Welcome To "TheAthleteSpine" Official RU-vid Channel.
The goal of this channel is to present spine injuries or surgeries in professional (and amateur) sports (hopefully soon after the injury), and describe the injury, anatomy, and treatments to a general audience in just a few short minutes. We are 2 spine surgeons who love sports. We will use our own live discussion, spine models, illustrations, and other diagrams to help provide descriptions.
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I have a question, i had to completely stop playing soccer because Everytime I practice after a few times striking the ball i get a pain and i get severe drop foot later that day and it lasts a few days until i can move my foot. I tried stopping for months then trying to play but I experienced the same issue, except now the pain doesnt go away, my leg is weaker, and i feel a tingling from my toes up to my lower spine. Is this a stress fracture or a pinched peroneal nerve?
Great question! Yes -- this could be peroneal nerve related, but could also be nerve compression from the lumbar spine as well (ie. a disc herniation). Although a fracture may be present, that may be less likely, and the fracture itself may not be directly causing the symptoms.
@@armxxn3048 With stress fractures --- its really just rest and trying to actually refraining from bending/twisting/lifting activities --- sometimes for 3 months ---- as the initial treatment
This is a good question --- and a difficult one to answer broadly! Ultimately, it comes down to your specific anatomy and what you want to return to. You are able to return to a large number of activities after either a disc replacement or a cervical fusion.
Intriguing, wondering If FAI in the proximal femoral head may lead to a development of early onset OA or have developed osteoarthritis to an advanced stage and if so may corticosteroid injections harm the articular cartilage between the thigh bone and hip?
I underwent spinal fusion surgery by Dr. Baron Lonner (and his co-surgeon Dr. Wesley Bronson) in early March 2022. A week after being discharged, I complained that my back felt abnormally swollen and painful. My concerns were quickly dismissed. I had to suffer for another week until my first post-op visit. At that visit, the X-rays revealed that the surgical hardware had begun loosening and pulling away from my spine causing a collection of fluid and swelling on my back (the same swelling I had described a week earlier). As a result of the failed and incompetent surgical approach taken by Drs. Bronson and Lonner, I was forced to undergo a second surgery in late March 2022, costing me additional time away from work, school, my personal life, and negatively affecting my mental health. The second surgery also worsened my scarring, creating a very wide keloid scar. As an active and fit young adult, my chances for having a successful surgery should have been significantly higher. Instead, the services rendered by Drs. Bronson and Lonner and the Mount Sinai Spine Center were significantly below the standard of care and were negligent. Despite their own medical failures, my insurance was billed more than 1.3 million dollars for both the original and revision surgeries. It is unfathomable that Drs. Bronson and Lonner would feel entitled to be paid twice when they failed to do their jobs competently the first time. I am currently receiving post-op care at a different facility and with a different care team because I no longer trust Drs. Bronson and Lonner with my health and safety. I strongly encourage those reading this review to seek care elsewhere!
Hello. child is 8 years old. I was diagnosed with Klippel-Feil syndrome. There are no noticeable changes in strength on the body. I have scoliosis and recently started having neck pain. the child is engaged in wrestling. please tell me he can do this sport?
What can be done as a preventative measure to limit these types of injuries? My experience with these injuries in soccer is that they tend to occur when shooting and hyper extension of the back with a rotational component. Do you have any experience with certain types of physical therapy, pilates, sports/mobility training that helps to stabilize the spine and limit this type of injury? What do you specifically recommend?
These injuries are hard to "prevent." Many of them occur in young pre-teen athletes that are already active and in some type of hyperextension activity! I wish I had a better answer than that ---- but this is the reality of pars fractures that occur in the younger population. These do not occur as commonly in adults.
This is great content guys. Thank you! You listed various reasons for continued nerve pain after spine surgery. How often would you say the reason for continued nerve pain is due to the nerve simply not healing vs. nerve not being adequately decompressed or recurrent disc herniation? In other words, would you say it’s more common to find a reason the nerve isn’t healing or is it more common that the nerve simply doesn’t heal back?
Thats a really good question, and I'm not sure I have a great answer to that. I think the situations are all so variable in this case. Yes -- there can certainly be ongoing nerve compression from incomplete decompression or recurrent stenosis from a recurrent herniated disc or even some scar tissue forming. From a nerve healing perspective, the severity and duration of compression can likely impact the ability to "heal" once the decompression has been performed. We ultimately do not understand nerve healing all that well. There is some evidence to show that these nerve roots often have the capacity to heal for about 12 months after surgery. So, where you are 12 months from surgery is likely where you will be as a "new normal." But, that is just an average. Hope that helps!
Hi, I have a question about disc replacement vs fusion vs just rehab with physical therapy. I am not a high impact athlete, but I am firefighter in a busy city where we tend to go to a lot of fires and dangerous situations. I personally have a 5mm bulge in c5-c6 with weakness in my deltoid that is responding to physical therapy, but am worried down the road what I may be in for. If a disc replacement would be best, to strengthen the neck. Any advice would be great.
Thats a great question --- with a complicated answer without seeing your imaging and your situation. The ultimate goal of a surgery in your situation is to take pressure off of the nerves; whether that is accomplished with a cervical disc replacement or fusion depends on a lot of variables. There may be aspects of your XR/MRI/CT that will lean us in one way or another. Our studies show, ultimately, that there are no major long term differences between a single-level disc replacement or fusion as long as we your nerves are adequately decompressed and the pressure is relieved. My bet, is that you would do well with either and hopefully return to work and your activities.
@@TheAthleteSpine Thank you, I realize it’s more complex than just a question. Especially with all the imaging involved, and what not. But thank you for you answer, I just want to be able to return as a firefighter and was wondering what would hold up better. I think after watching the Video with Watkins, It better explained that both work for someone in my line of work.
I ride broncs for a living does anybody that has done this think it's a good idea if I want to keep going or should I wait. I'm 26 and have a good amount of atrophy in my riding shoulder and bicep. Has anybody tried decompression? I want to avoid surgery but I'm losing strength and muscle by the day
Great content as always! Will be interesting to see how the cervical disk arthroplasty literature develops overtime and return to sport guidelines are better established.
I’m approaching 14 weeks post 2 level cervical disc replacement with Dr. Nemani, that happened October 26th, and doing well. I could be that 50+ woman he mentions! I’m so thankful that my insurance “forced” me to travel to Seattle for my surgery. Thank you Dr. Nemani!
Good question! I think there is still some hesitancy to perform disc replacement in high-level football athletes, largely due to the unpredictable forces to the neck. There are many that have undergone a cervical fusion in the NFL. And there recently have been 3 NHL players that underwent a cervical disc replacement. So, maybe in the near future?
@@TheAthleteSpine great answer.i understand better . even if there is more degeneration over time of the adjacent disc due to fusion of the vertebrae and loss of mobility. in the short and medium term the merger at least makes it possible to be sure that there is no risk of instability in contact sports? Sorry for my english it s not my first language
I have a question for you. When the stress fracture is full fracture and it is an acute injury with edema in present, is there any chance those fracture rejoined as boney healing?
Great Episode @TheAthleticSpine and great to get insight from Dr Asghar! dorsaVi are proud to consider ourselves world leaders when it comes to measuring sway and balance metrics. We work with everyday population and athletes to measure spine movements and monitor how someone moves for up to 3 days!
Radiologist here. No way could I get a needle there under fluoro. Do you guys think this is really what's going on? The calf strain last year was also very odd. Never seen someone miss that much time over that injury.
Hi Will! We discussed this with a lot of friends and colleagues that perform many injections .... and many agree with you! That is a scary region to be injecting a needle, with high risk --- and no obvious certainty that they could confirm that location with flouroscopy.
