Cervical Stenosis, Spinal Cord Compression and Myelopathy. DO I REALLY NEED SURGERY?
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- čas přidán 28. 07. 2024
- This video looks into the signs, symptoms and some non surgical treatments for cervical spinal cord compression. The symptoms of cervical spinal cord compression are called Myelopathy and in this video you will learn how to self diagnose the severity of your cord compression to better understand what form of treatment may be suitable for you.
Timestamps:
0:00 Start
3:07 #1 Symptoms of Myelopathy
4:45 #2 Physical exam tests
5:12 #3 Measuring Myelopathy
6:22 #4 Example patient mJOA Scoring
7:00 #5 mJOA Scale
8:03 #6 Risks of living with compression vs risks of surgery
9:31 #7 Consensus statement for when to perform surgery for cord compression
10:08 #8 Ashley Caldwell
11:05 #9 Activities to avoid when you have cord compression
15:22 #10 - Treatments for mild myelopathy
16:00 #11 - Treatments of moderate to severe myelopathy
16:40 #12 - Surgical Outcomes
#thespineguy #spinalcordcompression #cervicalstenosis #myelopathy #hoffmanssign #hyperreflexia #mJOA #radiculopathy
Dr. Brian W. Su, MD
Spine Surgeon
Chief Development and Strategy Officer | California Orthopedics and Spine
Medical Director of Spine Surgery | Marin General Hospital
Director | Marin Healthcare District Board
Chairman | Marin Specialty Surgery Center
Yelp:
www.yelp.com/biz/brian-su-md-...
Contact two locations:
www.caorthospine.com/
415-927-5300
2 Bon Air Road, Suite 120
Larkspur, CA 94939
7100 Redwood Blvd, Suite 200
Novato, CA 94945
Curriculum Vitae:
www.caorthospine.com/brian-su...
FTC: This video is not sponsored.
Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Information obtained from this video should not be taken in lieu of your own medical provider's advice and treatment plan. Please consult directly with a physician or other healthcare professional regarding any diagnosis or treatment plan options. Content provided on this CZcams channel is for informational purposes only and should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose , treat, cure or prevent disease.
I love your "first and most do no harm" approach. We need more docs thinking like you. Thanks for your work. Dr. Mo
I was diagnosed with myofascial fibromyalgia 20 years ago. As it turns out, it most likely was a cervical cord compression the whole time! In 2013 it advanced to the point where I lost all feeling from my shoulders to my feet. It took the VA several months to do an MRI & EMG in which they said I needed emergency ACDF. My spinal cord was actually smashed so flat that the surgeons didn't know how I was even able to walk, they'd never seen a cord that flat without paralysis!
If one doctor had went over the myelopathy score 20 yrs ago, they would have realized it wasn't fibromyalgia. Just a tip for others w/ fibro- make sure they check your neck.
Hello Julia
Thank u for sharing I was initially diagnosed with fibromyalgia . For 7 years drs did nothing now experiencing debilitating symptoms .finally will have MRI Friday
How are you doing now?,
@Vegang Represent Thanks for asking. Most of the muscle fatigue is gone, still have neuropathy that varies with activity(usually directly related to neck movements), and I'm slowly gaining a little more sensations back.
Let me know how things turn out for you.
Surgery?
Dr. Su, you have to be the most informative doctor I have watched on some hundred videos. You have helped me to find the words to use when I speak to my Orthopaedic doctor/ Surgeon. Thank you for these videos that are so detailed.
I am 81 and have had three lumbar injections, that have helped me immensely. I’m still going with the program. But now I feel so much more and better informed.Thank you again. Chet Marcotti, NH
Dr. Su - from the perspective of a retired cardiologist, GREAT presentation - very helpful in understanding why I need an ACDF. Your whole series on cervical myelopathy and radiculopathy has been excellent. Please keep up with the highly informative videos.
Giving thanks to Doctor Ani John is something I will always take personal because he brought me back to my full health he is a good man and trustworthy so kind to every patient,
contact Dr.Ani John on CZcams channel now for help for Any kind of health issues.
I had a successful C5-6 fusion but had trauma during the healing process that caused me to have another neck surgery from C-4-C7. The Dr put hardware in me that was too big..I could actually feel a screw poking me but instead of fixing it then, he sent me to pain management which got me onto all sorts of drugs. 4yrs later, He then had to place a rod in the back of my neck in order to support another surgery to remove the too big hardware in the front. So 20yrs after my 1st initial fusion, my neck is in worse off shape then in the beginning. Instead of 2 surgeries, I had to have 4! I can't stretch my neck muscles & have muscle spasms throughout my shoulders, blades & even pain in the front of chest, cervical radicalopathy down left arm. Had to have 2 left shoulder operations & elbow as well due to the pain. In 2015, I quit my 20yr avaiation job & went thru the worse withdrawals from pain management meds but you know what? The radiating pain stopped the 1st week 😊 be careful taking meds!! I now manage my pain with heat, ice, tens unit & cbd & marijuana..replaced 4 medications with just that 😊
Dr Su performed surgery on my cervical spine 5 years ago and I am so much better. Dr Su and his staff are very professional.
Thank you,
Steve Hunter
Thank you so much for putting the facts into plain English. So simple to understand, but when you only get 15 minutes in a doctors office it can be very confusing. You answered so many questions in 18 minutes. It is so hard to make a good decision, and be an advocate for yourself when you don't really understand what is happening to your spine. It is scary to begin with, not understanding adds a whole other level of uncertainty. Appreciate your information and for taking the time to reach people that need clarity.
Iam in the same situation.pain for 20 years and they no find nothing 7 diferent second opinion and nothing.i cant seat for long period of time and stand either i cant work
I dont have quality of life
You are absolutely amazing how you educate individuals. I had an MRI last week and I got the results without anyone explaining anything to me. I have so many things listed on my MRI that you have explained to me. Before watching your videos I figured that at any moment I was going to be paralyzed. Your videos have calmed my nerves and are keeping me sane as I wait to see a neurosurgeon. Thank you so much for what you are doing to educate people. You would definitely be my neurosurgeon if I lived in California. ❤️ 🙏
You can always make a zoom appointment by calling California orthopedics and spine
@@DrBrianSuTheSpineGuyHow do I get a second opinion?
Thank you ! People need a step by step understanding.
Thank you doctor. A fantastic material for lay people with questions on the subject. Clear and reassuring. 🙏🏼
Truly appreciate this video. Hope we can have more doctors thinking the way you do. More power
Every video you produce is so informative and easy to understand. I'm always so excited to watch your videos. Thank you for all you do. So awesome.
This video was so well structured and clear. It just put all pieces of the puzzle together. Thank you for explaining it.
The best presentation and explanation that I have heard from many videos. Articulate, and Intelligent person presenting in a way that the lay can understand. Great job!
Great, simplest, rational, calming explanation. I am very gratefull.
best explanation I've heard in 15 years, thank you Doctor Su.
Extremely helpful doc, thank you!!
thank you for sharing this video DOC !!!! appreciate the time and the gold data
the best "consultation" i ever had...thanks doc
Thank you, you've made that information very understandable.
Thank you for the video. Very informative and easy to understand. Excellent!!!!
Very interesting watch. Love that you pointed out that the MRI is not what is being treated, the symptoms are. I had ACDR about a year ago and while my MRI did not appear nearly as severe as the one you showed with no symptoms, my symptoms were growing increasingly worse, to the point of dropping things and having to no reaction to grab them. The radiculopathy, hyperreflexia, positive Hoffman’s sign all improved immediately after surgery. Truly amazed and appreciative for doctors like yourself.
A family fiend was the healthiest person I’ve know. Always active, disciplined diet and maintained a healthy weight. He was an avid golfer and developed some nagging back pain. He had back surgery and almost immediately began having issues with gait and digestion. He began losing weight and saw several specialists. None could figure out what was causing this. He began to decline to when it was very apparent he had nerve damage and was diagnosed with ALS. Over two years he lost most functionality and he died yesterday. He was a good man. I can’t help but think his ALS was triggered or accelerated by the spinal surgery. It was like a light switch. Prior to surgery he was perfectly fine. After surgery he declined.
He also could have had Lyme. It’s closely related to ALS.
That's heartbreaking. My best friend had ACDF surgery a week ago and she is in a great deal of pain. I'm worried for her. They say this surgery is common but I'm sure there are complications too.
@@susanl10 Best wishes for her full recovery
Condolences man i hope your doing well🙏😔❤️
@@PH-x thank you for your kind words
Your explanation is the best I have ever heard. Been suffering with this topic for years.
Thank you, thank you so much 🙏
Thanks Dr. Su. Your video is very easy to follow yet very comprehensive. It has really helped my wife with her decision whether to have her ACDF surgery. You are definitely an asset to the medical profession!
Thank you for this super informative video! Life changing / saving!
Excellent info. Thank you!! 🙂🙂🙏🙏
This is new to me waiting for my neurosurgeon appointment, this video is so wonderful .Thank you I now understand when surgery is necessary !!!
I can't tell you enough how grateful I am for these videos. I found out I have congenital spinal stenosis and these videos have helped to clarify so much, give me the information I need to advocate for myself, and more importantly give me hope that I can live a normal, active life. Thank you!
Dr Su I wanted to say thank you for replying to all my questions over the last few week. I know I've been asking you questions left and right. I really do appreciate you and your kindness and time. Happy Holidays to you 🥰
Thank You sir ! Very excellent explanation !
Excellent video. Reasoned, sensible, and not alarmist. Every moment of it was informative.
You are very good at what you do. Youd make a great professor at a university teaching upcoming doctors. You have the ability to explain difficult concepts with ease.
Big thank you to Dr. Su for his advice! I was very anxious about the diagnosis from the specialist I saw at Kaiser so am greatly relieved after talking to Dr. Su. He's the best!
God bless you. Truly. It's a beautiful thing that you're doing by breaking this down and giving so freely of your expertise. I'm blessed enough to have a surgeon who took time to explain surgery versus non surgery, and who answered every question I had. However, some are not so fortunate - and in my case it's comforting to hear it explained so well again before I have surgery. Thank you, Dr. Su!
You're the BEST dr.su! I could listen to you all day.learning from someone like you is precious.thank you dr. Su.😊
I concur 🙂👍
I watched many videos about this subject ... but nothing like this, clear, organized and helpful Thaaaanks
i'm a super healthy male, workout/bike racer, etc. I was pretty devastated to get a REALLY bad MRI - severe stenosis, spinal cord compression. They can't believe I'm mobile and walking, to be honest, based on the image (i mainly have some nerve pinch discomfort, but otherwise the myelopathy hasn't truly kicked in). I feel terrible having to severely cut back on my passion (cycling), but i do take comfort a bit, in this video, and your stats, Dr, about the danger of possible paralysis due to "minor trauma". I still don't really know my path forward here, but the spine surgeon i wento also did essentially take the "let your symptoms guide me" in terms of surgery approach. So similar to your thinking. He basically said "wait," but that he does believe surgery is all but a given, eventually. It's all such a huge bummer. I've kept myself in great shape all these years, but like with anything in life, there are no guarantees. We'll see what happens.
Dr. Su thank you. I am a chiropractor who has very mild MJOa score. My left arm is weak. Progressed about a year and a half after a auto accident. I'm strengthening it and using PEMF therapy to help which is extraordinarily beneficial I fine however, I was told I need a laminoplasty to prevent it from getting worse. I also have some balance issues lately, but nothing involving dexterity yet thank goodness as I said, I am a chiropractor. So I will be going forward with the laminoplasty your videos. Terrific. Keep up the good work and thanks.
Thank you for the great explanation! God bless you!
thank you so much Dr. Su. you’re amazing Doctor explain easy to understand.
Awesome video, excellent presentation; you just helped me out if I need a surgery and when will I need it. Thank you very much Dr Brian Su.
Dr. Su and his team changed my life. The cervical fusion he performed on me immediately gave me my life back.
Thank you Doc for sharing your knowledge!
Your videos are great. I've learned more from you than from my doctor. Thank-you so much!
Thank you for explaining this to me .
Thank you for a very clear explanation of cervical myelopathy. I was just referred to a spine surgeon. Lots of myelopathy symptoms.
Thank you, sir. Very informative, helpful and inspiring. God Bless.
Excellent content ! Thank you Dr Su
Amazing doctor. Thank you. God bless you
Excellent info, thank you
Excellent educational video!
Thank you so much! Now I understand what my doctors did not say to me. Thank you again. Love and Blessings from the Philippines🇵🇭♥️
This is good stuff. I just barely have numbness and shooting pain now and then and have lost a lot 17 pounds doing my exercises and my doctor told me today she still recommends surgery from an MRI taken 2 months ago.
Excellent channel with a lot of information,to the spine .
Fantastic video !!!
This was really helpful.Thank you Dr. Brian Su.
Thank you for your great explanation.
Your videos are so helpful and easy to follow for a layman. Thank you!
I’ve been dealing with a neck and lumbar spine injury for years. Got a copy of the MRI report (basically my neck is a mess) and you’ve been able to explain to me clearly the decision process with surgery and why I have the symptoms that I do. I’m seeing a Rheumatologist at the end of October for a way forward with this. Thank you for your presentation.
How old are you?
So very appreciative of this video. Our family is going thru really rough time. Booked an appointment with you but it’s not until December. I really need your help asap to make the decision.
Excellent explanation.
Thank you for explaining, I have compression of spine degenerative disease and have recently been diagnosed with OPLL. I’m very scared of operation but listening to you explain I am starting to understand better. Starting to realise I might not be able to avoid the operating table but feeling more confident in the decision making of this thanks to you
Hello Cheryl
Always love your videos! New MRI 16 months from last one definite deterioration.. nurosurgeon had case conference to discuss my case and I'm waiting for response C4/5 and C6/7 makes sense why I'm uncomfortable lie either side for long period.. your explanation are always so clear thank you!
Hello Christine
Thank you for this video. You have explained to me my situation in a much better way than my my doctors have in three years.
Giving thanks to Doctor Ani John is something I will always take personal because he brought me back to my full health he is a good man and trustworthy so kind to every patient,
contact Dr.Ani John on CZcams channel now for help for Any kind of health issues.
Fantastic video. Thank you
Outstanding video!
Great video! Thanks!❤
Very informative thank you
Thank you.
You explain things so well.
Misdiagnosed for like a decade?
The past 2-3 years.Yikes.
Full blown symptomatic.
Now here we are...🥳
Myasthenia gravis, as well??
Are the two tied together?
Cuz me numbers came back high on that too, a month back.
Was just sent for cervical mri this week.
I think i fall into late stages.
I have soooo much going on back there.
Spine surgeons words.
Makes me wonder if all these surgeries will be worth it.
I/ll need many, they tell me.
Yikes, man....
I wanna treat this holistically, so badly.
Wish i could see you.
Seems youre a great doctor.
Very useful for me . I have cervical stenosis. I learned a lot . Thank you Dr. Your lecture was on time to listen.
I got an MRI and they found mild disc bulge and shallow superimposed central disc herniation in both L3-L4 and L4-L5. I am 43 years old and about to get my 3rd epidural and my pain is still the same. My pain management doctor and my PCP have not really explained what is going on with me as good as you do. Your videos have given me so much hope and information that I have not gotten yet from anywhere else. I am beyond stressed and anxious since I am a mother of little children and a teacher and dealing with this leg pain since February and I still dealing with chronic pain that will not go away. My whole life has been seriously impacted especially my mental health. I still wanted to thank you for your videos . Please do a video of what to do when you have severe spinal stenosis caused by disc herniation. (I had paramedics at my home once because of the severe symptoms and I thought I was having a heart attack!. ). Anything you can say to help me understand what I am going through will really help. BLESSINGS TO YOU! And thank you again.
Please watch the lumbar spinal stenosis playlist
Hi 👋
How are you doing now?
#Epidural = #Nightmare long term!
Thank you / You answer all of my questions without even asking...
I watched this video twice and it's very informative and useful to help decie if surgery should be considered. Talking to my surgeon today and hopefully I'll be better prepared.
Thank you for this!
Thank you so much for this very informative video. I’m currently waiting to see a neurosurgeon because I’ve been symptomatic and have cord compression on my MRI. I sort of went down a rabbit hole of worry not being able to ask anybody any questions while I wait. This answered so many questions for me. Thank you so so much.
Dr Su
You make so much sense to me and your explanations are very thorough. I appreciate your expertise and your sharing through your channel. I am in my early 70’s and have suffered with spine problems for many years. This year I had my first spine surgery an
ACDF , three level to address myelopathy and it seems to have been very successful.
This video explains what was going on with me very well. Thank you again for sharing
Totally agree! It's like a free exam almost! Good to hear that you are feeling better. I have a low back problems and neck problems (dental hygienist) and as a second opinion this is where I "go". 😄
I have just been diagnosed with multiple level degenerative changes with a disc bulge pressing on the cord with no neurological symptoms and just neck pain. The diagnosis was given and I was so scared. I’m seeing a spine specialist (in the U.K.) in two weeks but this video has really helped my anxiety as my score states no myelopathy.
I am so grateful for your clear concise and informative video.
Amazing thank you
How are you
Great video, thank you a lot.
I have spinal cord stenosis It started from neck pain and a little numbness in two fingers but over 1 year I have neck pain less often and I don't have numbness but often have tingling in my fingers. I do PT and started with yoga several months ago. I am 33 years old, I used to do freeride skiing and bjj.
Thanks so much for such a clear explanation!! I do have some myelopathy along with a positive Hoffman and mild positive Babinski. Still waiting on MRI, had to change spinal stimulator to MRI compatible unit. I’m anxious, but ready to move forward with whatever my Neurosurgeon decides.
Giving thanks to Doctor Ani John is something I will always take personal because he brought me back to my full health he is a good man and trustworthy so kind to every patient,
contact Dr.Ani John on CZcams channel now for help for Any kind of health issues.
Dr. Su, great video with plain English Information. I have extensive Cervical Instabilities with Disc Bulges, stenosis at various levels, Military Neck, and Facet Joint arthritis as well Spondylosis throughout my spine, with OA on a number of vertebrae. Moreover, I suffer with Dextroscoliosis of 25 degrees, resulting from a 1 inch shorter right leg sustained from a fractured right Femur in 1966, playing HS Football. I'm 71 now, male, retired. The spinal issues wreak havoc with my well being, affecting my nervous system (no Reflexes), Peripheral nerve damage, and yes, radiculopathy form my neck into both arms (the left worse). I get numbness in my legs / feet. And, I have been battling On & Off (more on lately) Bladder Incontinence with leakage. On a few occasions, I could not hold the urine at all getting out of my car going to work - a very Embarrassing day!! . I've Seen and heard of Prolotherapy for Cervical Instability issues. I am willing to try that but cannot find a Prolotherapist near me in Suburbia NY. I have come to find doing personal research (that's why I'm here now), that Cervical Instabilities contribute to many maladies not fully disclosed here... Tinnitus, TMJ, Sinus problems, Throat problems, Occipital Headaches and even pain into the temples, even IBS/GERD and can affect The Vagus Nerve(s) [ one on each side]. I have been to 6 different Spinal /Neuro Surgeons for opinions since 2018-19. All said: No Surgery on your Lumbar spine , Maybe you are acandidate for Cervical Surgery , if it becomes Intolerable.
I'm getting there!! In 2012, after my first cervical MRI was done, he reprt indicated that I had a More Narrow Than Normal Spinal Canal. I did not know this until about 6 onths ago reviewing same with my Pain Management doctor. What do think I should do?
It's hard to say without looking at the imaging. You can make a virtual appointment with me through zoom if you call California orthopedics and spine
very helpful sir!
I'm learning about my problems this video
Is very informative I'm learning alot from u I have severe back problems I've had it for quite awhile
Fantastic info, I am going through Mild at this point. Thanks for the through explaination.
Thanks for this information-i
I had all 4 symptoms
No neck pain.
C3 - C7 ACDF in May.
Doing well!
Great Doc
This man took a oath and has such honor to uphold it . DR TY. Still fighting the insurance company for my surgery. This helped me understand that I really need it .
Best video I’ve seen regrading cervical surgery. I am planning on ACDF surgery. This video explained everything so well. Im trying to talk myself out of surgery, but all of my symptoms say I need it. I’m just scared. Dr Su is an amazing instructor. Such great information for such a scary decision to make. Thank you Dr. Su.
Mata: Did you have the Surgery? Hopefully, you got good results.
Amazing thank you.
Tomorrow my brother will have surgery
He has mild myelopathy .. with only neurological symtops is numbness on left little finger.
Otherwise neurological examination is completely nrml.
He has spinal cord compression at c4 and 5 and c5amd c6.
I took opinion of best neurosurgeon in the town but nothing ws more satisfying than this video.
Congratulations Ashley on your Gold Metal!!! (If you see this) Thank goodness you didn't get sent down the surgery rabbit hole!! 🙌👊👍👍🥇🥇🥇🥇🥇🥇🥇🥇🥇🥇🥇🥇🥇🥇🥇🥇🥇🥇🥇🥇🥇
Thank you, for making this video. Dr. Brian Su, you are helping us understand what we are dealing with after a year of trying to find answer. ER 9/11 pain shoot to back head from the spine. CTscan with & without contrast. Later I saw my Neurology he order MRA MRI Head & spine Have Multi- Aneurysm He listens on 9/21/2022 after seeing the results Diagnosis:
Cervical Stenosis Of Spinal Canal
At C5-6, there is a broad-based disc osteophyte complex with more focal right paracentral components. Severe central spinal stenosis with anterior cord compression. Facet and uncovertebral hypertrophy. Moderate bilateral neural foraminal stenoses. At C6-7, there is a central disc osteophyte complex with mild superior and inferior migration. Moderate to severe central spinal stenosis with mild anterior cord compression. Facet and uncovertebral hypertrophy. Moderate bilateral neural foraminal stenoses. Other multilevel degenerative changes with congenitally short pedicles. There are varying degrees of central spinal and neural foraminal stenoses. Please see above for the remainder of the individual-level details.
My neck started to lock up morning sometime can't lift myself out of bed my husband has to help me. Dr has been saying is Rheumatoid arthritis. but it came back Neg for Rheum & positive for Oth. Arthritis in the spine. Then I fall and things go worst. Seeing a Spine Dr. Monday 9/26/2022 thank you, I'm less worried.
Thank you for making things simple. I had cervical cord compression due to opll and had pcdf surgery but it still didn't help with pain in my thoracic spine like the dr hoped it would.
Giving thanks to Doctor Ani John is something I will always take personal because he brought me back to my full health he is a good man and trustworthy so kind to every patient,
contact Dr.Ani John on CZcams channel now for help for Any kind of health issues.
Thanks for your video it’s been very helpful I was scheduled for neck surgery and after watching your videos I decided to get a second opinion and was told I don’t need surgery yet that’s been almost two years ago 😮😊. I now see my new Neurosurgeon once a year unless I feel something wrong.
Thanks for the detailed and easy to understand videos.
I have been experiencing muscle wasting of the hands arms and chest over the last five years. But my strength is still good and I have no pain.
I've had many many headaches that always start with pain in the neck usually when I wake up in the morning. But I have found that physical therapy and exercise have really helped with the headaches. But have had no effect on the muscle wasting.
I have been to several spinal surgeons and I've been told I do not need surgery and there is no clear explanation for the muscle wasting. I have had both ulnar nerves released and one carpal release.
You may want to see a neurologist
Dr. Su, thank you so much for this very informative video. I am a 62 yo practicing (1/2 time) anesthesiologist who has been monitoring my cervical spine issues since 2009 when I had my first MRI for neck and arm pain. A C7-T1 disc herniation at that time was managed successfully with oral steroids and PT. A second herniation occurred in 2016 at C4-5. The MRI had worsened with multilevel congenital central canal stenosis and neuroforaminal narrowing in addition to the disc herniation compressing the nerve root and cord. A cervical ESI helped immensely with my symptoms but my neurosurgical colleagues stated it was only a matter of time before I would need surgical intervention. Since then I have been relatively symptom free with rare arm and foot tingling and neck pain. I have stayed quite active biking up to 75 miles/wk, strength training and playing competitive Pickleball and tennis. Over the past couple weeks, the symptoms are more frequent; some neck, shoulder pain and tingling but no weakness; my mJOA score is 18. I am concerned another herniation may be developing and it may be time to begin my search for a top rated neurospine surgeon in the event surgery becomes my best option. After viewing your video and excellent explanation on literature based indications for surgical intervention, I am a bit more reassured that there is no urgency in this matter until my symptoms begin to worsen. If you can recommend the top spine centers in the Midwest (I know Mayo has an excellent reputation) I would appreciate it. Thank you for time in producing this video for the general public; your contributions are greatly appreciated.
There are many great surgeons in the midwest. Instead of searching for an institution I would encourage you to search for specific surgeons whether it be private practice or academics. I'm always happy to do a virtual consult for you at California orthopedics and spine
I learned and was helped.
Hello! This is the most comprehensive and thorough video I have seen on this topic. I was diagnosed about 2 years ago... I am 59 years old, I also have ddd, arthritis and bone spurs. I have gotten 3 different opinions, 2, from orthopedic spine surgeons, 1, from a neurologist. I am very active and walk 5 miles daily, I do not smoke or drink, my BMI is 18-19 and my nutrition is excellent. My pain level is mild - uncomfortable, and intermittent, more of a stiffness. The 1st and 2cd surgeons graded it as moderate to severe - not based on the Japanese score, but on the MRI. I don't have muscular impairments except weak grip strength- worsening of discomfort when lifting arms for a few minutes. The 1st surgeon, said that I have myelopathy, based on the grip strength for my age, etc. The 2cd surgeon said I did not have myelopathy, the neurologist said to "watch and wait" - I am doing okay. I don't want surgery for personal reasons... My familiy, financial, and social circumstances are such that surgery and recovery would be very difficult and life altering for me. I had a car accident in my 30s and never even had issues until my mid- late 50s... When I was diagnosed by MRI because of the infrequent stiffness. I wonder what your opinion of all this is Dr? I do PT - decompression exercises. 1 surgeon wanted to do an ACDF immediately, the other recommended a laminectomy, the neurologist said I can go without surgery!
I would follow the video and get your own mjoa score and based on that partner with the surgeon that you trust to make a decision. You can always make a virtual appointment with me at California orthopedics and spine
I agree. Try to avoid surgery.
I really wish you we’re located in Dirty Jersey! I had a back fusion L-4 to S-1 and have had nothing but pain. Your videos are great!