Тёмный

Lumbar Foraminal Stenosis - Non Operative Treatments 

Dr. Brian Su - The Spine Guy
Подписаться 69 тыс.
Просмотров 13 тыс.
50% 1

Опубликовано:

 

2 окт 2024

Поделиться:

Ссылка:

Скачать:

Готовим ссылку...

Добавить в:

Мой плейлист
Посмотреть позже
Комментарии : 60   
@thaddeus46
@thaddeus46 10 месяцев назад
Dealing with this for 2 years now. Taking 800mg of gabapentin and 20 MG of Cymbalta. The Cymbalta really did the trick. Also get an epidural every 4-5 months. Things are going OK. I would need spinal fusion if things get worse. When I saw those rods and the cage I almost puked.
@skippy9659
@skippy9659 4 месяца назад
Damn. Don’t get a fusion.. unless you have zero other options. Screwed me up, put me on disability at age 48!
@thaddeus46
@thaddeus46 4 месяца назад
@@skippy9659 Really sorry to hear that. Peace, bro.
@bonniemoerdyk9809
@bonniemoerdyk9809 7 месяцев назад
Thanks ... so helpful!
@sunshinesummer2024
@sunshinesummer2024 10 месяцев назад
Thank your for this information. Looking forward to your video about surgical options for lumbar foraminal stenosis.
@amigatommy7
@amigatommy7 4 месяца назад
Never got anything from the medications talked about except for one of the steroid shots that helped some.
@brianbanks3044
@brianbanks3044 10 месяцев назад
I use Tramadol and Tylenol and metaxalone for back issues....no leg pain but spondylolisthesis causes back stiffness/pain....I do stretches, abdominal and bridges every day and they help a ton
@simhifree2416
@simhifree2416 10 месяцев назад
Hello Dr Su. I'm writing from my hospital bed, recovering from my 6th Kyphoplasty! Vertebrae L4 this time. All appear to be about ready to fracture. I've been told by the Dr that we have to wait until a complete compressed fracture occurs before doing a kyphoplasty to repair and strengthen that vertebrae. What is your experience and opinion please? When you mentioned L4 nerves in your opinion, I payed extra attention. This L4 injury has been the most painful, even with being given the meds you have mentioned. The pain has moved to the top of the right hip. If the position changes quickly in the hospital bed, I scream in pain. How long will this last for? Thank you.
@DrBrianSuTheSpineGuy
@DrBrianSuTheSpineGuy 10 месяцев назад
Feel free to call 415-925-8200 for a second opinion with me
@jenniferlee9029
@jenniferlee9029 10 месяцев назад
Hi Dr. What about Aleve? I am taking 2 in the morning 2 at night for 10 days. Should I take for 14 days or is 10 days enough?
@DrBrianSuTheSpineGuy
@DrBrianSuTheSpineGuy 10 месяцев назад
I would say 10 to 14 days is safe but you should always consult your surgeon
@stevematthews2459
@stevematthews2459 8 месяцев назад
Been dealing with it 15 years hard to walk at times hard to get out of bed tried it all been taking Percocet 10 years still only take 4 a day .dr said it would be a 12hour surgery to fix .my heart dr wouldn't ok me having it
@devchahar5688
@devchahar5688 10 месяцев назад
Sir is exercise can help in mild biletral forminal stenosis 🤔
@DrBrianSuTheSpineGuy
@DrBrianSuTheSpineGuy 10 месяцев назад
Yes
@atulashvikvlog3592
@atulashvikvlog3592 2 месяца назад
Same problem brother.. How r u now?
@txdave2
@txdave2 Месяц назад
I recently had an MRI which revealed "severe" bilateral foraminal, and "severe" central canal stenosis at L3/L4 and L5/S1. I have been referred to a neurosurgeon. Surely hope he can decrease the horrible pain I've been suffering with.
@morganophelia5963
@morganophelia5963 5 месяцев назад
I have L5 S1 bilateral pars defect with grade 3 degenerative spondylolisthesis in particular anterolisthesis with severe bilateral foraminal stenosis and a slight bulge at L4 disc it sucks i don't know what they will do but i wish they would help me :( i had it since i was a baby was officially diagnosed at 11
@AmyCarper-io5vz
@AmyCarper-io5vz 5 месяцев назад
It would be an isthmic spondilolisthesis if you have a bilateral pars defect. Degenerative spondylolisthesis is not associated with pars pathology.
@morganophelia5963
@morganophelia5963 5 месяцев назад
@@AmyCarper-io5vz well it says degenerative changes in my paper work
@cristianr7278
@cristianr7278 14 дней назад
Damn so the only help comes from medications? You can't use inversion tables, or do any stretches?
@DrBrianSuTheSpineGuy
@DrBrianSuTheSpineGuy 14 дней назад
Inversion tables and stretches are fine
@michaellachioma5987
@michaellachioma5987 15 дней назад
Hey Dr. Is neural foraminal stenosis the same thing as what you’re explaining in this video?
@DrBrianSuTheSpineGuy
@DrBrianSuTheSpineGuy 14 дней назад
Yes
@bnguegan
@bnguegan 2 дня назад
Please let me know how to have a virtual appointment with you. Thanks
@DrBrianSuTheSpineGuy
@DrBrianSuTheSpineGuy День назад
You can call 415-925-8200
@rolandoxsandoval6943
@rolandoxsandoval6943 Месяц назад
Great information. I myself have back pain issues waiting to see the back surgeon
@AnnemarieMytka
@AnnemarieMytka 10 месяцев назад
When I Stand Up I feel pressure on my lower lumbar spine stiff and feel like my it is compressed thank you 😢
@mainguyen7957
@mainguyen7957 10 месяцев назад
Thank your Doctor Su for this information. Looking forward to your video about surgical options for lumbar foraminal stenosis.
@cowgirl9014
@cowgirl9014 5 месяцев назад
Is it safe to see a chiropractor? Boyfriend keeps recommending it. Just had an MRI with lumbar foraminal stenosis, some mild disc bulging. Currently on 900mg gabapentin a day and lower back and buttocks still burning but no longer having shooting pain and numbness. I wish to exhaust non surgical options before I consider surgery
@DrBrianSuTheSpineGuy
@DrBrianSuTheSpineGuy 5 месяцев назад
There is no downside in that situation but it's hard to know without seeing the imaging studies
@emiliabielova4852
@emiliabielova4852 2 месяца назад
great video, thank you Dr. for sharing your knowledge with your patients. Is the application of bone marrow an option for this diagnosis?
@DrBrianSuTheSpineGuy
@DrBrianSuTheSpineGuy 2 месяца назад
No there's no evidence for that
@SparrowExpress
@SparrowExpress 9 месяцев назад
My MRI report Finding 1. Disc degeneration is seen at multiple level. 2. No compression of the thecal sac or canal stenosis is noted. 3. Normal height and alignment of the lumbar vertebral bodies is noted. Posterior bony elements appear normal, Bone marrow returns normal signals. 4. The terminal spinal cord, cauda equina and filum terminale are unremarkable. 5. The paravertebral and posterior para spinal soft tissue show no abnormality. Impression 1. No disc herniation or significant extrinsic pressure on thecal sac and nerve roots. 2. No fracture or dislocation seen. Suggest my treatment. Thank you
@jennyfisc8984
@jennyfisc8984 2 месяца назад
That's a great mri. My guess is that's not causing you pain.
@joeblow9548
@joeblow9548 6 месяцев назад
If it really is inflamation then why not offer a better medication like a dmard,,these work far better than otc meds,,do you ever offer methotrexate or hydroxychloriquin,,these work very well for inflamation bug are never offered
@DrBrianSuTheSpineGuy
@DrBrianSuTheSpineGuy 6 месяцев назад
Those aren't non-steroidals anti-inflammatory medications
@AnnemarieMytka
@AnnemarieMytka 10 месяцев назад
Why is my muscles so stiff and painful thanks
@karensteele7860
@karensteele7860 10 месяцев назад
Thank you . Yhis gas been very helpful
@pickavana8056
@pickavana8056 5 месяцев назад
how can you get a diagnosis for this? My brother in the uk thinks he has this. He has been suffering 7 years of pain, cant work anymore, can hardly stand, sit, lie down without pain. UK health system is a disaster of 3 year waiting lists. Want to do something to help him. Can you give any suggestions?
@DrBrianSuTheSpineGuy
@DrBrianSuTheSpineGuy 5 месяцев назад
You can make a virtual appointment with me
@DavidWilliamson-l2y
@DavidWilliamson-l2y 3 месяца назад
In the UK, MRI is treated as gold standard for diagnosing this, unfortunately only 2 of my 5 MRIs picked it up so it’s not a guarantee or certainly not from the scans I’ve been referred for
@Berrylucy50
@Berrylucy50 6 месяцев назад
Kidney, no NSAIDS
@Brasstal
@Brasstal 10 месяцев назад
Hi Doctor - I am not based in the USA and am scheduled for surgery in 1.5 months. Would like to schedule an online consult (I can upload my MRI's etc online) and seek your advice on the need for Spinal Fusion or not. Please let me know how I can reach out and schedule a consult.
@DrBrianSuTheSpineGuy
@DrBrianSuTheSpineGuy 10 месяцев назад
Call 415 925 8200 for a virtual consult
@Brasstal
@Brasstal 9 месяцев назад
Have a consult scheduled - is there an email address to follow up on the upload of MRI scans etc? Have done all the questionnaires. @@DrBrianSuTheSpineGuy
@kayt9576
@kayt9576 10 месяцев назад
Relieving the PRESSURE!!
@skippy9659
@skippy9659 4 месяца назад
I had severe retrololisthesis, which I don’t hear much about, is that rare?
@DrBrianSuTheSpineGuy
@DrBrianSuTheSpineGuy 4 месяца назад
It's not rare it's because it usually doesn't cause a problem
@skippy9659
@skippy9659 4 месяца назад
@@DrBrianSuTheSpineGuyoh ok, I just had a lumbar fusion bcuz of ddd and w retro.. didn’t know.
@elviradaradar5392
@elviradaradar5392 10 месяцев назад
What underlying conditions should be considered?
@DrBrianSuTheSpineGuy
@DrBrianSuTheSpineGuy 10 месяцев назад
Peripheral nerve compression
@lynnferguson7349
@lynnferguson7349 10 месяцев назад
Dealing with this for 2 long years. Gabapentin and pregabalin did not work and pain meds/anti inflammatory meds only resulted in some improvement. Tested negative for small nerve neuropathy so will try PT & weight loss to see if that helps and then on to steroid injections. I’m interested to see your video regarding the surgical intervention. Knowledge about all treatment options is so helpful.
@DrBrianSuTheSpineGuy
@DrBrianSuTheSpineGuy 10 месяцев назад
I'll post the surgical videos in a few weeks.
@npsyntax
@npsyntax 10 месяцев назад
Which test did you undergo to rule out small nerve fiber neuropathy?
@lynnferguson7349
@lynnferguson7349 10 месяцев назад
@@npsyntaxmy Ortho referred me to a neuro to treat neuropathy and try meds before considering anything more invasive (epidural). Neuro did a punch biopsy on the foot, ankle, leg, and hip and sent it to a lab on the east coast to see if the tissue showed any sign of small nerve fiber neuropathy. It took months to get the results but they were negative. Next step is PT. It’s been a slow road…teaching me to be patient in a world that wants an instant fix.
@williamhernandez2270
@williamhernandez2270 10 месяцев назад
My dr wants to do a laminoplasty just removing c3 c4 only with no hing just stitch up is this ok
@DrBrianSuTheSpineGuy
@DrBrianSuTheSpineGuy 10 месяцев назад
Please watch the laminoplasty video
@carlooctavio23
@carlooctavio23 Месяц назад
I have foraminal stenosis due to disc protrusion... I can walk, i can plank but sitting for long is very hard...the burning sensation in my glutes when sitting is crazy... Can dosc protrusion subside or should i go surgery.. been 8 months now..im only 36
@DrBrianSuTheSpineGuy
@DrBrianSuTheSpineGuy Месяц назад
Yes it can sometimes get better depending on how calcified the disc is
Далее
Китайка нашла Метиорит😂😆
00:21
Do I Have Sciatica?
9:18
Просмотров 6 тыс.
Dr. Alfred Bonati Discusses Neural Foraminal Stenosis
11:43
Step by step how to perform a lumbar laminectomy
19:29
Просмотров 469 тыс.
Cauda Equina Syndrome:  A Surgical Emergency
8:59
Просмотров 9 тыс.
Part 3 - Surgical Treatments for Lumbar Spinal Stenosis
12:28
Cervical Spine Stenosis - A Complete Guide
22:56
Просмотров 60 тыс.
Китайка нашла Метиорит😂😆
00:21