Minimally invasive surgery options for lumbar spinal stenosis in 2023. MIS4LSS.
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- čas přidán 12. 04. 2023
- The aim of this video is to explore some of the options for lumbar spinal stenosis. What it is, why it happens, and what surgical and non-surgical approaches exists, so patients are better informed to make decisions with their doctors. Please note an error in the recording. I state erroneously that it is 2013. It is not. This is recorded in 2023.
- Věda a technologie
I am a 28 year chronic back pain sufferer, and I just turned 55. I’ve had 4 lumbar back surgeries including 2 fusions. I’ve never had a good outcome from surgery. I’ve been told this is all from a congenital condition. I recently had another MRI which showed more stenosis and a few more herniated discs. Went to a Neurosurgeon here in Orlando to talk about an Intrathecal Pump. The surgeon said I need too have further surgery which includes fusing S1 all the way to T10. And then probably have the Intrathecal Pump put in. Back pain is absolutely horrible and very debilitating. Anyone that suggests pain patients are making it up are very ignorant people. Prayers to everyone that suffers from chronic pain.
I too suffer from this debilitating pain , prayers to you as well....God Bless
I'm so sorry for the pain you're feeling and having, I'm a 19 yr suffering chronic back pain, L3'L4 & L5, I can relate and agree.. those who have never experienced this type of pain has No Idea and should never speak on or against anyone who's suffering.
Hi honey. Iam so very sorry to hear you're suffering so. 28 is very young. I'm sending you a lotta love. I'm, well, older. ..with several Dx's. The pain is brutal......I wish you happiness and health. You stay strong Youngbuck! Cathrin
Peggy. I see you too are suffering, At 19?!!? It's a terrible thing, I have some pretty serious back issues going on. severe, chronic, for the last 6 years. You and Youngbuck are the first two I feel connected too in this regard. No one really knows unless your living it! I thank you Peggy , for your shout out. ....... God Bless you honey, Cathrin
I suffer constant debilitating pain in my spine
In all my years of spinal problems I have never had the pleasure of meeting a Doctor so open and honest about the possibilities of available treatments.
We currently have Kaiser insurance in Ca. They will not even have me meet with a surgeon, rather the "gatekeeper" will only allow epidurals, that over the last 15 years have never worked. The current injection is scheduled for Dec 20th, after first seeing the doctor about it in June. At 71 I don't have 40 more years to deal with this, like I have so far. Dealing with the pain for decades has made an old man of me.
A great Doctor is not only up on the latest techniques, they have a calming demeanor and their surgeries are like a master "artist" at work. Thank God for Doctors like you. 🙏
"Cockpits and Surgeries" are just two places where Marxist D.E.I. policies get left in the dust
Brilliant lecture. I’m sure his patients and others around the country are really grateful for surgeons like him who are so dedicated to their craft
Well, I’m going to try to get in touch and see if he can at least point me to someone who can help. It’s good to hear of someone having success with a back surgery.
Where is he located?
I appreciate your honesty. I, for one, am beyond tired of surgeons jumping right to "we've had great success!" Without ever mentioning the numbers and the fact fractures, erosion and other problems that potentially caused by the surgery alone.
I've been in and out of physical therapy since my late teens, now I'm nearly 48. I'm also in pain management on morphine ER, Norco, Lyrica and Butran patch. I've maxed out on everything.
I'm just about out of cares. To put it nicely.
I thought I lost my ability to walk. I had minimally invasive surgery Oct 22 for spinal stenosis between L2, L3, and L4. What a life changer. Thanks, Doctors, for what you do.
Congrats
What exactly did they do in your minimally invasive surgery?
@@thaliacrome998 Removed excess bone growth from inside the spinal canal that was pinching nerves.
Would you mind sharing with us what Doctor/hospital you went to for your surgery . Thanks and I hope you have a lasting recovery.
Am I mistaken but doesn't he say at 29:02 that this is from March 2013?
Thank you for your clear explanation of the problems and possible solutions to spinal stenosis. I wish all doctors were as open about edu aging their patients.
Ppp
Loved the video & was very lucky to have you as a doc - My Tactical Rehab @ Andrews Institute was amazing - did wonders - thank you for everything-
the best of luck!
Thank you. This is the best discussion of MILD and MIS options I have found; it was incredibly informative.
Thank you, Dr. Well Done. So glad to hear this is the update that is available in 2023.
PLEASE! Especially ladies of "a certain age" : You MUST be sure you get yourself a bone density test done BEFORE any back surgery! Not doing so prior to lumbar fusion will most likely cost me my life. Long (very long story, but readers digest version is....Screws, rods, the whole set up failed. Bone quality was not sufficient to hold the devices and I have zero stability. The cages put in place between the vertebrae have long migrated out and have now made contact with the main arortic artery and a large vein. No Dr wants to do any revision and all consisder it very high risk to even try . Will have to travel out of state for any attempt. There is no such thing as "minimally invasive" surgery when it comes to the lumbar area. Please don't risk your own life. If your surgeon has not brought up the subject of a bone density test, RUN!!!
And yes, I AM trying to scare you. I pray it works. No one deserves the hell my family has gone through in this siutation.
I know how desperate one can become when you are in constant back pain, but go slow. I would trade my old pain back in a second to be out of this situation. All I can do is hope this saves someone else.
Sharon here: I am so sorry to hear what you've been through, and continue to go through. I have stenosis in my neck and now have been diagnosed with lumbar spinal stenosis. My ability to walk and go through normal chores has been very limiting. I feel for you.
I too have spinal stenosis in my lower back and cervical spine. I am a woman of 83 yrs but I walk so bent over that I look and feel 110!
Injections didn’t last even a week.
Will a neurosurgeon know by my bone density test whether or not I am a good candidate for a fusion?
@@ebikerforlife Good question. Is a bone density test enough?
😅
Wow, I was not aware of the different scenarios and treatments. Thank you so much for this important information!
I am facing this, now. I’m 70 years old and in a lot of pain and Trouble falling and walking. This has helped inform me so that I can make a decision.
I found this Dr.’s explained video of what I’ve been dealing with my back for 3+ years and he’s amazing with this video. I have Spondylolisthesis L4-5. Thank you Dr. for making this video 🙏❤️
Thank you Dr. McRoberts for such a brilliant presentation. I'm now 67 years old and have suffered since I was 21 with lumber spine pain. Mostly herniated discs, but now that I'm older I have other issues too. IN 2001 (22 years ago at this writing) I opted to go to Europe to have an artificial disc inserted at L4/5, instead of the fusion the Orlando FL doctors were advocating. That was 12 years before this video. Total disc replacements were quite common outside the USA at the time and not commonplace in the USA. I've had zero problems with my disc replacement; I was discharged 5 days after surgery and 8 days later I flew back, alone and unassisted, from Munich to Orlando. I was a little surprised that you did not mention ADR/TDR in your brilliant presentation. At the time of my surgery, my surgeon mentioned that L3/4 was bad, but that it didn't warrant replacement at the time. If I were to baby myself I "might get through the rest of my life without requiring another surgery". Apparently I haven't babied myself enough and 22 years later I've destroyed L3/4 and will need another surgery. I'm researching again to see if technology has improved in 22 years to just getting my knowledge up to date again. I'm having trouble finding surgeons in the USA with a good track record with disc replacements, so I might have to go to Europe again, and pay out of my pocket again, because health insurance won't cover that. I'm sure that there are lots of procedures you did not mention, for a variety of reasons, but based on my experience the artificial disc replacement had low risk and fantastic long-lived results.
My friend did 2 cervical disc replacement, he was home right after surgery and after 4 days back to his job , sounds so easy .
He shouldn't be working and recovery time was 3 weeks but he needed money.
Can share the approximate cost for the procedure you had done in Europe. Thank you for the information
@@brooksbelanger8799 22 years ago I paid $15,000 for the surgery.
Please let us know somehow some way about the cost is these days for disc replacements -out of pocket, in Europe I’d be most grateful. Thanks
I have been trying to get three different surgeons to explain to me in full what is going on with my "spinal stenosis" Thank you for your clear and concise explanation. I am commited to a regiman of water therapy in my hot tub, gentle strengthing of my buttocks , abs, thighs and calves and daily 10 to 15 min walks. I am 73 years old, female and I am slowly getting more use of my legs. Steroid injection did nothing for me and I am very hesitant at this point to get surgery. I feel encourage, at least, with your explanation. Thank you
Where is your website
I can now see that I am getting slower and slower in relation to my walking. I am 82 yrs young. I had about 15 -20 sessions of physical therapy. My insurance would not cover me for any more sessions.
On your injects did they do a nerve block or a transforminal spinal epidural. They should do in the hospital with a fluoroscope, and the good interventional radiologist will always order a MRI to make sure they are doing it in the right place.
But as he says, it’s not going to work forever. You have to decide if you want surgery or not. But the issue again as he says, you get where you can’t do what you need to do to strengthen and you gain weight, get weaker, and end up with issues. If you start having shocks all way to the toes then you need to get flat and ice on your lower spine until the inflammation goes down as much as you can and then start back walking or moving around as you can. Also you can get in a fetal position to open up the pressure on the nerve. I have had spinal stenosis for 30 years but it’s bad probably now L2-3, was already L5-S1. But have back disc issues from the neck to lower back. My MRI indicated I had, have cyst, first called it a tumor. When I do to much sitting, walking, standing, etc lifting, etc the cyst swells from fluid in it, and then it presses on the nerve. And then I have shocks like someone is sticking a electrical stick - a cattle prod and it goes to the toes and it twists my toes all up. It’s terrible, got to get ice everywhere I can to help the inflammation.
My grandmother had it so bad she became incontinent 1 and 2 and just about paralyzed - the doctor said he didn’t know how she had gone as long as she had. Medicare required her to do cage first even though the doctor said she needed to have fusion with rods but insurance is insurance. So she had the first and couple years later back in again but the second surgery she ended up with stroke .. left her as a vegetable with lots of work on hers and our part. Got the rods done and within a 2 years was back to walking and taking care of herself during the day until I got home from work. Got back to dressing herself etc.
But then a stupid doctor allowed her to get HA CDiff and didn’t treat her, 13 visits to the hospital, nurses etc kept saying
Lots of Sitting, lots of walking, standing will cause the inflammation to get worse.
@@plips71755KK
I was diagnosed when I was 35 years old with spinal stenosis....... happy to watch and listen... Thank you..
The clearest and most useful overview of spinal stenosis and treatment options that I’ve seen. Excellent. Wish I could attend your clinic for an appropriate fix!
Thank You also I'm glad you corrected the date from 2013 to 2023
Thank you so very much for taking the time to present this thorough and informative video. I have an 85yr father and 70yr old friend suffering from this issue, (I'm 65 and am already experiencing the first signs of Spinal Stenosis symptoms) and will definitely share your video with them. Hopefully we can find other alternatives to avoid a Laminectomy.
By far the best video and explanation to the anatomical makeup and and understanding of the physiology of the spine. I’m about to have second major surgery on my back at 67, and have a much better understanding of my diagnosis and coming surgery. Thank you so very much Doc.
Wow, you really know your business! I just watched your video and was impressed with how clearly and concisely you explained the different procedures on surgery options for lumbar spinal stenosis. I also appreciated how you took the time to address surgery's risks and potential complications. I will reach out to you soon hopefully your practice is near to me. Thanks for sharing your expertise!
Your explanations were brilliantly clear and informative. I am seeing a surgeon tomorrow, but I have the complication of lumbar scoliosis as well. We’ll see!
Thank you for the great explanation. I need relief of the L1-L2 new condition in the last year I fell to floor and back hit door and doorjam, talking to me about the MILD. I have old damage at L4 L5 that already fused by itself from herniations 30 years ago from a fall down 18 steps. I have been advised by neurologist never let them touch your back. But with the minimally invasive the procedure has been told to me can safely go in to L1L2 cut some bone. No fusing. I will still walk with an upright walker because of the old injury. But the new injury having MILD might aleviate burning down back of left leg and cold water feeling going down right leg, and lots of pain and numbness in the legs and feet more so than in the back itself. I am not diabetic. This is the first video that has actually given me a good vision of what can happen, I have many spinal benign tumors and they tell me the spinal ligaments are stiffening which I did not exactly hear that verbage in this discussion. I am having to have a repeat MRI because I had some other short term situations with my health that meant we could not move ahead. Will then return to Neurosurgeon to determine surgery and if any changes. They told me I would be in a wheelchair 20 years ago and I have done shots, physical therapy, many times when thing s would get worse. I also had a fall 2 times in one week directly to sitting on my pelvis and now have problems with S1 S2, I am just fighting to keep walking. Do know the smal risk the surgery could have that I could lose my ability I still have but the sensations would be great to eliminate.
Hello Dr. William McRoberts…I am happy and blessed to have you for my Doctor. I have been a new patient for 3 months now and have these severe spine issues and I have all my trust in him. After seeing this brilliantly illustrated video, regarding the intimate details for the procedures available, for enhancing our lives going forward…I’m so encouraged and very hopeful. I will be starting progress with my knees on Thursday and I’m very excited to be under the care of Dr. William McRoberts…THANK YOU❣️💞🙏👱🏻♀️♥️
ITS ENCOURAGING TO SEE THE new ideas for the treatment of lumbar stenosis.. Less invasive and an overall better success rate is good! Thanks to all of those who dedicate their creative efforts to relieve human suffering ❤From Vancouver Island, BC, CANADA
I appreciate your clear description of the problem, anatomically, and the implants that havd been used over time. I am very interested in the idea of reexpanding the discs so they can serve their original purpose again. The intervention I read about is called Discseal. (?spelling).
Very informative Dr.! Thank you for taking the time to do these presentations.
Absolutely incredible. I am a neuroanatomist with SS and need to decide how best to proceed... This honestly helps so much
Thank you for your presentation !
As an elderly woman who has stenosis and
And spondy repair.
That failed. And now with several issues causing problems with
Severe pain on standing and walking in the morning.
This has given me hope
You did a great job, Doc!
Awesome video! You are so very good at teaching, keep it up, we need you. Thank you.
Thank you for a great informitive video. So much has changed in Medical proceedures have changed so much.
Great job explaining the process and risks to benefit of spine surgery.
Thank you for being honest and practical!
This was a great service to have a surgeon explain for lay people the complications and evolutions of Technology in spinal surgery. Well done and thank you for this I hope you do many many more.
thank you!
Thank you for this🤗. I’m in 🇳🇴and this information is very valuable to me since I have spinal stenosis and up for a surgical evaluation next week.
This is the best! I do have the problem...it started with a fracture in my back....the funny thing about it, in my case when I go to the grocery store and have basket, I can walk forever...no problem and when I try to straighten up, I can't stay straight my back give way. This doctor was very impressive !!! First time anyone has tried to explain this...Thanks!!!
Wow, very informative! I have SS and DDD and it helps to know just what procedures are out there. I have yet to see a specialist but hopefully in the near future. Thanks so much for sharing your knowledge! :) :)
Very interesting and clearly explained. Im going through this now and its no fun.
Thank you for your video. Great explanation of possible treatments.
What a great demonstration with alot of detail. Very informative. Thankyou!
You're very welcome!
Just excellent discussion of the pathology of spinal stenosis and the demonstration of the actual spinal spacing devices now on the scene. This was especially helpful in preparing me for my consult with the spinal surgeon I will be seeing. Thank you!
Good luck. Apparently I live in a rural area (Fort Walton Beach/Destin and no one’s heard of that here. (Unless it was by the good neurosurgeon who just retired.)
Do gravity inversion tables help?
I am a 74 year old male with degenerated L5-S1 and mildly herniated L4-L5 and level 1 spondylolisthesis and neuropathy in my feet, and persistent low back pain, but I swim a half mile every day and walk 1.5-2 miles every day. A surgeon recommended I have both disc spaces fused by ALIF combined with laminectomy with plates and medical screws. I think that is way overkill for my issues and I fear I would never recover from that much surgery..
Thanks for the info. My orthopedic surgeon recommended a fusion of my L4 L5 to deal with my pain but added eventually the next set of vertebrae would have to be fused and so on and so forth because of the effect of the fusion. Lovely! So I've just been dealing with the pain I made the mistake and actually a fusion surgery on CZcams. Take my advice don't go looking! Anyway my pain has had me off my feet more than on this year. I used to like to cook but it's so difficult stay on my feet long enough even to make a freaking sandwich I pretty much stopped cooking. I knew there were simpler procedures out there so I'm actually going to try to do a consult with my Ortho to see if Medi-Cal is on board with minimally-invasive types of solution like the ones you've shown. I would love to go hiking again but I wouldn't get very far and it sucks! I'm a 60-year-old Toys R Us kid getting defeated by a pain in the back. As far as body's go I think I got the broke one!😂
Thank you for the detailed information, my father is suffering from this currently and this helped me understand what he is going thru and I believe what his doctor has recommended to remedy the issue.
Right on point with the explanation of the problems of spinal stenosis and the primitive procedures at this time to alleviate the pain and cure of the problem, the future seems to look a little brighter but will have to wait longer. It is refreshing however to listen to a doctor actually speak truth, wish the surgeon I spoke to had, though I declined the surgery and after listening to this man I'm glad I did. Thank you.
Informative… So good to hear about possible solutions
Thanks so much for the explanation, my surgery spent just minutes explaining any of the procedure and very little of the down side. Blessings
This video has been helpful. I just had the same surgery you talked about. This has been my third surgery.
Best explanation I’ve seen on this.
Thanks for the good explanation & options.
Great video! Very informative. Thank you.
Thank you. Great info I desperately needed.
Thank you this has been very informative to me I see a neurosurgeon on 11/21/23! I will be prepared! ❤
Thanks for your easy to follow & thorough presentation. Inspires me to persist with that core strengthening to help keep the lower spine flatter❤
Thank you very much for the information. My wife is facing surgery in the future and its great to know there is some new procedures in the works......
THANK YOU SO VERY MUCH. EXCELLENT PRESENTATION. VERY HELPFUL
This brings back memories of a consultation in 2005 with a neuro surgeon. My symptoms were extreme pain, numbness and weakness in my right foot, as the result of a ruptured disk at L5 S1. He recommended PT and chiropractic, before considering a surgical solution. Both helped, at least well enough that I could return to work. Now retired at 73 I still have some weakness in the right foot and a bit of numbness. GP believes its permanent nerve damage. With the surgical advances today maybe a minimally invasive solution will work for me, if needed.
Excellent presentation on different options to the problem of Spinal Stenosis. I look forward to even more minimal technical devices to eliminate spinal stenosis. I believe you are on the correct path to this problem . In 1999, I enter into a clinical study that implanted the X-stop, (S.F Ortho Surg Grp) which I believe, was the first device to do similar to what was described on this video. The device completely eliminated the sciatica, however I still have back pain, however not as severe. My surgeon, after a 5 year follow-up, felt I needed 2 of these devices implanted, instead of just one. After the surgery, I was able to play very hard tennis for the next 20 years, with a bit of help from Ibuprofen. I contemplated having another procedure with another implant device, but with the minimal pain I currently have, I decided to wait, and hopefully my spinal stenosis will not get worse.
Sounds like you had a good Doctor, one of my major worries is finding a good one. Glad to hear it worked for you.
@@ibberman I believe it’s extremely important to find a good doctor. There are so many moving parts in the back, and correcting one issue can easily cause problems else where.
I am so thankful to you for your explanation. Because of a really bad car as a teen, I have been suffering with spine (the whole spine) all my life. Surgeries, procedures and injections have been my life. Pain pills have been my saving grace. Thank god I only can take a couple a day so I have not had an addiction problem. I am perhaps facing a lumber surgery which I do not want to do. So, you have very much educated me and for that I am truly grateful 🙏
I’m looking at having minimal invasive for my stenosis in July
Thanks for the info.
Excellent video. Thank you for this information.
Thank you! I’m going for for evaluation @ Neuro muscular Neurologist due to neuropathy next week. My dad 82, was diagnosed with Spinal Stenosis. He had surgery @ WVU which helped. Because he waited too long to go to appropriate Dr, he developed cardiovascular disease. 1 year later he had a heart attack, then had a stroke the next day.😢. So, I’m going to be proactive!
thanks Dr for explaining to us about the anatomy and different options available for spinal stenosis
Excellent educational video!
Thank you Doctor my wife has spinal stenosis.she had a spinal cord stemlater witch doesn't really work. No doctor has really explained listen to you has been more informative than any doctor she has went to. Thank you
I have the stimulator also and reget it, it has done nothing to help me.
Pregabalin is helping some. I push through my pain and walk as much as the pain allows. I was in a car accident where I literally was thrown out of the vehicle and rolled head first down a cliff. I have lots of arthritis. I am not going to give up.
Excellent explanation of mri since I am seeing surgeon tomorrow. I was hoping to hear more on the various MIS including microscope use versus tubular endoscopy unilateral and biportal and where that sits in current understanding of risk benefit versus age old McCoullough technique and recently a mild approach directly through ligaments between the spinous processes by shaving each spinous process and inserting a tube to then go in only splitting ligament, no muscle resection. Theres alot going on in mis as talked about in Beckers Spine Review. The cutting edge so to speak but what I hear you saying with all of these is can one get enough decompression without hitting nerves causing damage. Thanls!
That's a day long lecture! Best of luck.
Mine was caused by an aggravated assault and a psychiatric facility
I’ve been like that since I was 54. I’m now 70 and I’ve had surgery. But the stenosis is coming back. And I’m falling down more. 🤨
I’ve had the laminectomy, L5 S1.
I’ve had the shots they don’t help.
I put myself in a swimming pool with the tube around my waist and I walk.
Few and far between that I can get to the gym and do that for myself. And yes, it’s painful the sciatica. The pain in my legs spasms. To the point where I am bowel and urinary incontinence. Great explanation & demonstration! In the next 20 yrs plus. Better for patient & skill of physician 👨⚕️
Excellent presentation! Thanks
Thank you Doctor for so clearly explaining everything.
I want to take the time to thank you for this video you cleared up a lot of things for me I have been suffering with spinal stenosis now for 10 years. Pain pills have been the only thing that I've been able to do so far exercise. I am getting ready to try this final implant that interrupts the pain signals. But I know sooner or later I'm going to require surgery but at least I can walk now and that's all that matters painfully but I can walk. Thank you for taking the time to do this for us.
Best of luck.
Best explanation we have seen. We saw a video on ultrasonic bone removal tool rather than a burr to open the canal. Does not damage the ligament/soft tissue and no fusion required. Have you looked into this? 85 year old wife has severe stenosis that looks like arthritic blockage in addition to the disc shrinkage. Shots did not help. We have an appointment in January with a neuro surgeon. We are trying to find out what the latest options are. For some reason I am not having problems.
Thank you for some possible solutions for my lower back pain!
Dr McRoberts deserves a certificate of accomplishment for providing the most informative and relatively accurate visualizations of lumbar (L4-L5) problems and possible resolutions! Timing is everything! The new technologies are exciting options. Do you know any excellent surgeons in the San Antonio area willing to give them a try?
Thanks much for the information. Just had an MRI and still need to see the doctor about it.
Thank you for the presentation. I been viewing videos for Lumbar Stenosis with different surgery strategies/procedures. One that interested me the most was the use of Ultrasound Technology which seems to address the instability resulting from removing part of the bone structure (leaving an unstable spine structure behind)…..
really great question. Far more important than the gizmos, is your surgeon’s ability to see through the three-dimensional anatomy and understand precisely what can be removed without the destabilizing the spine over time. Ultrasonic scalpels and plasma blades have been around for a good while and they do allow the removal of soft tissue with minimal risk to bone that being said, in many circumstances, hypertrophic bone is, indeed the problem and needs to be sculpted away to allow room within the dynamic canal and its recesses.
@@wportermcroberts Unbelievable you described my symptoms to a "T", but most physicians catalogized it as a issue with your facet joints. I have only seen one time that spinal stenosis was mentioned. Have undergone numerous ablations in attempt to decrease pain felt especially when walking. If this wasn't bad enough it was discovered that i had a fractured coccyx and underwent a coccygectomy two years ago. A nerve that was near coccyx somehow got entangled with the suture and lays in between my sacrum and my skin, so even sitting has become a painful task if the nerve gets pinched. The majority of doctors recommend either a neurostimulator or fusion.
In this video you identify the facet joints when describing some of these implant devices. Does or can facet joint issues cause spinal stenosis? Just odd to come across your video after returning from another disappointing appointment with pain mgmt physician. I truly believe that the majority of these doctors don't understand exactly how painful certain activities are especially when they suggest physical therapy again. It has been 11 year nightmare dealing with doctors that continue to treat symptoms rather than trying to find root cause and attempt to tackle it. In my opinion pain medications should be the last resort when all else fails not the immediate fix all solution. Just my two cents
appreciate the minimally sales-y approach...
thanks for your time ive just gota execise and do heaps of crunches only had mild problems when i smoked pot ive stoped smoking pot now for two years and its been a crap of a ride through codine going back to pot and exicise it works for me keep fit
Thank you doctor, I have an MRI disc, but did not understand what I was looking at. Your explanation help me understand it better.
Great to hear!
I wept listening to this Doctor. Thank you sir.
Wow, this is very impressive to me. He was addressing procedures from 2013 that I want to have. And now, in 2024, I look forward to talking to my doctor about the latest and greatest regarding these procedures.
Thank you for a very thorough and clear explanation of options and failure rates. Very helpful!
VERY informative. I am deciding whether to go the surgical route after all else has failed. This kind of video certainly helps in making such an important decision. Thank you very mich.
Glad it was helpful!
44vyr old spine injury c67 & l45 (stenosis & arthritis). Now 64 female 5'9". Used to be a road cyclist, but noticed lack of energy. Switched to water jogging 14 yrs ago and what a difference. Use ankle "floats" and jog (fully immersed up to neck) without touching bottom for an hour 4xwk. Never any pain or pain meds and includes water stomach crunches. I know someday will need some medical intervention, but at least I'm fully functional at this point.
Excellent I know what to expect and what is possible treatment for me. Thank you. Jackie Maer UK
Thank you for your thorough explanation!! Understand much better!
You are welcome!
Enjoyed this a lot. Thank you doctor!
Thank you for explaining what is happening to me so I can find a doctor to help me. I appreciate this video.
Happy to help!
Thank you Doctor your awesome!
I am an 80yo and for about 30years ago started having back pain off and on. Last year was worse. Thanks for the clear explanation of pros and construction of all the different types of surgery.
Thank You Dr. That was the best explanation of what I call one of the worst chronic diseases a person can have. I have had 3 spine operations and a fusion at level 4 and 5. Level 3 and 4 have deteriorated so badly even my buttocks and upper legs are partially numb and I suffer with severe pain. I wish there was a surgeon in South Africa that could explain this you have and to be able to this minimally invasive surgery
Praying for you!!! Lord you're spine issues dwarf mine. I used to be able to tolerate the pain and push through it pretty well but I think I've used it all up. This past year I spent more time off my feet then on just because even fixing a simple meal I then on just because even fixing a simple meal I get such severe back spasms a nerve pain down my leg that I have to take a break and lay down to get relief. If I I tried to stretch the muscles pull back even harder. Recommended fusion surgery years ago but added, eventually the next set will have to be fused, and the next as you get older. I just can't see myself going under the knife when I hit my 70's I'm just going to be screwed!
This is by far the best explanation of the spine i have seen yet. Unfortunately its to late for me ive already been fused twice But Thanks for taking the time to make this 😬
You did an excellent job explaining the different types of surgery as well as explaining this device. I think you said the BURR? I am trying to find a hospital near me that uses this sort of instrument and does this surgery. Because I will be having surgery soon, a fusion of the L4 and 5 and I have already been told by my doctor to expect more surgery in the future. I am elderly and if I can get this type of surgery done I am hoping I may not have to have anymore in the time i have left. Just need some pain relief.... Thank you for your video
Thank you so very much!!!
Many thanks, very helpful.
ABSOLUTELY....MAY GOD BLESS HIM!!
Excellent information, thank you. I am facing L4-L5, and L5-S1 issues and evaluating my options.