Dr. Gillard Lectures on Lumbar Disc Herniation / Protrusion. Part II of II.
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- čas přidán 20. 07. 2024
- In this video, Dr. Douglas Gillard, a world-renowned expert on lumbar disc pathology and the causes of chronic back pain, puts forth the basic level lecture on lumbar disc herniation. Although he will cover a little bit of the normal lumbar spine anatomy and how to read an MRI, The doctor suggests that you view his other *CZcams videos on this subject before tackling this video:
• Dr. Gillard's presenta...
Normal Lumbar Spine and Disc Anatomy:
*How to Read Your MRI: • Dr. Gillard lectures o...
To learn more detailed information about any of these subjects, go to Dr. Gillard's educational website www.ChiroGeek.com
Excellent. Excellent. Excellent. For me, disc lumbar issues have been a life issue for over 20 years. Yet, to assist in addressing the anxiety and fear that pain and uncertainty brings - education is vital. I have thrown myself into understanding and obtaining relevant and qualified knowledge of an extremely complex area. Your approach through simple and sensible outlines and illustrations really assists in recovery. For me, and others. Thanks.
VERY CLEARLY STATED. YOUR VOICE IS EASY TO LISTEN TO, YOUR MANNER APPROACHABLE. EXCELLENT VIDEOS, SIR. I WISH YOU HAD BEEN THERE, WHEN I NEEDED HELP.
Thank you so much for taking the time to break this down for the average person, it has made so much of a difference in my understanding as an average person, a college educated person that didn't have this information as a focal point, i have been having issues that seem to have a true explanation at this point, as well as being able to understand my own MRI. thanks again!
Truly one of the best video I have seen so far.
I just finished watching another one of your excellent video's. I always give your video's a thumbs up! I can hardly wait to hear what you have to say about my MRI.? I plan on sending it ASAP; I only wish I had done so sooner. Thank-you so much for taking the time to explain, your expertise and amazing research. Sincerely Bruce
Thanks for taking the time to post these videos. You have a great, calm, and easy to understand teaching method.
Brilliant lercture. Interesting and informative. Pleasure listening to an expert. Thank you.
I love watching and listening ...Am happy to listen and learn.
I’m so happy you have taken the time to post these videos..... I’m a post; M-D, radio frequency, multiple injections, so far every procedure possible patient. I’ve had great results from the first surgery in 1991. I’ve had maintenance procedures everything suggested, each time a procedure was done I’ve had less positive results. I’m at the point where I’ve had a Neurological stimulator installed internally, 2013, to help combat the constant pain, but that’s a temporary issue like anything… Still having to take medication… Doesn’t seem like there’s an end to this in sight. Because of the latest implant procedure I’m no longer able to get MRI exams, but the hard part is I’m stuck in this condition. I’ve enjoyed your videos.. it has added to my studies, you have aided in my understanding a great deal. Most importantly it has been a great relief to hear someone take the time to discuss in detail what I’m reading & feeling. Therefore reducing my frustration, what a gift!!! Frustration leads to stress, to pain on top of pain.... you have heard the drill before. You sir, have both a brain & a heart.... and they are connected.... Many times I’ve visited with doctors who have neither!!!! Not only doctors have this condition every profession has these types of people. Unfortunately they give the term professional a bad name. Once again you are a patient doctor... that is the best kind of doctor & a great person. Thanks for you effort, time, & perseverance, that is a recipe for grace. Thanks again.
Jerry Frugoli having pain and taking medication constantly is so stressful, I hope that there is a better treatment out there to treat and manage your discomfort
Thanks so much for posting this. I'm lying here in pain trying to understand what might be going on inside my back. Your video won't fix it, but as a lay person, I am certainly better informed now.
Thank you sir
Very informative and at the end of the video I just also discovered how many types of surgeries are there.
thanks doc good stuff for a refresher course for me...... ive found cox technic to be the gold standard for treating these disc patients especially stenosis.
Very good lecture thanks 👍👍
Excellent ,outstanding and magnificent Thank you.
Great effrts by you sir, excellent way of presenting the things .....
Thanks so much for this fruitful generous lecture , excellent presentation , explanation 👍👍👍👍👏👏👏👏
thank you so much for your videos
This is pure gold!!!
Wonderful presentation doc....
Great material . Thank you !
THANK YOU FOR ALL THE VIDEOS AND INFORMATION ITS BEEN VERY HELPFUL FOR MY UNDERSTANDING THANK YOU AGAIN FROM INDIA.
Very clear and understandable explanation
Great, I am spine fellowship from Iran ,thank u so much
Excellent video!!
Fantastic info👍👍
Your videos are SO helpful, SO easy to follow and learn. Kind of crazy how hard it is to find good diagnosis and help. You never know that until you get hurt and see for yourself the medical field ( especially with crap insurance). We have to learn all about our own conditions, understand our MRIs and talk with Drs etc. We have to be ready to ask q and even challenge Drs if need be.
Y u want to challenge dr.. Doctors are qualified and took training.. U can become pilot by watching you tube videos... It's experience and analysis of doctors which they put up for benefit of patient .... By just watching you tube videos u can't challenge anyone who r expert in their field . . Ur knowledge is increased
Big thnx sir, regularly seeing yr web page n learning from it, I am a forward Prof of ortho from I G M C Shimla , H P ,( INDIA)
many many thanks to dr gillard, im a rheumatologist from Kurdistan and really enjoy your lectures on youtube
Love this channel
Excellent video presentations and website. Indeed, the best such work that I have seen on CZcams to date, and I have seen hundreds of such presentations on this topic. I plan to use your service. Already sent you an email.
Excellent stuff!
excellent
Thank you for these videos. In the video you stated. "Would i say you are fine no ruptured disk? NO I would not say that."
What do you do when 8 Drs say you are good no damage? Or the only thing they will say is " I don't see anything to cut on?" But You actually had the first Dr. show you what the problems are and told you how to fix it. You can point out ruptured disks to them and they end the appointment. What do you do then?
You have to be very careful with diagnosing a "symptomatic" disc herniation. It is well known that 30% of people over the age of 40 years have disc herniations on MRI yet have no pain at all. So even if you do have something, that something has to make clinical sense. It seems like a lot of doctors think that your problem imaging is not the cause of your pain. The only thing you can do is go to a large teaching hospital and get an opinion from them. Examples would be hospital for special surgeries in New York or University California San Francisco in California. They both have excellent and trustworthy spine programs. Good luck!
Great information sir..🙏
Thank you very much sir
splendid
Can you please help me please help? for 23yrs I've been battling with the NHS after a very traumatic spinal injury, and now my limbs headache and back are in excruciating pain. I would love to finally know what is actually happening to me please, because I have never had minute relief from this crippling pain.
Thanks
Explain the anterior impression on the thecal sac
If there is a left side moderate herniation L5-s1 is it possible for the disc to begin to herniate on the right hand side
Can a protrusion be corrected/healed?
My question is I'm schedule to have this surgery its been over a year now what happenes after that time frame if surgery isn't done
You are my hero, I'm just sayin'
Doctor... I have been with lumbar pain during 4 months.... it was after deadlifting. Then I had some numbness in my left feet with some minimal pain. Then the pain and numbness went away and now I'm only with a minimal but chronic pain in the lumbar left side. I went into an MRI and It says that I have a "minimal L5-S1 posteromedial disc bulge"... everything else is normal. My Dr. told me the disc bulge is not pinching any nerve, however I have a minimal chronic pain. He will sent me to a "pain psychologist" who is speciallized in spine issues because he thinks my pain is being triggered in the most part by my mind. What do you think?
What ended up happening?
I just found this channel, and thought I was learning a lot until he said the MRI at 13:55 was T2 weighted. Then I saw the correction. Had me scared there for a minute, thinking I was a complete idiot.
The same with me 🤣then I saw the correction, and said yeah, that's a T1. I'm a Mri Technologist. Regards.
Absolutely EXCELLENT DR, wow, I really want to order a consultation with you on Skype
Thank u dr for your good lecture i wanna to ask you about the term disc bulge and disc protrusion are it the same?
No! a bulge is a general outpouching of the entire back of the disc (commonly seen in people with back pain). A protrusion is a small disc herniation--not so commonly seen (depending on the size of it) in people with back and leg pain.
I have 3 disc I have pain in my leg can you help pls
Thank you!
Please give photo vertebrate
i hv been suffuring by sciatica pain.doctrs are unable to diagnosis what and where is the problem exactly.i hv done MRI THREE times in last 10 years and docters did a surgery which was not recovered my pain.yet i hvn't got the solution..though my pain does nt leave me atleast a single day.i wish i would meet u and show my reports to u sir.but here im in India..i cant meet u i think so.
shekar raja God bless, I cannot imagine what you are going through
MRI- LUMBO-SACRAL SPINE
TECHNIQUE:
T1W, T2W Sagittal MR Myelogram T2W axial
STIR Coronal - SI joints
OBSERVATION:
Disc desiccation noted at L4-L5 level.
Anterior osteophytes noted in L3, L4 and L5 vertebrae.
L2-L3 disc bulge indenting thecal sac with mild neural canal compromise on both sides.
L3-L4 disc bulge indenting thecal sac with moderate neural canal compromise on both sides.
L4-L5 disc protrusion indenting thecal sac with severe neural canal compromise on both
sides and compression of bilateral traversing and exiting nerve roots.
L5-S1 diffuse disc bulge indenting thecal sac with severe neural canal compromise on both
sides abutting bilateral traversing nerve roots.
Spinal canal dimension reduced at L4-L5 level.
No evidence of spondylolisthesis or lysis.
The facet joints are normal.
The ligamentum flavum thickness is within normal limits.
The pedicles, laminae spinous process and transverse process of the lumbar vertebrae show
normal morphology.
Lumbar canal AP diameter at L1 to L5 levels:
Level L1-L2 L2-L3 L3-L4 L4-L5 L5-S1
AP cms 1.43 1.25 1.10 0.85 1.03
The spinal cord, conus medullaris and the sub arachnoid space are normal.
The paraspinal soft tissues appear normal.
MRI- LUMBO-SACRAL SPINE
SACROILIAC JOINTS:
The sacroiliac joints appear normal. No articular surface erosions or edema noted.
IMPRESSION:
Lumbar spondylosis.
L2-L3 disc bulge indenting thecal sac with mild neural canal compromise on both
sides.
L3-L4 disc bulge indenting thecal sac with moderate neural canal compromise on both
sides.
L4-L5 disc protrusion indenting thecal sac with severe neural canal compromise on
both sides and compression of bilateral traversing and exiting nerve roots.
L5-S1 diffuse disc bulge indenting thecal sac with severe neural canal compromise on
both sides abutting bilateral traversing nerve roots.
Spinal canal dimension reduced at L4-L5 level.
I am doing physiotherapy and I have less back pain
I am trying for a army Can I run 100% faster after sugery
If I had surgery I would be able to function like a 100 percent old life
How are you now?? Did you had surgery?? Hope you're doing better ❤️🩹
@@Preeti-lw9jc not surgery only pisyotherpy
@@Allentertainments05- so are you painfree now?? Did you had pain in both legs?? How much time did it take you to recover??
Hi dr how I’m going to send you my mri ?
hi sir..I m from India...
very great lecture..
can you please upload MRI knee and shoulder and hip also...??
I was told that I have a disc extrusion and I need surgery. Pain all way down to my 2 last digits on the left leg. Do you think I need surgery. Thanks
How are you now?? Did you had surgery?? hope you are doing well ❤️🩹
You said at around 7:35 that the smaller disc protrusions do not reabsorb at all,yet you say the bigger leaked herniated disc has a 50% chance of reabsorbing. How is this possible? Doesn't a smaller protrusion have a better chance of reabsorbing?
Smaller herniations are still "contained" by the posterior longitudinal ligament, so they are not in contact with the epidural venous plexus. Therefore, these smaller ones are not "seen" by the immune system and not absorbed well.
Douglas Gillard, BS, DC, Spine Researcher Oh i see,but can they heal?
@@douglasgillarddcprofessoro5285 so how is best to cure them if surgery is not good and self absorbtion is with a small chance, also most of these types cause local back pain only right?
I've had a bulged disc for 8 years. My life has somewhat been miserable. 😕
First l4-l5 surgery 9 yrs ago for a 9mm protrusion, going tomorrow for my second L4-L5 surgery (re-herniated 7 years ago)and now L5-S1 blew out as well. I feel your pain man... put up with this for so long. You just get to a point where you'll do anything to stop the pain. It's crazy how much this affects your daily life. I haven't done anything in almost a decade besides go to work. Time to just bite the bullet and see if surgery can resolve the problem. Good luck!
@@MrMike-fn4hi how are you feeling now
@@dreambig8996 Glad to say this time the surgery went MUCH better. After being in this situation before I was much more educated with what to expect and how to care for myself. I actually changed therapists when she demanded I perform exercises that I knew were making things worse. Found another therapist, started my own exercise route and I am virtually pain free. I am certainly aware that something is not 100% of I bend the wrong way or try to pick up something heavy and I have permanent nerve damage in 1 leg/foot but I am mobile and back to work! Very grateful to have some semblance of life again after all these years!
@@MrMike-fn4hi glad to hear that your much better,was it your l5/s1?
How are you now?? Hope you're doing well ❤️🩹
Can someone diagnose my MRI
I have 7 tumors on my spinal cord they are neurofibromatosis, spinal stenosis , and a broken tail bone. Brain fluid leak.
Can this hospital help me. I have 5 incurable diseases. Renal cystic tumors, non fatty liver disease, Horner Disease.
Empty Sellca disease, Nasopharyngeal tumors, Brain Degenerative Disease, Trigeminal neuralgia, Occipital Neurolgia disease. Shadow on my left lung they not sure what it is. A EKG that shows a right bundle branch. Been through every test for that be a good patient for training students. It is true i have all of this wrong just ask my Dr. Ben Studinicka.
1
+1 for Larry Bird mention
It all started when he was building a gravel driveway for his mom in the off-season.
@@vzeller it’s always something dumb. I bent over to pick up a stick 🤷🏻♂️
@@mikeking7620 I was moving a mattress by myself.
Hey, Team. I just had an updated Full Spinal MRI completed last week,. It's been a couple years since the last scan of the Cervical Spine which revealed Bilateral Neural Foraminal Stenosis; previous years ago I been diagnosed with Scheuermann's Disease, which is a curved spine wedged vertebrae; Osteophytes; Disc Bulging; Disc Degeneration. Basically, life is endless hell with 24/7 severe back and neck pain; headaches; shoulder pain; leg pain; numb fingers and toes and twitching in feet. The doctors and surgeons here are complete morons. Do you know a place where I can send a copy of my MRI Images, and get a proper diagnosis and a recommended treatment. I am beyond fed up with the lack of treatment here and the major breaches of the Canadian Health Act that is constantly violated. Any advice would be great. Thank you.
Excellent explanation about disc doctor.... actually I am suffering from lambar( l4,l5)disc extrusion for past 1 & 1/2 years ...& I am 25 only ... ....can i get your mail address to send my MRI ... please doctor please
Oh no! Really sorry to hear that you have a symptomatic disc herniation. To help you I would have to learn something of your current orthopedic and neurological status and then look at your images with my own eyes. I could only do this through a consultation service that I offer via Zoom. You can read all about it at either of these links:
^ Learn all about Dr. Gillard's coaching service via his coaching service web page:
www.chirogeek.com/Coaching%20Service/coachingService-2.html
^ Learn all about Dr. Gillard's coaching service via this CZcams video: czcams.com/video/A0GJ_r-uvpQ/video.html
Dr. G
@@douglasgillarddcprofessoro5285 to clarify a disc protrusion means the disc jelly have leaked out onto nerves?
How are you now?? Hope you're doing well ❤️🩹