Thank you for your techniques.

I have cervical myelopathy with very little neck discomfort and a totally numb left arm/hand, and i can barely walk, extremely spastic. I met a surgeon a couple of days ago. Anterior upper and posterior lower fusion. I'm considering medical tourism in Mexico. I can't even get a price quote in the U.S. and I'll be out of pocket completely. 55 yr old male

Did you read the most recent VAST study for VIA Disk? Similar and very compelling data.

Thank you for your honesty. This video has really helped me understand degenerative disc disease better. My father is suffering from degenerative disc disease, he has had multiple surgeries on his lumbar spine without any improvement. I am hoping and praying that someday he will no longer have chronic pain. In the future I hope that there will someday be a way to possibly grow intervertebral disc from stem cells either inside or outside the body for patients like my father.

What about return to driving trucks and delivering groceries for a living ?

My problem is that I would love to have a surgery that does NOT include fusion. I would like to have a procedure with an endoscopic approach to decompress the affected areas, whether it's the spinal chord or nerve roots. The neurosurgeon I met with recommended a four level ACDF within 1 to 2 years. I'm very concerned about the many types of possible collateral damage that can happen with that procedure, especially a four level procedure. I'm talking about adjacent disc issues, screw placement issues, trachea/esophagus/vocal chord issues, fusion failure issues and long recovery time. The problem is finding someone who is experienced enough performing decompression with and endoscopic approach in 2024 in the United States. I don't understand why this approach is being more widely taught and perfected.

What if I have ALL the terrible symptoms of DCM....BUT MRI shows mild cord compression.....mri reads minimally bulging discs at C5-C6 and C6-C7; arthritis

This was a very helpful summary thank you for posting it

Thank you for this video, it shows that improvement in lordotic alignment is possible for young patients who have PCF spontaneously following neural decompression

Fixing the issue is the only way to take the pain away their is a mechanical problem that’s why their is pain

Where is Dr. Reiw’s response???

Why in US more fusions?

You are basing it on theory not the actual stem cell injection test, you are another money driven doctor

Any opportunity for fellowship

Great explanation sir👏👏

Nice presentation. Having a support team really is crucial, and that's the craziness of this dilemma, because there are too many broken minded people who still cannot get the help they deserve. Maybe we should look at cloning psychiatrists. 😁

❤❤❤

Can this impact upper motor neuron lesion?

Interesting video, and some good insights and viewpoints (at least on one angle) However this doctor seems sort of "negative" and conflicted (going back and forth) between saying "It'll eventually be great" but no evidence etc.? Probably being cautionary to say anything so as not to get in "trouble" with the powers that be, or other doctors performing "conventional" surgeries! Plenty of evidence exists (with "real people") and not doctored studies (no pun intended) that already have "pre-determined" outcomes funded by big pharma, etc. Its sad the USA - is not on the cutting edge as it should be (as people are clamoring for solutions). Sayings its "still early" when its been around for decades outside the united states (its sorta funny). My friend just got stem cell injections and has seen "immediate" relief in his pain in his back after trying everything for 15 years! but nothing worked! (How is that for evidence, lol). I think this doctor "wants to believe" (says it may be the way) yet backtracks and then says - but no evidence? (Why is there no evidence, no studies).... ? Real People want Real solutions (not available here in the USA) Why? Because little progress, negative attitudes and big pharma, doctors trained in the "opposite" (fusion, pills, etc) vs trying to look to something better towards the future. Last Statement: The "Patients" should lead the way toward something better (not doctors wanting to "own" medicine" and progress) like they created it. No offense to this doctor - but the video is mostly focused on "Hypothetical Cons" and not so much to positives that "thousands" of REAL PEOPLE have experienced vs Doctored trials! Remember, the Solutions of Today and Tomorrow, won't be solved with the attitudes, pills of the past. Okay food for thought :)

Hope you don’t have a problem with me sharing w/ my doctor. TY

So why are so many pain management and neurosurgeons pushing injections after years literally of repeating the injection?! Had multiple fusions decompression and they still insist on doing the steroid injection and it works

Fifty-two patients experienced complications (prevalence, 18.7%), with no significant differences among the severity groups. this is quote from the paper

Any comment on nerve transfer surgery for patients who do not recover motor function?

Total how many screws used in c1 c2 fixation 🤔

Ridiculously well done.

There are real athletes- ufc who were treated in south america. These doctors are losing their relevance hence this subject.

This is the most satisfying demonstration ever. Clean concept oriented work.Thanks all 💯

Good educational video!!

Fusion in neck in 2023 at Albany Med H 🦦3/4 year later feel human again. My Doctor n those Dr,s that helped were perfect. Pain gone n Bain feeling better.

Is it true that patients will get paralyzed if not treated. What is going to happen immediately after the decompression surgery? Painful and difficulty swallowing and neck unable to move etc.. Thanks in advance for your response.

Did you hear that there are inflammatory factors that are in the disc? How do you think they go there? If there are no blood

I’m hopeful that you and others are looking into stem cells. Thank you. Is anecdotal evidence, evidence? Granted it doesn’t meet western standards. If you were in pain and your quality of life was compromised, would you try stem cells? I did and will again because of the people I’ve spoken with personally who have had their lives saved by msc’s.

Intradiscal of PRP is at much higher risk of discitis, not worth it at all! Viadisc much better if your going into the disc space

Great educational demo by the surgeon s.

i was diagnosed with congenital cervical spinal canal stanosis, i also have foraminal stenosis and ddd, spondylosis spondylolisthesis and other conditions in my neck.i had plates and screws put in at c3 and c4 back in 2016. about two months ago i started have bad headaches in back of my head and down left shoulder,it hurts even in my lef eye. i went to a sports medicine doctor he did a exray that should spondylosis that naturally fused c2 and c3. I have got to go for a MRI on the 14th of this month.to see if anything has gotten the worse. god i sont want to have another surgery, i and scared and don't know what to do. I just turned 50 and i am disabled and have been since 2012.but something has got to be sone about my headaches?

Thanks. I spoke too soon 🔜 to a client. I thought by the title stem cell actually regenerates the break down of disc:/ Thank you for the information. I had a good older friend who got stem cell in his spine and he shared healthy tissue was growing back

I have C5/C6 nerve pinched, my surgery order pain management epidural first before the last decision is surgery. I am scare . And I also have L4/L5 narrow. Just have epidural shot lasted week 8days . The first 2 days no pain , I walk normal around the home . Then 3rd day I start to get sciatica pain is back t server like it before ? Until now 8 days went by the shooting pain/numb /tingling on both leg like the symptom before have epidural done . But the weakness on my leg leg is worse than before . At this moment I don’t even what else is work ? I have my first MRI back in 2018 it was arthritis . I was 39 years old at the time . Then 2020 I took Covid shot , I can not even crawl out the bed after 12 hours from the shot . And now I have all of this symptom . My Doctor is denials it could be the side effects after Covid shot . Then this year 2023 he order MRI it cam back with server pain , narrow/nerve pinched. I am dealing with neck shooting pain to shoulder/arm /Fingers/thumb, I can not drive far then 15/20 minutes from home because the shooting pain /radiated down will shot down to the right leg . Which is use for the car gas/break paddle . So I don’t go no where if I don’t have to . And I am now 44 years old Asian women . As now my symptom is worse so if epidural does not work I have to get surgery. So I have disability Lawer start to file my case . Because it will take up 2 years from now to neither approve or denials .

The more I watch these videos on back surgery the less inclined I am to have it done.

What's been used the most and which is showing the most promise? I really like 4web medicals 3d printed truss design. Triangular trusses have the great structural integrity to weight ratio of any support structure in construction and it should lend to great integration but I can't find out who uses them in the use. Just an article saying 30k have been used worldwide

Let me ask some questions: 1. Is adjacent segment disease real? Like, as soon as you get a fusion (which is the usual treatment), dont the other adjacent segments begin to immediately deteriorate faster? Do most people who get one fusion, end up having to get more parts of their spine fused down the road? 2. How many of your patients who get one neck surgery (fusion) , need another one within 5 years? 3. How many people in the general population over 40, have cord compression and mild myleopathy for the rest of their life, and never even know it because they dont go and get mris or live in countries where mris are not readily available? The problems with understanding this is the data sample. People who you have data on -- are the people who went and had mri's done. Many many many people have neck pain and never even bother going to a doctor, or live in countries where spine mri's are only for the rich. It would be nice if for a random study, a university could take like 5,000 random people over the age of 40 -- and mri all their spines and see what the results look like. The thing that scares me the most is adjacent segment disease. If you start having fusions in your 40s , what are the chances that by 70 youll have your entire neck fused? This doctor seems to indicate that their are no downsides of getting neck surgery for stenosis. But is that true? I dont know. Every spine surgeon you talk to seems to have a different take on this stuff.

An 18.7 percent complication rate for decompression surgery is, really high. Can that really be right? That means, 19 out of every 100 people who get that surgery are going to have really bad problems from it. Would anyone take blood pressure medicine if 19 out of every 100 got severe complications from it? That rate sucks they need to do more research and advance the science for us patients.

Thanks, Dr. Downer. I asked my surgeon about options for cervical surgery and his focus is ACDF. I appreciate this information on stem cell therapy. It totally makes sense that it's still early and it depends on the patients disease progression. Thank you

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What an interesting video… and essentislly breaksdown the missing links in regenerative medicine for Spinal discs. Thanks for the video

What kind of neurological decline do we experience my short term memory is deteriorating

Thank you

If not for needing my job, I'd prefer surgery now. I'm an active 66, work security and into strength training. 4 months ago I was diagnosed with moderate myelopathy. Hands & arms seem unaffected but feels like I'm on a trampoline when walking and running feels so awkward that I avoid it if possible.

I was diagnosed with moderate myelopathy 5 months ago. Only effects I've noticed is sensation of being on a trampoline while walking. Running is more awkward. Surgeon and I at the time agreed to hold off surgery until symptoms worsen. But after viewing this, I'm having second thoughts.

Tysm!