My name is Dr. Sheyan Armaghani. I'm a board certified orthopedic spine surgeon with a particular interest in patient education as well as motion preservation and minimally invasive spine surgery. I practice in the Orlando/Dr. Phillips/Lake Mary, FL areas.
I'm a conservative spine surgeon. Spine surgery should be an absolute last resort for many people and it is important to me that patient's understand the risks and benefits of any procedure. That is why I created this channel and website - to educate patients in as much as possible about the most common conditions of the spine and the surgeries that were designed to fix them.
I will periodically add new videos as interest for new conditions develop. I encourage those who are interested to visit my website www.ArmaghaniSpine.com to learn more about me and these conditions. Information for appointment scheduling is also available there. Good luck!
Dr.I am 70 yrs female, what anesthesia is used? I had major surgery (diverticulitis) in 2021 I was under anesthesia for 3 days and it caused me to have CHF What is your professional opinion on this?
Thank you for creating these informative videos. I'm facing this surgery in August and it's really helpful to have a clear understanding of the procedure. I found the step by step in your video on ACDF strangely calming before I had that done last summer. It's good that you offer these clear explanations!
HI, I NEED advice please.... Iv herniated the l4-L5 for over 10 years. This last episode when I tweaked it, I was in a wheelchair for 2 weeks, had severe leg pain. fast forward 8 months later my leg pain and foot numbness has almost completely gone away, BUT I'm having severe paint at the disc location, any time I bend or twist a certain direction, instant shock of pain. Mornings I'm very very stiff. I cant stand for more than 2 minutes without becoming very uncomfortable in my back. My surgeon is suggesting not to do the surgery because I'm not having the pain down the leg, hes also saying if he does the fusion he cant guarantee the pain I'm having at the L4L5 will go away. Im 38 Very fit non smoker, 190 lbs.. please help. also the steroid injection made me feel amazing but wore off after 10 days,.
Hii sir I'm from India in 2022 my uncle was undergone by cervical laminactemy c2,c3 ,c7 vertebrae laminae were removed but still he facing unable to lift his both hands , below of abdomen got numbness,sever pain . would he able to recover ,how long it could take to recovery.please inform little bit about it...
I am a 70 year old woman who had this surgery 10 weeks ago. I watched before the surgery but afterwards because I had significant pain in my right calf two-three weeks afterward. It was reassuring to me that my pain was to be expected. The fourth week the pain disappeared. I did a lot of research but this video helped me the most. I feel that I am fully recovered.
I had been a lumbar surgery three procedure Laminectomy, Disectomy & foraminectomy since 2015 i can work normally can play simple basket but not as normal before cuz until now i still have problem like sciatica pain my lower back going down to the right back of the knee😢for 9yrs...
this RU-vid video was the most informative on surgery that I have ever witnessed and I want to thank you so much for taking the time to make the video along with your extended explanation for everything that will go on from good to bad. I’ve had cervical fusions basically on all my C 3456 getting into my thoracic. now I’m into my L5 and they want to do TLIF. This RU-vid video was the most informative on surgery that I have ever witnessed and I want to thank you so much for taking the time to make the video along with your extended explanation for everything that will go on from good to bad.
One day I was doing light work, my back got more painful than usual😮. The next morning I couldn't pee. I got a catheter and a urologist appointment. A doctor I know said cauda equina syndrome. I got the operation 2 weeks later. Now I'm recovering. I can control my peeing, and a lot of continuous pain is gone. In 2 weeks I see the surgeon for an X- ray and a discussion. I hope I'll be able to get back to full function, working and sports. I guess I'll find out.
Very useful thankyou. I'm currently awaiting this surgery on my c5. My symptoms are quite bad. Hands numb and tight. Constant cramp in my hands and some of my arm area. Hands constantly feel cold. Tightness in my knees. I'm hoping I'm in the third of people who gets symptom relief. Had this for 16 months now. I stumble a lot and have fallen a few times. Once braking my arm. Can't wait to feel good and normal again. I feel 20 years older since i had my spine injury. Good luck to everyone else going thru this 🙏 ❤
Poor people don't qualify for this, I wanted this procedure done but medicaid only approved the old version where my neck is now stiff, now I wonder if I could afford this one day , can my old surgery be removed and replaced with this one?
@nurseida6195 , i feel ua there. 33y/o facing this. Already have 2 fusions under my belt of T10-L2 at 13y/o & T12-pelvis at 30 y/o. Hoping this fixed the bowling ball bobblehead that really wants to roll down Gravity Lane to rest between my feet...or whereever it ends up haha. What else can ya do but continue to remain humerusly-hinged? (Spelling intended, replaced an elbow with an elboob after tangling with Mack truck v hatchback. Doon ad that 2 yr recovery was up my connective tissue disltder made my spine be like "As you've only just gotten past all that bloody mess with fractured ribs, femurs, patellas, a tibia, sternum, forearm bones, & lost an olecranon process yhays probably some coyote scat these days, sooo time for me to do one of the nosedives alluded yo in this clip (albeit, fortunately not cevical hey at that point), to the loint ya can't walk. Just cause you need a lil more back bling." So glad i did that pne though. Gave me another 3 yrs to enjoy fksbing with my lucky left arm which was almost amputated mlre times than its finhers can count & to enjoy a relative mobility, all things considered! 🤙🏻 For all those thinking of taking stock in the advice of the naysayers commenting on this thread- listen to your physician with an actual medical degree, rather than the wannabes who are spouting off misleading statements without a shred of coherence in their claims of BS like our body's losing the elasticity of its Botox supply, pre-injection. 🤣 PS - the boxh xles NOT produce Botox. It is a paralytuc agent which was initilly diacovered in nature. Presumably, they meant to say collagen loses elastjcity as a jayural part of the aging process...point being, listen to your REAL doc & take any of the information contained in this extremely well-executed presentation frkm another REAL doc, + any patient experiences you would like, & eont listeb to the surgery slammers. When utilized appropriately by a qualified surgeon, procedures shch as these can 100% restoree functionality and patient quality of life, period. I'm living proof! (I'll take those future commisions any day now, doc) 😂
I am on day 10 post op of MIS-TLIF This video convinced me to go ahead with the surgery boy I am glad I did. Even in the recovery room I had relief down my left side. I have some pain at the surgery site however the nerve pain is gone. I do not know if I am just lucky in this experience or not. I feel I had a great surgical team I carefully follow the recovery guidelines. Dr. Armaghani's Video is very good accurate as to what the surgery was like and initial recovery has been. I had suffered with this condition for several years maybe I should have done it sooner. My Surgery was called MIS (minimally invasive surgery) as opposed to Open TLIF it could be the reason I feel optimistic and happy about my chances of a good recovery.
I just had this TLIF done on my L4/L5 area. My nerve pain usually comes to my right foot on top or back my toes. That can cover big toe to 3rd or 4th toe. After the surgery, the pain still remain there after almost 7 weeks. Although my first injury occurred in 02/2023, having this surgery now in 04/2024. Do you think i could have permanent nerve damage since i waited too long to proceed surgery? Or I am still in the recovery stage? thanks!
This is the front ... and this is the back ... seriously ? is that what is on the other side ? is that what it is called - hold on let me write that down so I remember ... otherwise ... is helpful. thankyou
I don't understand why you would remove the spinous process with the ligaments and interupt the natural stablilisation of the spine upwards and downwards when you only need to remove bone left and right... I heard of patients getting more wear on the other vertebrae because of this.
Dr. Armaghani's videos are very educational, however only addresses 1 disc replacement or 1 fusion. What procedure do you recommend for one who is 70 years old, has osteoporosis, degeneration and mild to severe spondylosis at multiple disc locations C3/4-C6/7?
I had surgery 4 days ago and My foot was numb before the laminectomy and it's still numb; if not more.😢😢. Hoping for the best. I had a pretty large herniation so I knew that the spinal cord could still give me issues.
I did the shots!! Did nothing except send me to ER with heart palpitations as I have AFib. Please be aware if you are considering the injections and have AF.
I’ve been living with this for a year with no relief just bandaids like injections. Insurance is playing the war of attrition to avoid paying for surgery. Great system we have.
I just has a 2 level lumbar spinal fusion from L3 to L5. My surgeon had trouble placing the cage from a TLIF at L4/L5. I still have significant foramina stenosis at that level and I am wondering if an ALIF would be the best follow up. Is placement of the cage guaranteed with ALIF or might he still not be able to get a cage placed? Or would a better follow up be a decompression?.
Thank you for the excellent video! A very logical, clear, and well-structured summary. This is the first time I have really understood the root cause of my pain with possible options for treatment. Thank you, excellent!!!!
I’m due to get this done but I don’t like the idea of removing bone that’s supposed to protect my spinal cord. Maybe I shouldn’t have looked at the video😂
Hi Dr. Armaghani, my father has visited three neurosurgeons with 2 recommending a cervical laminectomy with fusion and 1 recommending a laminoplasty. Why would there be differing of opinions?
You refer to removing the spinus process and the enlarged ligament to open the spinal canal. I assume we can function without them but could you elaborate? What are the side effects and limitations on range of movement post op? I’m 76 and an amateur dressage (horse training) rider. Have ridden for 61 years. Thanks!
you said in video a spine fusion wont help with a arthritic joint? but wont stopping motion between facet joints remove the pain? also what procedure would you recomend for facet joint damage caused by repetitive motion? in alot of pain cause of one facet joint
