CERVICAL STENOSIS RADICULOPATHY - PART 3 - SURGICAL OPTIONS 

I've been dealing with cervical ridiculopathy for years. So many different PTs, chiropractors, injections, etc. I've done a ton of research on this, and no one has ever explained the pathology or treatment options more clearly and directly then you in this series. Amazing work. Thank you.

You are fantastic! I learned more about my neck issue and subsequent surgery from you than 3 Doctors who’ve treated me. Thank you!

Great video series!! I just got diagnosed with cervical radiculopathy and the pain is intense. I have watched probably a dozen videos this weekend trying to get some insight for options. Your videos are far and away better than any of the other videos I watched. You make it easy to understand and I learned a lot. I wish you were in Arizona to treat me!

Thanks Brian

Thanks for all explanation. So well explained.

Brilliant video

So easy to understand and follow.

Thanks for all your info to help us out!!

Thank you Dr Su... you have a great bedside Manor very comforting and also your highly informative way of presenting things in a way or I should say in Lay terms that people can understand is wonderful I could see why you have such great reviews you entirely deserving

So awesome that you show the options risks and benefits of all of these options. So many times a patient can have a laminectomy or forminatomy and avoida fusion but too often a doctor will just do fusions because they are quicker and pay more. They don’t really care about the longer term risks and patients results.

Thank you, sir! This video series has been extremely helpful for me. My local VA hospital is very good, but so far they have given me very little information. They told me to try ibuprofen, but they never said how much. I wasn't taking enough and I wasn't taking it regularly. I am now, thanks to you. Great videos!

Hello hope you're all doing well tonight. Thank You Dr. Brian S. This too is a video that is very important to me. Why? Because you've touched a topic that my sister and I are going through. My sister has had several neck injections and still suffers from her pain, as for myself I have sharp pains from my neck I can't turn my head around without pain I also have migraines brought on by my neck pain. You might say that we haven't found relief of any kind. Thanks for all your information and I will continue to fallow your videos. God Bless You. 🙏🏻

Could you comment on "Direct Visualized Rhizotomy" for cervical Stenosis? Thanks!

You are the best love your videos 📹 ❤️ Thank you 😊 🙏🏽

Sir, thank you for the video. I learned a lot just by watching your video. Thank you for taking the time and educate some of us on Cervical Radiculopathy.

Thanks for the Viedeo Sir... I have bad posture on my back side. I did the back shoulder exercises that's why it's come, it's look so ugly but I don't have any pain, I wanna again my reshape my backside neck. Which treatment is better for me surgery or some exercise

Thankyou ,I've struggled with this in the UK for 32yrs. So informative and clearly explained. I just seem to get reviewed by my consultant and never am free of chronic pain issues.Im unsure why surgery has not been offered?

What about a procedure done in Florida? Cervical endoscopic laser discetomy..surgeon goes through disc front small incision cleans out herinated disc bone spurs no fusion.

Great info was getting a little nervous

Dr. I have an MRI showing a herniated disc C2-C3, C3-C4, due a trauma lifting Apliances carting then second floor, I live in San Diego California, please make a video about herniated disc in this area, I will apreciate it, also included vase with this herniated disc pinch affects the spinal cord what are the symptoms, thanks

Please show a video on CT/Mylagram.

I wish I could see you fir treatment

Thanks a lot for further enlightenment Dr. Brian! Ur a heaven-sent NeuroSurgeon Doctor! I am having nerve stenosis and have a C2-C3, C4-C5 & C6-C7 problem.I also have bulged-discs per my MRI report .And I have a cist-like thing that grew on the left side of my neck. Is this cist-like thing just a spasm? Currently I am using a traction device of different brand but I am intending to replace it with Saunder's traction device, one driven thru a pump. I still drive a vehicle ( is this advisable activity)?

Hi you I have surgery my neck c2 to c7 with plate and 10 screw yesterday hurting bad will be healing soon

Good afternoon

Hello. I am 68 years old. Diagnosed (MRI) as suffering CERVICAL SPINAL STENOSIS - significant at C5-C6 and medium at C4-C5. The main issue for me is numbness in my hands (palms, fingers), especially my left hand. In addition, I have some weakness in my left arm (compared to my right arm). Is this likely to be Radiculopathy or a Pinched Nerve in the Neck?

I’m dealing with this for months the pain and emotional taking a toll on me I’m 63 I have Medicaid insurance and having problems find a Dr to treat me can you help me.I live in NJ

Doctor question This information makes me feel good, I have c4-c5 a disk protrusion mild right neural foraminal narrowing. Disk deformity 1.5mm. C5-C6 Disk protrusion mild spinal narrowing, annular fissure is identified, disk deformity 2.6 and the same thing with Disk C6-C7 I'm just wondering if this can heal itself? I just feel mussel pain on the neck is frustrating please advise😔

What about bones fused by AS?

I had epidural in my labour day one and now 3 months complete still have pain in my back can I know possible to get disc after epidural?

Dr. Su, 2hrn I rotate my neck it sounds terrible. Like grinding and pop corn popping . Not good. I had a severe injury to my neck when I want 21 years old. My now deceased Husband pulled up on my head trying to kill me and separated my vertebrae and I had to get Chiropractic Care for about one year. Now my neck sounds terrible. Also I have major injuries in my lower spine.

I have been offered an operation on my neck, the doctors have decided to do this after much deliberation, I have already a plate in my neck. They have informed me the op may not relieve the pins and needles in my fingers, they are going to perform the op to reduce degeneration. I am also having a cortisone injection in my lower back, the doctors explained there is not much room to operate there, and it could be a very risky op.

Doc you’ve been awesome explaining it in a simple way for people like like us who are not doctors. I have bone spurs and foraminal stenosis , it’s going to the cord and my lighthead and tinnitus are my symptoms I’m going crazy I feel like I got a hangover every single day , I haven’t heard you talking about my symptoms , are my symptoms normal or could it be something else ? Can you talk about dizziness from cervical stenosis if you don’t mind ? Thank you doc God bless

Thank you Dr. Su for your informative videos. Can you do a video regarding C1 & C2, the symptoms, the types of referred pain involved, as well as the treatments? Ex: feeling bone on bone, headaches, C2 out of alignment...& etc. Thank you in advance!!!

Thanks for the information. I’m 6 yrs post a c3-c7 acdf. Before the acdf I’d had a stroke in my mid pons. My symptoms are worse. I’ve now been diagnosed with Cervical Dystonia and Occipital Neuralgia. Could my body not be tolerant of the fusion? Could my radiculopathy be worse because of the brain injury. I need help in peeling back the layers to these questions. I’d love to set up a phone conversation somehow to explore ideas of diagnostic tools and treatment. Thank you 🙏

Thank you for your demonstration. 👏 I had my ACDF C6/7 in 2021 I suffer with degenerative disc disease and had cervical Myelopathy. Unfortunately I have been left with permanent nerve damage. They will be going in again to decompress C6 I asked what that means, I was told they will go in deeper. I wasn’t sure what that meant. I was told they had left some of the cervical myelopathy in the disc for whatever reason. I am so worried as I have new symptoms constantly including pins and needles and other sensations 🙏👍

hello sir I have a spine nerv problem please help me

Excellent video, could you please give more instructions to keep this radiculopathy in check. How to avoid progression?

I am going to do something on my neck cause I have pressure on my disk.i am share to do it

How long should I allow non invasive options without improvement before looking into injection or surgery? I had a cervical fusion about 10yrs ago also.

one question , once I have foratonomony would that prevent me to have a successful ADR placed at that level, would it affect the stability of the Artificial disc, or cause instability? Thanks a lot for the video

Thank you for taking the time out of your busy schedule to read this. I'm trying to understand why they're not doing anything about my neck other than injections in my neck, but they only last around 3 to 4 months. I have 3 pinched nerves in my neck, and they're not bone spurs. I had a double lung transplant 5 years ago, and the medicine from that had caused osteoporosis. My back has been messed up for about 23 to 26 years. It has gotten worse also. My doctor wants to stay away from surgery for now, but what I don't understand is why. It's not going to get better. My balance is horrible, I'm constantly running into things, and I try to do balance exercise, and I can't. I had to get reviewed by disability and it had to be done by one of their doctors, and he diffently saw what was going on with everything. If you can, please help me understand. Thank you

Do you have a video on a Myelagram? I had a spinal fusion 3 months ago. I have recently began to have numbness in my thumb and halfway up my forearm in my left hand and arm. My Neurosurgeon has ordered a CT/Myelagram.

Hi doctor. Thanks for the useful information. I am wondering one thing, I was diagnosed with herniated disc last year in august. Until now, doctors have done nothing but give me pain killers to manage the pain. I am wondering one thing, at what stage dose it becomes serious for a operation? It’s like I’ve been in and out of hospital since then fad the pain becomes quite bad but they usually just send me home with more pain killers

Have you performed any of these types to any patient who’s involved in combat sports? If so where they able to perform the same after the surgery and what was the recovery period length?

Oh I wish you were in Ireland.. got a new MRI and had review with nurosurgeon Monday after 16 months with pain specialist and rhizotomy.. MRI shows C5/6/7 issues and pressure on cord however he was reluctant to jump into surgery and is have a case conference regarding my old and new MRI.. I'm even more confused as it's been a really bad three years..

When two vertebrae are fused after a disc is removed, what does the relevant pair of nerves use for a foramen; how do the nerves branch out of the spinal canal?

I have been diagnosed with cervical stenosis. I seen a neurosurgeon at Audie Murphy VA hospital. After reviewing my Mri, Ct scans and x - rays.. He said my C3 is over lapping my C4.. I'm having major chronic nerve pain my neck, shoulder, arm and in my back. Numbness the whole 9 yards... He told me if my symptoms progress to go to the ER... My question for you is. When should someone with cervical stenosis go to the ER...

Dear doctor,is the timing of the surgery matter? Can I postpone my dad's surgery for years or will it cause some damage to the nerve or so? Also, according to your experiences, What is the likelihood for someone to recover themselves given that person is 70+. Thank you and your explanation is brilliant. :)

CDR IS the best ultimate but if not have pain from arthritis in facet

What about ultrasonic surgery to only remove the bone spurs?

@Dr Can you address cervical spinal stenosis, in an episode?

Why does the disc need to be replaced if its a bone spur causing the issue?

How much does it cost to have a video conference with you? I am in North Carolina.

Hola doctor, me gustaría una cita con usted, como hago para comunicarme con usted?

Hi. I'm currently 28 and have had CHRONIC (every. single. day) pain since starting when I was 17. That's 11 years of absolute hell! It started from what I remember around my left nipple (like underneath it, inside) and quickly spread throughout my entire left chest, into my upper back, and up the entire left side of my neck within about 2 years. Luckily (or unluckily) it has stayed stagnant since then and has not spread anywhere else. Unfortunately it affects pretty much everything for me. My breathing is impacted (it hurts to breathe on my left side, feels like my ribs are broken). It hurts to talk (constant pain in my throat and neck on left side). This pain has also caused me to develop massive anxiety. I am pretty much scared to death of people. I feel like they can see my pain and can tell I'm "different" even though I know they can't. I've been to pretty much every specialist. Neurologist. Pulmonologist. Cardiologist. General chest specialist.I've done 3 rounds of physical therapy. I've tried many different diets. Exercise almost every day (even though I feel like I'm gonna die when I do). Staying active. Stretching. Needling. Still after 11 years no doctor has ever given me a definitive diagnosis. I pretty much always get looked at like I'm a crazy drug addict psycho. Well just the other day I was feeling sorta fine and then I turned my head to the left and boom! my pain intensified tenfolds and remained the same throughout the rest of the night. This strongly leads me to believe that it is a pinched nerve somewhere. I'm making an appointment with an Orthopedic surgeon (I'm hoping this is the correct specialist to see, if not then I will ask him/her where to go) and I'm demanding an MRI. I'm guessing this sort of thing is diagnosed through an MRI. If not then please someone correct me. It's mind boggling to say the least that I have never been ordered one. Again, most doctors have always written me off for being "too young" or crazy. Well this time I'm getting one. Not taking no for an answer anymore!!!! Hopefully I'm close to getting rid of this shit so I can actually live again.

Sir, are surgeries, where only herniatied part of disk is removed, popular in USA? I am thinking to undergo such a in Poland. Thank you very much for your contribution to make patients familiar with ale possible ways to treat their spine related pain. Something that was so scary in the past seems to expand in ways of treatment so much that it becomes more and more common and patient friendly.

What about Nerve Root Ablation? Good or bad?

Hi sir, I’m 35 years old female in 2020 I started to get pain in my elbow afterwards went to see doctor they prescribed anti inflammatory for months nothing get changed in my pain went PT also nothing changed but little by little the pain started to elevated like from behind the neck and shoulder blade .. numbness.. tingling feeling in wrist and little and ring finger.. burning feeling in my behind the neck started.. they gave me shots in my elbow and shoulder.. for few weeks it felt good later started again … they did nerve conduct study it gave results last oct C8 Radiculopathy … I took ibuprofen with Tylenol.. they proscribed some sort of muscle relief medicine… nothing changed… still If I bent my elbow longer it started to aches and weakness feeling.. couldn’t carry big Stuffs in that hand ., even if I continue to write longer it’s getting worse pain.. can’t sleep that right side.. if I do fist tight it’s shooting pain goes out little finger to elbow. I’m using ice and hot massage… I don’t know what to do?? All the treatment are given by my pcp.. which department doctor do I need to see? Please help me out.. last two years this pain been there… if I don’t work or don’t do anything in that hand it was little relief but when I started it’s coming back..

But in 3 mos it’ll be all better U promise (in part 2) Why get the op? Esp if u take narcotics till it chills out??

I have it all, so if i have a choice i pick chisel out the bone spur at the back of my neck so not to disrupt from part of neck. Just chisel out that damn spur and dissolve it flush it out or vacuum it out of my neck please.

Doctor typically are these surgeries successful in reducing symptoms of pinched nerve

Good morning how can’t talk tu you

Please I have a bulging disc, chronic back pain , please I would like to share my Mri This is my watup line kindly send me a hi so I share my mri

Dr Su Can sent you picture of my mri Can you look at it tell me if I need surgery please I went spine center Nurse practioner see me instead of Doctor She didn't explain enough to me she said your disc smash don't know what it nean by that. You're such a great person making all this video for humanitarian