𝐒𝐏𝐈𝐍𝐀𝐋 𝐒𝐓𝐄𝐍𝐎𝐒𝐈𝐒: 𝘕𝘦𝘸 𝘛𝘦𝘤𝘩𝘯𝘰𝘭𝘰𝘨𝘪𝘦𝘴 𝘵𝘰 𝘋𝘪𝘢𝘨𝘯𝘰𝘴𝘦 & 𝘛𝘳𝘦𝘢𝘵!🤓
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- Опубліковано 9 тра 2024
- Spinal stenosis really is a confusing topic, but it doesn’t have to be. Essentially it is when the nerves in the tunnel of the spine are getting squeezed!
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There are many different reasons this could happen. The most common is due to arthritis that adds extra hard TISSUE in this area and squeezes the nerves. The other most common is a disc herniation that pushes out and squeezes the nerves. Just because you have a diagnosis of spinal stenosis does not at all mean it needs surgery, but it might.
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Spinal stenosis can cause weakness, pain and paralysis- if it is severe. In this video, I will discuss the definition, basic anatomy, as well as the image studies were used to see it, as well as some of the newer Technologies that Spine Surgeons are using tonight only fix this condition, but to treat it forever at that location of the spine!
This was so interesting. I had surgery for spinal stenosis about 15 years ago when the surgeon inserted an IDD (intraspinal distraction device) between L3 and L4 vertebrae, which was very successful. However my symptoms of numbness/pain have now returned and are impacting on my mobility. I live in the UK and the surgeon I saw never mentioned any of these devices. Neither did I have a physical examination which surprised me, and I was interested to hear you thought that was important. I think this is due, in part, to funding of the NHS so maybe I will have to look into consulting someone privately. Your video has shown me how far techniques have advanced over the last ten years and I have a clearer idea of what is available. Thank you for posting this.
Thanks for the comment, I appreciate the follow and share
Government services do not use the latest technology. It cost too much and they don't care. When it comes to excellent health care, you have to pay for the best.
I can understand your feelings and pain and wish you the best. Keep your weight in check, too.
@@DonnallySpineConsulthow much on the average a surgery like that cost and where are you located in the US?
@@DonnallySpineConsulthow much it cost please?!! I have Medicare
Mine was cervical 3 level using cadaver bone graft wedges secured by a plate and screws...my neck was falling forward
Best surgery ever
Oh and the cost was approx 35k just for the surgery
I fell in 2015 and had cages and screws to fuse l four and five. In six months the bad was as bad as before. Fast forward to 2023. My mri showed severe stenosis, a torn disc, two ruptured discs, facet disease, and a couple of other things. I don’t want another fusion. I am hopeful with this video that maybe in a few years I can get the latest and best surgery. I am a sixty seven year old female. I have a lot of pain, but I walk, push mow, rode a riding lawn mower, garden , clean house etc. I do take a mild pain pill four times a day. I hope with your help I can get help in the future. When it is cold, I am miserable. Thank you sooo much for this.
Oh wow
Can't wait to see a Dr near me that knows and understand the ultra sonic tech
You're not kidding. My mom has had a sudden severe walking problem after a fall on a padded carpet. And just because after a spinal tap and a theoretical temporary slight walking improvement, they want to opt for a shunt to drain fluid. But if it's spinal stenosis, then there probably won't be improvement. We should know for absolute certainty exactly where the problem exists that is causing the gait walking problem. Either the CSF (fluid) is slowed down by a pinch, OR a vertebrae is pinching the spinal cord. Now I have to go to the hospital to talk this through otherwise we're just theorizing with no guarantee of even a slight improvement. Normally, if it was csf slowed down by a pinch, then the shunt would be correct.
I do telemeds
😅1😅😮😅1AÀA1@@robertruge2916
Thank you, Dr. Donnally, for always explaining everything in such detail! Thanks for taking the time!😁
Glad it was helpful!
Thank you for the clear explanation of this condition. I will check out your other videos. ❤🙏💐
Glad it was helpful!
Thank you doctor , I appreciate your time in making this video and sharing your knowledge , I have been living with spinal cord and vertebra damage for 33 yrs and it's great to see people such as yourself coming up with new solutions and technology to reduce people's suffering and hopefully improve their lifestyle. Thanks and greetings from Australia 🇦🇺
Thanks! They take FOREVER to make
Thank you for this excellent educational video Disabled war veteran Scotland with various issues at my lumber region. Waiting to see Neurological surgeons soon. 👍🏴
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Thanks for your comprehensive information 🎉🎉🎉🎉❤❤❤❤
My pleasure 😊
God bless you for telling us what's available for our problem ❤
Happy to help!
Thank you ....was wonderful to hear this explained so clear....I have suffered for quit a few years with this🌈❤️
You are so welcome
Thanks, suffering a herniated disc & bulging disc atm, already had surgery 16 years ago & assessing my options.
This is the best explanation I've come across so far. The others are too simplified.
👍
Thank you for the best explanation of lumbar spinal stenosis and treatments, etc. I am sharing these videos with friends and family so they can understand clearly what stenosis is and how it can be treated. A year ago very little information was available online. Now there is so much I often feel overwhelmed with the videos including physicians and physical therapists. Thank you very much for your presentations.
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Thanks for very good explanation.
You are welcome!
Im awaiting a mri and then have a consultation with a surgeon to discuss my options, so this was helpful
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Thank you doctor for a wonderfully explained educational video on the subject...!!! It makes sooo very much sense when you can actually see the techniques used today to treat and alleviate patients from intense pain and inhabilities in their living... It is also gratifying to know that research continues and the various ways brand new technology is used... Thank you again...!!! I have subscribed to continue keeping abreast of science's continued development...!!!
Of course!!
thankyou so much great video
So nice of you
Very interesting thank you for sharing.
Glad you enjoyed it
I have Lower Lumbar Spinal Stenosis and have tried to avoid surgery because I was warned that it is not always successful. I have had cortisone type injections but they are no longer effective. Your video gives me hope that surgery using modern technological advances might be an option for me. I wish you were my orthopaedic surgeon. Thank you very much for giving me hope.
Would be happy to do a surgical consultation. It sounds like you’ve tried everything.
@@DonnallySpineConsult
I would appreciate that immensely but I could never afford it.
@@DonnallySpineConsult How would you be able to do such a consultation since I am in Canada and your clinic is in Texas?
Just tremendous vid ! Explaining what will happen for surgery. I hope my spine doctor Dr Patel has this technology you have.
Thanks!!!
My spine in straight now vs having the C curve. Causes lower back pain. Would this procedure help get my curve back? Please advise. Thanks
This is a excellent overview of new technologies in fusion surgeries. I had a microdisectomy about a year and half ago but have continued issues from foraminal stenosis. After one more ESI I may have to decide on an offered TLIF surgery. This video gives me some more questions to ponder.
Reach out!!!
thank you show all this info-just found out
No problem!
Been looking for an up to date surgeon and you appear to be state of the Art.
Very interested having the UltraSonic technique...Just set up a phone visit. Would love to see Texas.
Best of luck!
Must have x rays also
May the Lord bless you for all this information as I said back in the '90s the Hershey medical center denied me anymore treatment I don't think they had anything else to offer
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Great video.
Glad you enjoyed it
Thank you for your interesting video. I was just diagnosed with lower back stenosis and orthopedic doctor suggested having surgery to put pins in my back. My concern is that he told me he would go through my belly button. I told him I needed to do more research. I do suffer extremely painful lower back, buttocks side of my hip, down my left leg and foot now. The pain is more extreme at night and have a difficult time sleeping. Thank you very much.
Need CD 💿 of X-Rays & MRI. On top of my website (in bio) is link to upload images, FROM YOUR HOME! 🤯🥰
Please email: Spine@TSCspine.com
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ua-cam.com/video/HpKOfI_1FSs/v-deo.html
Many thanks Dr Donnelly, for this excellent presentation, I followed your presentation step by step.
I have the issue of Spinal stenosis, causing me to have walking issues and lower back pain.
I am very grateful to you for helping me to understand the issues of spinal stenosis and treatment
Modalities.
I hope and pray that you will be able to help me.
With many thanks and prayers.
Sincerely,
Mubariz Naqvi
Amen
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Dr. CHESTER, you are the man! Best explanations and overview of current techniques and cause and effect. I am freaking out about my C-spine MRI and I am so glad I came by this video in my search. I will ask my NS about the ultrasound knife and the lifts on my visit coming up. What facility to you operate in? Thanks!
Thank you
Thank you so much, I'm having the same problem. Thank you for being there, thank you for being one of them. Americans, that's for America love. You, thank you, thank you. Thank you thank you
Glad I could help
Great presentation, Doc, thank you. I have severe L3-4 central stenosis; I wonder what the differences are between seeing a neurosurgeon vs a spine surgeon? Thank you again.
Oh wow!
I fx my lumbar age 9,, had surgery 13 years ago, now 58., Now coping with Entire spine pain and issues 24/7., Needing alot more surgeries and Refusing them and Narcotics for my mind numbing Pain.,, Am a disabled RN and unable to do my ER trauma work for many years now! BROKEN HEART 💔.,, Depression and anxiety disorder being Tx by my new primary care provider. She's an Angel from Heaven, and You are too, Doc n Friend.,, Can't Thank You Enough.. Sending love and prayers from Georgia USA 🇺🇸🙏❤.., You Know of Anyone Like You in the Atlanta area??? 😢🎉😊 Wishing I was able to Travel to You, Doctor. !! ✨
Wow
I am a 71 year old engineer with spinal stenosis and I deal with it everyday. At least I'm retired but I do miss my active days. I used to get up before work in my forties and run four miles before work. Watching the surgical youtube videos freaks me out. And I know better than to think narcotics are the answer. So you are not alone out there! 🤔
Thank you for all your information
I have arthritis in the cervical and lumbar facets and several years ago had multiple ablations for lumbar facet pain. I have lower back and SI pain all the time-I just had X-ray of painful left hip and was told I have hip displasia and mild arthritis. Dr. Said the lumbar spine showed severe arthritis with severe narrowing of the discs. I will be doing PT again for the hip pain -but what can be done for the back pain?
Thank you
Thank you for the follow 📺
Does ablation work ??
Great video I have spinal stenosis and had back and neck surgery
📚📚📚📚
and How did it go ?
Thank you
You're welcome
Great vid
👍
Thanks!
No problem! Love this!!!!
I’m in Texas. My insurance premium is a monster because I have this diagnosis and considering surgery. I’d like help
Thank you for this! I have stenosis in my neck & lower back.
Also my tailbone has issues. 13 bones/joints in total.
I’m jumping through the insurance hoops atm. Which is terrible. No pT is going to help.
No shot in the spine is going to fix it.
But the insurance companies want to waste money, my time, and give me more pain 🙄
I hope my surgeon is as good as you seem. ✌️
I know the feeling because I’m on the same boat !! 😢😢😢
@@10foxylady I am so sorry. This isn’t fun 😢
Oh wow
I also have generative joint in thorasic w faucet joint arthritis ,now L345s1 bulging disks .ore shots then surgery
Thanks so much for all the explanations. I was diagnosed with severe bilateral stenosis level 4/5 and some 6 bulging discs. Will see neurosurgeon in about a month. Just wondering if neurosurgeon or orthopedic surgeon is better. I will go to Hoag Spine Centre in Tustin Ca.
Yes, absolutely
Thanks Doc. That’s the best explanation that I’ve heard on this subject. I knew all of it except the new information and devices. Had 2 back operations 85, 92 and need some more now. So my GP Doctor and I will discuss next moves after seeing this. Thanks again for producing this.
Oh wow!!
@@DonnallySpineConsult😊
Wish i had a doctor who could explain things to me like this...🤗
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I'm 65 years young, and have 3 to 5 Herniated Disks in my back, Spine is curved, Spinal Stenosis, and other issues with my back. Doctors at Pain Clinic said get cortisone shots in my back. Would give me some relief. Explained that I've tried and it works for about 4 weeks. Also, the 4 th cortisone shot. Doctor hit a nerve ? It was such extreme pain. All I could do was pray and cry. I was told pain pills will not work, and getting anxiety just thinking of this shot again. Last option is back surgery. This issues started in 2007 and gotten severe enough. To think on those shots again. Thanks, you for these video. God Bless
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Thanks for all of the info
I was diagnose
Diffuse Disc bulge in L3 - L4
Grade 3 disc dessiccation in L4-L5
Grade 2 disc dessiccation in L5-S1
Then what they did is Epidural Steroid Injection
As of now no changes happen. still I feel the weakness and numbness of my lowerback going to the feet
Well, lets Telemed📲 email insurance info! THEN mail📨 or upload💿💻 MRI & X-RAYs from within 1yr. See my bio more info!
📧: Spine@TSCspine.com
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ua-cam.com/video/HpKOfI_1FSs/v-deo.html
Never give up, my friend. You are Not Alone,,I Promise..😢❤🎉
Very interesting
Thanks
I thank you for your explanation. None of my Dr. Ever explained like the way you explained. I had spinal stenosis surgery in 2019. I was able to walk before the surgery. But after the surgery, I wasn't able to walk until today. Pain and burning sensation are getting worse than before. Now the want me to have neck spinal stenosis surgery. But for me, since I have been suffering for 4 years now, I decided to say no. This is enough. No need for surgery again.
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Hi Doc, im in Newfoundland Canada and waiting to see a surgeon but the wait times are so long, from the time I had my MRI to my appointment date which is March of 2024 is 11 months long. Im having nerve pain fro L5 S1 and drop foot and unable to move my toes all on the left side. Thanks for sharing your video. 0:37
Of course
Sleep in a recliner while reclined with pillow or pillows supporting lower back. Next day foot relief
Wow, I learned a lot. I still believe I would still have had to have rods and screws put in, back in 2014, but I found some of the newer things very interesting. I do have a question after someone has the rods and screws done, how often should it be checked by the surgeon? I had myeomalasia in my thoracic spine. Also have had 5 fx since, all thoracic. Thanks for the new info., and how you explained it!
Oh wow
@@DonnallySpineConsult So can you tell me how often I should be cked by my surgon?
Can you please explain what a spinal laminectomy of L4, L5 is? I had procedure but didn’t understand fully what it was but knew it would offer some relief from pain
I have another video of tbis
I have Spondylosis, of course arthritis and disc compression.
You said that these are disqualifying for disc replacement.
But if you have the capability of smoothing the bone around the facet joints via the oscillating tool, why would the artificial disc not be able to be used? You could clean up the arthritis and re-center the spine. Would that stablize the spine and qualify for the disc replacement?
I understand that the vertebrae is slipping, but would the artificial disc correct that also?
Also, the surgeon i have consulted didn't mention lateral or front entry for a "larger" correction cage. Would this maybe a preference or maybe i don't need a larger correction since he is recommending fusion for my issues?
Thanks
🙏
@@DonnallySpineConsult Still waiting for a response....
Thanks
Thank you for the video, doctor. I have severe to critical lumbar stenosis from L3 to L5. Is there anyone in the Philadelphia area that you would recommend for these procedures? I'm especially interested in the ultrasound blade. I don't know it that would be indicated for my condition. Thank you
Need CD 💿 of X-Rays & MRI. On top of my website (in bio) is link to upload images, FROM YOUR HOME! 🤯🥰
Please email: Spine@TSCspine.com
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ua-cam.com/video/HpKOfI_1FSs/v-deo.html
@@DonnallySpineConsult 14:34
@@DonnallySpineConsult 15:02
That navigation set up is a beast lol… I hope you’re buying the scrub techs a FAT coffee 😂
That’s true, thank you for doing it!!
Awesome presentation, I am only 29 years old and have to meet with a local surgeon next week and i am hoping these newer technologies will be offered as i have
L3-4: There is disc desiccation with mild height loss. There is a broad right central
protrusion. There is narrowing of the subarticular zones on the right more than left and
moderate central canal stenosis. No significant neural foraminal stenosis.
L4-5: There is disc desiccation with mild height loss. There is a large, broad right central
disc protrusion. There is severe spinal canal stenosis with crowding of cauda equina
and effacement of the subarachnoid space. The thecal sac measures 3 to 4 mm in
diameter. No significant neural foraminal stenosis.
Hey there, I do about 15 new patient telemedicines💻🌎 every week. Here is the best path forward:
1- email your insurance card to Spine@TSCspine.com (We don’t take HMOs or Medicaid, but can private pay, unless Medicaid)
2- if we take that insurance THEN upload your images to my portal for our 1st visit.
3- I must have X-rays and MRI, X-rays are critical! “Just” MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted.
4- You need to get your CD 💿 of your X-ray and MRI (imaging centers will never send them to us)
5- On the top of my website (www.DonnallySpine.com) is the link to UPLOAD images, from YOUR HOME! 🤯🥰 (or at a CVS with Physician LookUp Code k5037438)
6- To recap: email us, get CDs, THEN upload!
Step by step:
ua-cam.com/video/HpKOfI_1FSs/v-deo.html
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If HMO you can reach out to a Patient Navigator at www.sonoSpineSurgery.com and they can try to help connect us! Or for HMOs email: Refer@sonospinesurgery.com
Do you take Medicare and AARP gap policy F
Thanks for explanation of new technologies and how to do telemedicine with you .
I have had Injections in my lumbar and cervical spine and Occipital Nerve injection with success .I do p t couple of times a year for flare ups.
I have pain management Dr that keeps me active- gardening care of my home walking.He prescribes Narco -one week worth 4 tablets a day -I only use1/2 a tablet usually less then once a day.
So my RX last a very long time.
Retired RN-Orthopedic
Being an active person at 77 is possible if I have my team of Dr Pain maintenance PT Keep moving Positive Vibes Posture is IMPORTANT
Thank You
I just had back surgery but want to ask if once the Thecal Sac is damaged, can surgery repair the damage so that I can get control of my bladder again? I am told it takes a long time for nerves to heal. It has been 3months.
I am not able to tell
I have been told my herniated disc has begun calcification and is hardening while also compressing on my nerve roots in my lumbar spine. Does the ultrasonic bone shaving device work to eliminate this hardened disc material or does it only work on bone?
That’s a good question, mainly the bone but definitely would work in disc
Oh' what wondeful you program. Me just this 4-5 and etc on my back,,this is many many year. Therrible pain often when stanting and sitting. Abbarently they couldn't,,fix it. I was left in pain. But no can do. Thank you very much this you video,,its good. Byee, Finland friends. 👋🎄〰️〰️〰️🌏
Wonderful!
I wish I would have seen this video before my second failed surgery
Wow
Thank you for the video, it very informative, I have a question have the C3,C4,C5 pressing against the nerves, it's causing numbness in both of my feet mostly my toes. I was told i have to get surgery Cervical fusion. is there another way to avoid surgery.
Avoid surgery please. Please
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What are your thoughts on Minuteman fusion for severe central spinal stenosis, especially when spondylosthesisis involved? L3-L5
It’s trash-ish
@@DonnallySpineConsult thank you! I need to call your office and set up a telehealth visit
Hello Dr, recommend anyone to your equivalent in Albuquerque? Thank you!
I don’t know I’m sorry
Very interesting, how do you feel about the facet nerves in lower lumber being burnt?
Good
I so appreciate this video! Thank you so much Dr, Donnally lll! My back doctor wants to fuse my 5 discs in my lumbar spine. I have mild stenosis in t12 to L1, severe stenosis in L1 to L2, moderate stenosis in L2 to L5. Degenerative Facet Disease in T12 thru L5 . Grade 1 anterolisthesis of L1 to L4 with small circumferential disc bulge and unroofing of the disc. Moderate disc bulge in L1 to L2. Mild disc bulge in L2 thru L5.
Are there any new procedures that could be done instead of fusing all 5?
Well, lets Telemed email insurance info! THEN mail📨 or upload MRI & X-RAYs from within 1yr. See my bio more info!
Email: Spine@TSCspine.com
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ua-cam.com/video/HpKOfI_1FSs/v-deo.html
Hi, what is the hospital stay for lumbar fusion with a lumbar already naturally fused ?
Maybe 2-4 days
Back in the 1990s I went to the Hershey medical center in Pennsylvania and they told me there's nothing we can do for you have things progressed that it possibly can be helped now
Need CD 💿 of X-Rays & MRI. On top of my website (in bio) is link to upload images, FROM YOUR HOME! 🤯🥰
Please email: Spine@TSCspine.com
-
ua-cam.com/video/HpKOfI_1FSs/v-deo.html
Hi everyone , really would appreciate some insighful comments on this please .....I've had problems with my back since i was 17 years old I'm now 55 , i was always sporty but my diagnosis of spondylosis flew over my head 2 years ago ! I didnt ask questions that i should've, i was told that the stenosis is cervical and lumbar , over the last year my health has changed and i admit i starting thinking more about what if ??? I am wondering after having this for however many years undiagnosed because i just got on with work and life in general and accepted that exercise and pain meds went hand in hand , if i decided to have surgery and when the surgeon opens me up ....what kind of mess is it going to be ? I mean over the years i remember at least 8 times i couldn't walk or sleep in my bed even toilet properly for 2 or 3 months , i hope whatever mess my spine is in that it can be sorted with the least amount of fuss , i know there are some guys n ladies out there less fortunate and you fight the pain barrier every day , i am not 100% on going for surgery and argue with myself.
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@@DonnallySpineConsult Mr Donnally , could I say that I am not looking for advice as I'm sure you will agree that this should come from my own medical professionals, merely your opinion on stenosis both cervical & lumbar , is prevention the best cure here ? What I mean is I've been having problems with passing urine were it can take me 3 to 4 minutes to urinate , the flow is poor although I do have BPH but not sure if it is to do with that or stenosis and also I have bad headaches 2 or 3 most weeks and wear a prism patch on my glasses because of double vision -diplopia and various other symptoms ......is spinal surgery the answer here ? in your opinion.
What about Digital Motion X Ray to show instability..and Cone Beam CT to show every structure in great detail?
That’s just some silly thing chiropractors do to make money. It addd 0 value
About 15 years ago I was diagnosed with prostate cancer. After asking questions, I opted for what was new back then: robotic laproscopic surgery. It was my introduction to the Intuitive's DaVinci Surgical System. At that time, it was a fairly new way to do surgeries, but these days it is quite common. I tell this only because the urologist who did the surgery was a very young guy. As I talked to him, he told me that most of the surgeons at that time who were doing robotic surgeries were younger guys. Why? Because 1) the younger guys grew up playing video games and were used to using computerized devices, and 2) the older guys were set in their ways and reluctant to put in the time to learn how to use the more modern machinerys.
As I listen to Dr. Donnally, i hear him talking about these newer "tools" available to aid in spinal surgeries. Sure, these tools are super cool and all, but will the older surgeons be inclined to reject using them because they don't want to spend the time learning how to skillfully use them?
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What type of doctor do you go to for this testing and this may possibly be why I started getting hip pain but it goes further than the hit that goes to a sore spot right right below my hip and my thigh
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Thank Doc fot valuable video i lave cervical stenosis and i have tingling numbness in both hand and feets abd i feel day by day got wors but still no weakness in my feets please how much cost the surgery of laminectomy and which country such technology available
Thanks so much for the comment
I don't understand what you mean l
I have multi level pathology from cervical through lumbar. Describing all of it would be far too time consuming. Had MRI series completely through cervical, thoracic, and lumbar.
I'm covered by a Medicare Advantage plan in NJ.
What would be your fee to review and consult after receiving copies of entire workup?
I've been offered laminectomies at multiple levels. I won't do it. Wife's a retired Neurologist...seen too many post laminectomy/failed back syndrome cases.
I'm in Prolia treatment for osteoporosis, so it will be at least a couple of years before corrective surgery is a practical option.
What's your mailing address?
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Thank you Dr. Chester, I am looking for surgeon in Perth Western Australia 🇦🇺 to do an UltraSonic Surgery instead of Fusion! Can someone in Australia help me to find a Surgeon. Thank you
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Hi I have sclerosis lower back with all sorts of other porblem have gone to 3 surgens says they can't fix me because there osteoarthritis as well with stenosis as well is there anything new that can help me ?
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Hello,Dr Donnally fantastic video! Very nice animations and explanations. Dr have you heard about a situation called “back mice?” Like a hernia/lipoma that sits right above the SI joint that is a lump probably the size of a half dollar maybe that can be palpated and it moves under the skin. These press on nerves and it’s so painful. I’m hoping to have an orthopedic surgeon look at it and remove it. Any experience with Back Mice?
Not really
@@DonnallySpineConsult thanks for the reply doctor! So is that “not really”, suggesting you’ve never heard of the term to describe a real condition [subfascial fat herniation]? Or is that not really, like “it’s snake oil, doesn’t exist” type stuff? Take care sir.
@@gregthegrooveyeah you received a very strange callus answer on that one. 😮
@@TakeTheRide that’s because lots of them have never heard of it. And god forbid they read and research some a bit after med school for the love of god. It’s basically a episacral fat herniation, subfascial herniated lipoma. Usually form over the iliac crest both sides. My left lipoma has pretty much paralyzed me in bed. The most debilitating pain I’ve ever had. I found a Dr. Plastic surgeon that’s familiar. I’m having it excised in a week. I’ve been begging to be seen earlier the pain is off the charts and pain meds don’t even touch it really. He’s out until next week.
Thoughts on the new barricade? Downsides? I have a herniated disc at l5 s1 and l4 l5 the latter is the severe one. Its been 1.5 years of pain in my right side back and butt a little but no leg pain. Only mild to mod DD. Likely a large annulus tear. Im 30, and I want to get back to weekend warrior baseball. Havent found a local surgeon who has used it so they say the dont like it.. Also under what conditions is the prema spine tops a good solution for people?
Oh also, my surgeon suggested my bulge is likely calcified so 80 percent success instead of 90 for me if i do microdissectomy. Looks semi dark to me on mri, do discs still reabsorb and or dehydrate and shrink after 1.5 years if i wait? Or is it usually going to spotaniously resolve withing that 6 to 8 week time frame or else it probably wont? Mri done 3 months after pain presented, repeated 1 month ago the bulge at l4 l5 got worse. Radiology report is labled sever stenosis clear nearve root contact but yet pain is not in my leg yet, just back and butt and feels weird when i step off a high step sometimes. So hard to navigate what to do and i just want to find a good surgeon that knows about the new stuff. Had a few consults in FL none of the orthopedic surgeons ever heard of partial tear smith and nephew collegen implant for supra spinatus repair. Raleigh area UNC department i had to ask for it but they heard of it and it saved me many screws and my shoulder is great now. Research saved me there. Partial tear dissapeared and i can throw again. Trying similar with back but im exausted at this point.
Very bad
@DonnallySpineConsult very bad what? The barricade? Or odds of it shrinking on its own?
What exactly would you do for me ? My spine lost it's curve causing lower back mostly on my left side. If i were to get cortisone shots exactly where should the cortisone go? In facet joints or try spinal nerve block? I believe its L4 L5 S1 nerve area. Thanks
All about if leg pain
How do i find a surgeon that is skilled and as knowledgeable as you. I live in Ohio
UA-cam and telemed I’d guess
I had surgery for spinal stenosis 12 years ago. I had 2 tintanium rods inserted from L3 to S1. Now I have tingling and numness in my legs and feet. I have recently had a MRI and the results show I have 3 bulging discs at L1,2, & 3; compression fracture at T12 and spinal stenosis at S1. I have been referred to a neurosurgeon in Toronto, Ontario. I had a very difficult time 12 years ago. I do not want to have invasive surgery again. Is there a neurosurgeon in Toronto that does the type of surgery you have talked about ?
A decade ago, that’s a whole, wonder what’s happening with the other parts of the body now 12 yrs later
@@DonnallySpineConsult I think he's worried about a spine. Not his little toe. Great videos
Deuk Spinal Institute , laser surgery
90 percent less evasive
I had spinal stenosis L3 L4minimal invasive surgery in October of 2022 and nothing is changed still pain went for 2 epidural and did not work it seems worsened then before is there anything else I can do to fix my problem
MRI is wirthless for neck and nervs you need to do is diffusion mri to se the fluid of the nervs
Ummmm, no
hope they come up new for throacic spine iam hurting
👍
When spinal stenosis curable after minmal intnsive at 3.4&4.5 &5.1s
Based on images
Dr. Donnally, how do you feel about the risks of Xlif or lateral surgery? I have spinal stenosis with spondy at L 4 5 and it was recommended to me by UPenn doctor to consider this. I read about many neurological risks that might happen, so I'm scared. Please advise. My other option is a regular fusion the traditional way.
Good
so it’s possible to do lumbar disc replacement? my surgeon said it’s not usually for lower spine. is fusion the only option
Cervical is the better for disc replacement
can the MRI be without contrast? EMG shows L5-S1 damage but the MRI had in past show nothing with nerves. Gonna repeat MRI.
Yes
My lumbar pain is rapidly hobbling me, upright only 8-10 minutes at a time. Only relief is sofa surfing. What kind of doctor should I see for diagnosis? Am 74.
Thank you for the follow
@@DonnallySpineConsult Thank you for dedicating so much time to put out this information. Arms we plebeians as we start our resolution journey.
And creating instability by decompression?
Can keep mid line
I was recently diagnosed with multilevel central canal stenosis with myelopathy C3-C4-C5-C6-C7 with disc osteophyte complexs C3-C4-C5-C6-C7 I have spinal cord edema C4-C6 with cord atrophy. I'm only 32 years old I have significant loss of vertebral heights and short pentacles. Cervical kyphosis at C3-C4, degenerative disk disease with disc herniations C4-C5-C6-C7 I have severe spinal cord flattening at C4-C5 I've seen 2 neurosurgeons both recommended ACDF C4-C5 I understand it's the worst but C5-C6 is also lightly pressing on my spinal cord ... why wouldn't a surgeon fix both levels if C5-C6 is going to be a problem later... it took under a year to process from mild spondylosis with a mild herniation at C5-C6 to create what it is now sadly it runs in my family.
Hey there, I do about 15 new patient telemedicines💻🌎 every week. Here is the best path forward:
1- email your insurance card to Spine@TSCspine.com (We don’t take HMOs or Medicaid, but can private pay, unless Medicaid)
2- if we take that insurance THEN upload your images to my portal for our 1st visit.
3- I must have X-rays and MRI, X-rays are critical! “Just” MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted.
4- You need to get your CD 💿 of your X-ray and MRI (imaging centers will never send them to us)
5- On the top of my website (www.DonnallySpine.com) is the link to UPLOAD images, from YOUR HOME! 🤯🥰 (or at a CVS with Physician LookUp Code k5037438)
6- To recap: email us, get CDs, THEN upload!
Step by step:
ua-cam.com/video/HpKOfI_1FSs/v-deo.html
-
If HMO you can reach out to a Patient Navigator at www.sonoSpineSurgery.com and they can try to help connect us! Or for HMOs email: Refer@sonospinesurgery.com
@@DonnallySpineConsultDr do you take VA, I have the exact same problem.
Hi Doc,I will have my surgery in one month by now, disc herniation c5-c6,arthroplasty disc replacement, I also have ferominal stenosis, will this surgery treat my stenosis as well? This is what I did not understand. Can you please help?
Hey there, I do about 15 new patient telemedicines💻🌎 every week. Here is the best path forward:
1- email your insurance card to Spine@TSCspine.com (We don’t take HMOs or Medicaid, but can private pay, unless Medicaid)
2- if we take that insurance THEN upload your images to my portal for our 1st visit.
3- I must have X-rays and MRI, X-rays are critical! “Just” MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted.
4- You need to get your CD 💿 of your X-ray and MRI (imaging centers will never send them to us)
5- On the top of my website (www.DonnallySpine.com) is the link to UPLOAD images, from YOUR HOME! 🤯🥰 (or at a CVS with Physician LookUp Code k5037438)
6- To recap: email us, get CDs, THEN upload!
Step by step:
ua-cam.com/video/HpKOfI_1FSs/v-deo.html
-
If HMO you can reach out to a Patient Navigator at www.sonoSpineSurgery.com and they can try to help connect us! Or for HMOs email: Refer@sonospinesurgery.com
do you prefer doing micro endoscopic disectomy or Basi endoscopic disectomy?
Different for different levels
I had an L4/5 disk replacement done at Walter Reed in 2007. It never did give me the pain relief and mobility I had hoped. At the time, as I understand, these were still under research because I had to sign a lot of paperwork acknowledging this ( even though I was still on active duty in the Army). Is there anything I can have done to help with this? I have a spinal stimulator with the new burst technology and I’ve had every injection and nerve block known to man I think. I still take narcotic pain killers and the injection that seems to help the most is called a Codel and I’m sure that’s spelled incorrectly. Thank you for the video. Very informative.
🇺🇸👍
Spinal stinosis,,bulged disc degenerative disc disease arthritis,,Dr did MRI that showed this diagnosis,suggested Laminectomy,,I said what else I could do and injections ,,I've had one injection,,helped for 3 months,,now I'm in great pain again ,,so scheduled another injection but what do you say about success rate for Laminectomy??
Love to help
I was intubated and coma for 21 days learned to walk again and re gaining very slowly control of my hands. Neurosurgeon said infection got in my spine and recommending urgent spinal cord decompression with fusion surgery. What are your thoughts on infections? I’m going to get other opinions of course.
Wow
Doctor I'm suffering from lumbar stenosis since 10 years feeling numnus without pain after walking 100 meters. Can I treat it without surgery surgery
Sounds like neurogenic claudication. I’d get that looked at!
@@DonnallySpineConsult what specific type of doctor should I seek for diagnosis?
A Neurosurgeon.@@CrazyMaryJo
Im here in NYC . I Fell down really bad slip in the bathroom smacked down right on my butt. I tried therapy pain therapy (RFA) it worked just OK. I have stenosis in 1 to 5 in my lower spine
.o have a cat scan of it. Iwant to find a good surgeon for this here in NYC. Any suggesestions?
Oh wow
what is your take on the Minuteman implant from Spinal Simplicity?
Nothing I care to say publicly. But I will say, if you’re gonna have spine surgery, have a spine surgeon, do it
Good to know they are making so much progress in treating stenosis. Thank you! Did I understand correctly that the open air MRIs are lower quality than the newer but conventional ones? It’s an issue for us claustrophobics who need an Ativan to get through the procedure.
Hey there, I do about 15 new patient telemedicines💻🌎 every week. Here is the best path forward:
1- email your insurance card to Spine@TSCspine.com (We don’t take HMOs or Medicaid, but can private pay, unless Medicaid)
2- if we take that insurance THEN upload your images to my portal for our 1st visit.
3- I must have X-rays and MRI, X-rays are critical! “Just” MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted.
4- You need to get your CD 💿 of your X-ray and MRI (imaging centers will never send them to us)
5- On the top of my website (www.DonnallySpine.com) is the link to UPLOAD images, from YOUR HOME! 🤯🥰 (or at a CVS with Physician LookUp Code k5037438)
6- To recap: email us, get CDs, THEN upload!
Step by step:
ua-cam.com/video/HpKOfI_1FSs/v-deo.html
-
If HMO you can reach out to a Patient Navigator at www.sonoSpineSurgery.com and they can try to help connect us! Or for HMOs email: Refer@sonospinesurgery.com
Go to a high field open MRI. Best of both worlds.
In June of 2018 i awoke at around 3 am, I told my wife that I had the worst pain in my right hip and running down my leg that I had ever experienced in my life. I got up and couldn’t get any relief. I went to urgent care as soon as they opened. I was diagnosed with spinal stenosis. Long story made short they orthopedic doctors wanted me to go to a different city telling me that I needed as many as four discs fused in my lumbar. Thankfully I found a neurosurgeon here in my city that got rid of my stenosis without doing all those fusions, I’m not sure how he did this but I’m thinking it might have been the hydroponic scalpel. My pain is completely gone and this was done in March of 2019. I’m so glad I found this Dr. My life would have been so altered if I would have had four discs died in my lower back.
Wow
I have L4 spondy from 35 yrs ago. Causing stenosis now. What can I do? Pain in butt and hammys. Feet tingling.
I’d love to help
I've had neck surgery. Through the front.
Two back surgeries. Now lm told l have a a crushed disk back of neck. Lower back above two back surgeries now i have to surgery again on my back .lm scared now
.
Let me me take a look
What about streiod injection for protrusion disc support is that better?
Yes good
What can go wrong taking steroid injection?
😂Hellen. Are you from Crondal near Farnham? I think we spoke some time ago!
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Can you tell me more what caused the disks to get affected
No
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Whatabout vertiflex
Trash