks" they employed Grade 5 manipulation techniques. These were performed in late Nov 2020 which coincidentally was the start of the ski season. Had severe back back pain following my first day of skiing for the ski season. This pain prompted me to review CD of a CT I had received in 2018. This CT was done in an ER as part of their process to diagnose a small bowell obstruction. I was only given the CD, a hardcopy of the radiologist report was not provided. Due to my back pain, I finally open the CD, and after an hour of effort, found a copy of the radiologist report. In included a comment about a unilateral L5 pars defect. The ER Dr. apparently didn't feel the need to bring it up.
Lovely lectures! More :) tnx from Sweden
Hello, I got diagnosed with progressive degenerative spondylolisthesis at L5 S1 secondary to bilateral pars defects.
Osteoarthritic changes at age 34.
How are you? Any update on your health? Myself also having same disease doctor recommended spinal fussion, Im confused either to agree or not for this fussion procedure, Please share yours
HI, at 29:05 the slide shows "anything that exceeds 34 deg": do you mean 44 deg?, since normal is around 42 deg from the earlier slide. Thanks, Andrew
Thank you
Can u ask me a question?? What does nerve root impingement mean?? Ive got DDD and its a severe case with all cervical and all lumbar except for 1 involved with nerve root impingement/protrusion/bulging/and 3 compromising thecal sac amoung problems speaking my voice sounds like an old man until i lean my head back and it goes back to normal and im scheduled to see a surgeon this next Thursday...i know im headed for surgery...but if u can answer that question of what nerve root impingement means id greatly appreciate it
very nice lecture .i flw u r lec
nice one sir ...!!
I have TB spondylolysis pleas help me
That is a painfully slow lecture. It has a lot of good content but please be fast
FONAR?
A lot of archaic information
Like what? Research on spondylolisthesis and spondylolysis has not changed much in the last 10 years.