Hey Dr. super helpful, would love to see some of the PT exercises in addition to medication and devices since this seems to be a more long term non surgical solution.

Thank you for finally making this clear. Thank you for your videos.

Why not make the laminalplasty a mandatory 1st option

I’ve been prescribed 800 mg ibuprofen for over 4 years and I still get no relief, why are doctors afraid to write a proper remedy?

I need a solution to the pain I feel in my neck and lower back after being diagnosed with DDD over a year ago. I am 45 and still has alot ahead of me.

Thanks Dr. Su! I wish my doc had explained it to me with this level of detail! Now I’m not so worried.

Great video! Got a C2-7 laminoplasty coming up in a month. 🤞

Hi, Dr. Brian I want to thank you so much for explaining on your other KZbin videos about when you need surgery! That really helps me understand things! Also, the other KZbin video you did on cervical laminectomy and fusion. Wow, I never knew how much you need to know how to ask questions to help yourself make decisions about surgery and I never knew that surgeons don't go by your pain they go on what is going on in your physical, MRI, CT Scan, or X-ray!!! Thank you so much! Thank you I was wondering if you could answer a question what if you have done everything possible and then some injections, trigger point injections, abalations, pain pumps, SMS, and nothing worked to help your neck or lumber?

I have had bilateral steroid Injections,no pain relief at all,i had Nerve ablation for 10 hours of pain relief, i have now had Lumbar back pain for 15 years every single day,i have to stop walking at least every 20-30 yards

Thank you Doc for posting this informative video. I had a micro discectomy with great results. At 6 weeks I developed An infection. The surgeon went in a second time for a “washout” and antibiotics for treatment. I’m 6 weeks from second procedure. We’re hoping that I recover and don’t require anything further. May need a fusion because I do have a myriad of issues. Spondy, scoliosis, degenerative issues etc. thanks again for explaining the fusion options!!!

DOES ANYONE HAVE AN ELECTROCUTING TYPE PAIN IN THE LOWER LEGS AND FEET ? I DO AND ITS LIKE TORMENTING PAIN SINCE 2018 AFTER A DOUBLE FUSION AT L4-S1..ITS KEPT ME ALMOST BEDRIDDEN. ALSO HAVE A COFLEX IMPLANT AT L4-L5 SINCE 2016. THANKS

Diagnosed at 18

Had it done at c3,4 and 5 surgery went well without a hitch not gonna sugar coat it.....hurt like hell the first couple days after surgery. 20 days after still a little stiff but progressing....I was afraid going in but had an excellent surgeon and team. Hoping for the best over time.

Wow you speak so fast! Really interesting. I’ve have x4 spinal surgeries over the past 25 years. I’ve been wheelchair bound for 22 years with CES . Only 3rd surgery was a spinal emergency I was 46 and it was a central disc prolapse.

I have RA and now Dxd with this. So far my RA pain management is covering this. Just barely. I would like to increase the cymbalta (am at 90mg) as I get about 4 hours of relief with it on board. Also, I get horrible back spasms after walking for abt 15mins.I sit down for 5 and can then go another 15. Very depressing. Two chronic pain Dxs and losing the ability to walk seems too cruel. I wanted to go to Ireland...before I die(I'm only 62)--I just don't see that as a possibility anymore...it took FOUR YEARS before one of my docs took spinal films even tho I started bringing LOWER BACK pain to their attention. I feel sad and hopeless most of the time. I guess I will go find a good spine doc for his help with this! Thank you Dr Brian...you are great.

How wonderful! A doc who believes in pain and seems to be willing to manage pain from spondy appropriately. I was just

New subscriber 😊 Just got diagnosed with lower lumbar facet arthropathy & moderate disc height loss at l5-s1, have an appointment in july with Chiropractor im very nervous upset and hoping this can be resolved soon 🙏 To everyone dealing with these terrible back issues your all in my thoughts and prayers 🙏❤

Informed patients can make better decisions for their health care. L4 is over L5 now due to a fall. Foot drop in LEFT foot. On walker to walk. Surgery go through stomach and then back metal plate. I'm very confused but I need help. Thanks for Explaining thoroughly.

I refuse to have a needle in my back. I'll be going straight for surgery. . It's just delaying the inevitable.

Can one be fully sedated ? Or any choice to be ? I am currently so much in pain awaiting my admission

Thanks so much for the information. I have just been diagnosed to have this surgery. Is there no chance that injections will be an alternative option?

Well, the first time today admits that it could be a rejection of the ACDF implant bottom line...I am still thinking I will let him do the cervical injection...he has 40+ years. Your absolutely right! Wish I listened to myself and not others. Worse decision I made

So, so helpful -- thank you!

I have told the ER on at least 3 visits in the past 9 months that I have saddle anesthesia, bilateral radiculopathy, some bowel leakage and I don't feel it when I pee or have a bm. They don't care. I've also told my PCP and a neurosurgeon and pain management dr. Still no concern. I have spondylolisthesis at L4 L5 but on MRI it doesn't show any compression at that level. I do have significant narrowing at the L2 L3 due to a bulging/herniated disc and severe ligamentum flavum hypertrophy. Altho it is not reported on the findings of the MRI. And I've asked at least 4 of the drs i've seen in the past 6 months to review the MRI but none of them will. I am so at a loss anymore. My entire right foot is numb, tingly, and tight all the time. I'm also now to the point I can hardly walk more than 10-15 steps without needing to sit down. And not 1 dr even cares. Like I said, they don't see anything wrong at the L4 L5 so I'm assuming they aren't willing to look higher up. IDK if I have sexual dysfunction because for the past year I have not been able to find a comfortable enough position to attempt it, so I've gone without.

Does this also apply to children?

Thanks for the explanation 🙏 The next question is, is there any natural ( non surgical ) treatment for that

What do you think of Prolotherapy?

Your information is so helpful. Thank you. Our 13 yo daughter has recently been recommended surgery for a grade 3/4 slip of her l5. She only has slight back pain but they said it will only get worse. That’s the only option they gave us. She seems so young for surgery.

So would this cause tingling and numbness in both feet. And will it heal so the pain is nor there?

Thank you for the information. I had an ACDF approximately six weeks ago of my C5-C6 and have been experiencing pain from the base of my neck down to my left shoulder, extending to my left hand’s pinky, ring, and middle fingers. According to my surgeon, I have permanent nerve damage, but the pain should subside over time.

Thank you very much for the way you presented this cervical problem, it is very helpful to many of us and I would like to know if there is a way I could have a consultation with you. I live in Los angels CA.

Excellent Video... I have these same 3 areas. Sadly, In Canada here I bet we won't have this Procedure available for SEVERAL years we are sooooo Behind with Technology and Specialists.

Thank you for explaining this. I am going to have a 4 level fusion next mo. I’m so terrified.

Great information. I found out a couple weeks ago from my chiropractor that I have degenerative disc disease In between the 6&7 vertebrae in my neck. Had my MRI this past Wednesday and it showed severe bone growth with a lot of calcification. He is sending my results to our neurosurgeon for a 2nd opinion to see if surgery is needed at this time or not. Until then, we will continue with adjustments, traction and massage therapy with the chiropractor and I will be going to another doctor for pain management using injections. It’s been quite a wild ride. Thank you for your video.

Then I must loose weight and keep it off. Makes sense as just losing 10kg makes a big difference, I know.

Hi Sir, can any cervical traction cause loss of curve?

I wish you were my doctor. They skipped 1 and 2 and went straight to wanting me to take Gabapentin or do injections. My pain is not that bad at this point to risk the crazy side effects of Gabapentin. Most doctors don’t explain said side effects nor that you have to taper off them. And can cause withdrawals even if you do taper. It’s some bad stuff. I hear nothing but horror stories. I don’t need more problems than the one I came in with. I’d much rather try the nsaids or prednisone route. But I can see my doctors reaction now if I ask about that because I saw it on KZbin.

This seems like a very logical approach to spinal stenosis. I'm wondering what Dr. Su would do in the case of Baastrup's disease of that L4-L5-S1 region? That's my situation. I've had nerve branch blocks, RF abalaation, L4-L5 steroid injection all without reduction of the pain. I've been on increasing opiods for years and even that is beginning to lo longer provide relief. I'm an 81 year old male in otherwise good physical condition but no longer able to do many things because of the pain.

I am currently trying to manage back pain as I wait for an MRI. I'm still very young, barely 30. Its a combination of so many issues with DDD showing up on an preliminary X-ray. Its a life long process and quite frankly exhausting.

Dr Su, can these cysts go away on their own over time?

I have spinal stenosis and severe sciatica to the point that my lower body gets numb. When I walk, I hurt so bad that I sweat profusely from the tip of my head down. I have done epidural treatments and prednisone. I get relief with the prednisone but once its over, the pain comes right back. Physical therapy actually makes me hurt worse. I only want surgery if it will help. I just want to walk like a human again 😢

I'm suffering with disk herniation my symptoms are leg pain back pain Having numbness in penis but having my erection.....total control in urine and stool but no sensation in urine Mri - cauda equina normal Ultrasound - bladder functioning normal size and shape The only major thing is numbness in penis I'm 21

Well explained, thank you. This is me starting to experience degenerative lumbar spine pain for months at age of 53. I had my x-ray and it showed I have a problem.

Are these approved by the FDA in the United States? I’ve heard not due to complications such as Adhesive Arachnoiditis.

Another great and informative video. Thank you.

I wish you could do my surgery 😢

Hello Dr Brian, is it possible to get an opinion on my MRI, I have a left foot fall and weakness in my leg and ankle.

This is so informative, awesome, thankyou for making this video

How to cure lumbar central canal stenosis naturally please help me I don’t want surgery I have 8 mm at l5 s1 I have only back pain, Lowe abdomen pain and groin pain at left side since 9 months no

I have central spinal stenosis at L4-5. I am waiting to see a spine surgeon in Alberta Canada. I have loss of sensation in both feet and have muscle weakness in my legs. Is the bed wetting and loss of bladder control constant or occasionally wetting the bed still make it a surgical emergency?