Cervical Myelopathy - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video describes the condition of cervical spine myelopathy.
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Cervical Myelopathy
Cervical spine myelopathy can occur due to compression of the cervical spinal cord at the cervical spine level. Cervical spine myelopathy is caused by spondylosis, cervical stenosis, cervical disc herniation, tumors, or ossification of the posterior longitudinal ligament (OPLL). OPLL can occur more in people of Asian ancestry. C4-C6 is the most frequently involved level and can be seen on CT scans. Exacerbation of symptoms followed by a long period of static or deteriorating function (stepwise pattern). 75% of patients will have long periods of stable neurologic function, which may be for years. In the majority of patients, the condition deteriorates between quiescent streaks. The condition does not improve without surgery. Pain is absent or poorly defined with vague sensory and motor changes. The patient will have progressive gait and balance disturbance. Broad based ataxic gait and unsteady gait. There will also be intrinsic muscle weakness with difficulty in buttoning the shirt and performing fine manual activities (weakness of grip strength). Poor hand fine motor function and dexterity occurs early. Pathologic long tract signs will be seen consisting of ankle clonus. Clonus sign is a non-voluntary sustained movement of the ankle muscles with firm, passive, continuous stretch. Pathologic long tract signs will be seen consisting of positive Hoffman’s sign in about 80% of patients. The Hoffman’s sign is done by flicking the nail of the middle or ring finger to produce flexion of the index finger to the thumb. Pathologic long tract signs will be seen consisting of bilateral outgoing toes by a positive Babinski reflex.The Nurick classification deals with walking ability and gait. It ranges from normal to wheelchair bound. When you have cervical myelopathy, you need to get an MRI. MRI is the best study, it shows the compression and the changes in the spinal cord (look for bright signal in T2 MRI). In patients with low back pain and gait disturbance, look into the spinal cord, especially into the cervical spine. Some of these patients will have lumbar spinal stenosis and they come to the doctor with an MRI of the lumbar spine that shows lumbar stenosis, but the patient also has gait disturbance. The patient examination may be confusing because they will come to the doctor with low back pain and a positive MRI for lumbar spinal stenosis. Lumbar stenosis and cervical spine stenosis can coexist together in about 20% of the patients. Cervical myelopathy can have a differential diagnosis of amyotrophic lateral sclerosis (ALS), syrngomyelia, spinal cord tumor, or multiple sclerosis. ALS is a motor neuron disease affecting both upper and lower extremities with no sensory changes, and will lead to progressive weakness, muscle atrophy fasciculation and spasticity, in addition to dysphagia and respiratory compromise. In multiple sclerosis, the patient will have cranial nerve involvement, and the jaw jerk test is positive. Cervical myelopathy is progressive, and it rarely improves with nonoperative modalities. Decompression and fusion in case the symptoms are progressive or severe. Patients with rheumatoid arthritis are going to surgery for symptomatic cervical myelopathy. The neurological recovery after decompression is best predicted by pre-surgical posterior atlantodens interval exceeding 13 mm. with more than 10 mm space for the spinal cord, the patient will usually have improved neurological function. The patient will die earlier if the patient does not have surgery. Surgery is usually done anteriorly with decompression and fusion. One to two level disease, do anterior cervical decompression and fusion, especially with a fixed cervical kyphosis to more than 10o. Multilevel involvement of three or more disc spaces is easier to be managed by posterior approach if there is no fixed kyphosis. Lateral x-ray will show if there is any kyphotic alignment. You will do multilevel posterior decompression and fusion for multiple levels of involvement. Posterior approach has a higher incidence of would infection. You should not do posterior fusion if there is a cervical kyphosis. The residual kyphotic posture of the cervical spine will result in persistent spinal cord compression. For fixed kyphosis more than 10 degrees, you will need to go anteriorly (don’t go posteriorly if more than 10 degrees kyphosis exists. For multilevel cervical spondylitic myelopathy, the most common adverse post-operative complication is loss of range of motion up to 50%. Laminoplasty is used instead of Laminectomy to prevent progressive kyphosis. Laminoplasty is done by decompression of the cervical spine by widening of the spinal canal. The patient may get nerve root palsy (C5 nerve root is usually the most common involved nerve root).

[@magpiesneedle2575]

Dr. Nabil Ebraheim, in 9 minutes you have concisely and completely explained my spinal status perfectly. For the very first time and so clearly that most doctors should be able to understand. I thank you as I am going to provide a link to this to my GP and neurologist (in Aug., 2021). Blessings upon you.

[@powbang852]

This video described everything way more clearly than the Neuro Surgeon I visited. The Dr. I saw just rushed through trying to explain what is wrong with my neck and how he would perform the surgery. He seemed so rushed, and acted like he had a million other patients to see and had only 5 minutes(or less) of time to speak with me.

[@priteshpandya9514]

Hey buddy how are you?

[@manasdas8793]

This lecture is for students, not patients. Its unusual to explain this much with patienta.

[@djdemientertainment9128]

I'm really lucky to have such a skilled surgeon with over 8200 under hood belt. This is just how he described my condition. He's just surprised that I'm 38 years old and dealing with this. Good luck everyone. Be well.

[@TarikRom-hu3jj]

What do u mean hhhh

[@imveryhungry112]

Spine fusions are a scam 😊

[@TarikRom-hu3jj]

@@imveryhungry112 what do u mean

[@imveryhungry112]

@@TarikRom-hu3jj The fusion surgeries can be essential. If you really need it because you are losing a lot of strength or you have scoliosis or something. But I got a lot of friends who are getting them then afterwards they say they wish they did not get one. My doctor suggested a fusion to me I have not done it yet.

[@TarikRom-hu3jj]

@@imveryhungry112 what happend to u if u dont mind me asking.. 😊

[@BlueLineofthesky]

YOU, Sir, are an excellent doctor and teacher!

[@mariahelenalucasdefreitas2581]

Excelente explicação! Obrigada, Brasil!

[@sarflondondan]

Excellent video, thank you

[@jimmiemarshall3215]

Very impressed sir with the explanation and procedures you’ve given me a clearer understanding of what to expect Thank you so much 😊

[@margaretjoan2220]

Guys,i have everything which has been in video,but did you guys look into other videos or different doctors,i have same symptoms,they come and go, but exercises,physiotherapy and stretching has helped me and some vitamins. Guys don’t lose hope…

[@MM-yi9zn]

Best ever explanation!! Immense thanks!

[@Empressively]

This was great. Thank you

[@atharpakistani7825]

Masha Allah jazzak Allah. Very good work Thank you Dr Nabil Ibrahim. I'm from Pakistan 🇵🇰

[@user-sw6hl1dd2x]

The best lecture abt this topic ever. Thank u

[@stevenkok1926]

Extraordinary.

[@savagesfortruth]

Finally someone understands me my spinal cord and spine hurt every day I use to be very active but now I can’t do anything I can’t enjoy any of my favorite things just stuck in my bed

[@TarikRom-hu3jj]

Any updates

[@rkmassine]

Dear Doc, Thank you for your explanation of these issues. I only wish all Neurological surgeons would be as educated as you, because they are assuming they know things when in reality they are many times doing surgeries when the problem is in a different area as your mentioned. Cervical issues can be causing lumbar like symptoms. I have had a few surgeries and I am serious when I say I wish you were my Doctor and able to diagnose and help me. I struggle with balance and pain and have issues in my cervical and Lumbar areas of my spine.

[@cheyennecross1890]

Yes this was very through and helpful!. Thank you for sharing.

[@hassanbazzi3545]

Very informative and now we can ask questions an no more guessing. My mother-in-law is dealing with this problem for the past 10 months with 3 different neurologists and can’t pin point the problem. MRI coming soon and hope this will clear things up. I appreciate your time explaining

[@x_warhog_x8701]

Awesome video at least now I have an idea whats going on thank you.

[@corniss]

This doctor is amazing at explaining things. I wish he was near me.

[@barbbranch59]

I had ACDF on my C5 C6 and C7, 3 weeks ago. This was an insightful explanation, and it gave me hope that I will/would have a positive outcome. 🕯✨️ Thank you

[@tamasinsterner364]

Thank you

[@judythompson3171]

Thank you so much!!! I recently had the cervical fusion of c5-6 due to this. You have explained CM so well.

[@JJbro-rt5zu]

How are you

[@laithhasm4380]

جزاك الله خير وكتب أجرك بالعلم النافع ⛤🏅

[@joerobert-qe9cn]

very help full

[@mahmudalubna5657]

Thanks a lot

[@texassteven8988]

Thank you so much, you have the best videos about this condition which I have. Thank you.

[@TarikRom-hu3jj]

Any updates

[@paulholdstock4751]

Thank you.

[@desmonduchechukwuanachunam959]

Great video

[@nabilebraheim]

Thanks

[@agingathlete4722]

Dr. Ebraheim. I had to have Anterior Cervical Disketomy and Fusion (ACDF) in the summer of 2017. I was -to put it mildly- quite concerned. Many of the neurological symptoms you discuss in this video were going on, and what the surgeon explained, though it made sense, was hard to visualize. This video is spot on explaining everything in a succinct manner. I very much wish i had had this resource available then. Thank you for putting this together.

[@eloisaluera7357]

Thank you for making this video It was very helpful. And I could understand it I just had surgery for this. And put it in perspective. Thanks again

[@ethanporter1893]

Thank you sir

[@altagraciaromanjimenez2084]

Gracias

[@barbarakirsch2538]

Helpful!!

[@tarakmelakar193]

Congratulations Very very helpful tips for me because I am therapist.

[@pgaquigz1125]

I had two fusion surgeries this year 3 months apart. 35 years old. Surgeon fused 4 levels front and 4 levels the back of spine. I have really bad myelopathy from cervical stenosis and spinal compression. I’m 11 days post op and the myelopathy is still with me. I hope it goes away.

[@jimmy16np]

How are you feeling 4months on?

[@jimmiemarshall3215]

I hope you are getting better I'm going into this phase where it worries me very much.😥

[@elenawhite88]

I would love to know how you are doing. I am 33 and dealing with similar issues

[@curcumin417]

How are you holding up man? Hope you are doing ok.

[@AashishmJogi]

​@@elenawhite88what r ur symptoms 😢😢😢

[@sarahchantea7676]

Very helpful ❤️❤️❤️❤️❤️❤️

[@amitvanshkaramit7044]

बहुत अचछा

[@MrUmar62750]

Thank You For This Amazing Video Sir

[@majidmalakut3907]

thanks for your precise description.

[@m.b.g.2235]

Thank you, thank you. You described this so we'll. I was hesitating about surgery, I no longer am. I meet with the surgeon soon.

[@somnyad]

Yes, I agree with Calvin Lee. There are many side-effects to surgery. Also, now there are some new techniques that are not perfect but are improving. Please try to take medicine for the pain and do physical therapy and rehabilitation.

[@corniss]

@Calvin Li why? It will only get worse.

[@corniss]

@Calvin Li i have no pain in neck but weak legs and off balance. Cant live with this.

[@Martin.Wilson]

I am a 68 yr old male who was diagnosed 5 yrs ago with cervical myelopathy (confirmed by MRI).. The neurosurgeon explained the risks of operating, but Dr. Ebraheim fails to mention the greatest risk in this video. It was explained to me that because it is such a delicate operation, there is a 15-16% chance of quadriplegia associated with this procedure. I would have opted for this operation if it was a 15% chance of death, but the specter of life as a quadriplegic was just too frightening. I've opted to take my chances for as long as I have left.

[@roops98]

Hey Martin, my father is a 60 year old man who's just been diagnosed with multilevel cervical myleopathy. He has a rare blood group as well and has deteriorating gait and other motor functions, but can walk unassisted with some pain. I'm really confused about getting the surgery. Did you take any other treatment option?

[@Martin.Wilson]

@@roops98 No, I use codeine to deal with the pain when it gets too intense, that's about it.

[@srinivasaraosirasapalli5104]

excellent sir,you have also explained neuroradiology concept.thank you

[@luzorozco5379]

Thanks, Nice To Know I’m Dying . Thumbs up for me 👍🏼

[@mixwizard2310]

Clear concise with excellent animation makes the understanding of a condition much better than any words alone.....Excellent presentation..Thank You so much.

[@scrumptious9673]

Thanks

[@nabilebraheim]

thank you very much for the gift

[@safiahhashim6165]

TQVM Dr , good info for those suffering the Cervical Melophaty. I sufferd this last year undergone the surgery on 5th Feb 2020 at HUKM hospital by one of the specialist Of Cervical Spinal Cord. Currently I managed to stay my normal life inspite of doing physio therapist.

[@shanesampson9730]

What is HUKM hospital?

[@bubbleforex3274]

How is uour conditions after operations. Im in S.alam

[@ernestagoba]

Dr. Ebraheim is a gift to humanity. I have seen 7 spine doctors in four different countries with the MRIs of my lumbar and cervical regions. Most of them had opined that the pain in my lower back was coming from the lumbar. After embarking on a lumber decompression surgery (Laminectomy), the pain was still there. In fact, it became worse. I was lucky to recently find a doctor that believes, like Dr Ebraheim, that the problem resides in the cervical region! This video has now given me more reason why I should proceed with a neck surgery. Thank you Dr. Ebraheim

[@m.b.g.2235]

I too hesitated about the surgery, especially since I didn't have neck pain until recently. But reading all the symptoms and information from the surgeon and this video has made me realize I need to get it done and soon.

[@Raj-ul9my]

Most of the time its from the neck, as its her the head and due to forward head posture and pressure coming from the head and some whiplash injuries discs their as very vunrable

[@ahmedsrssamir8192]

thanks alot

[@jayshreesenapatidutta4927]

This clear explanation is very very helpful sir...

[@scottdivers7981]

Great... got any suggestions on how to get around MEDICAID bias in treatment , and diagnosis.

[@sangamdarjee9349]

Thank you very much sir for such a video for which I have been having problems in my life

[@robertopolitz9924]

Der zweite Teil des größten Strafprozesses der deutschen Justiz gegen NS-Verbrecher: angeklagt waren 22 ehemalige Angehörige der Wachmannschaft.

[@bills48321]

I learned a lot, even though I have watched many other videos about cervical myelopathy. Can you tell me if DTI is useful in evaluating cervical myelopathy?

[@rightnow-bq1uj]

Thank you!!

[@annettmccullough4193]

This helps a lot. It explains everything I'm going thorough. All my Dr's keep saying it's diabetic complications, vascular disease, Carple tunnel, whip lash from an old car accident. I keep telling them there something more to it but, can't get any of them to listen to me. What do I do?

[@joannemarguerite2715]

I know how you feel. I can't tell you how many times I was told to get a new pillow. It finally got so bad I went to the ER. Finally found a primary who cared. Good luck to you.

[@margaretjoan2220]

It can be the accident left you damaged. If possible get MRI.i got mri since my symptoms came out work accident.

[@sexymommakat]

This is what I have, I can barely walk and my balance is way off.

[@Warriorsoull]

Many people will not have typical symptoms and I'm fact will have SEVERE pain.

[@michaelbowering2504]

Thank you, Doctor. Knowledge eases the mind.

[@robertopolitz9924]

Thank you, Doctor. Knowledge eases the mind.

[@robertopolitz9924]

Thanks a million Iv been just diagnosed I also have A.S. and C.H.D. for years

[@robertopolitz9924]

Thank you very much sir for such a video for which I have been having problems in my life

[@robertopolitz9924]

Der zweite Teil des größten Strafprozesses der deutschen Justiz gegen NS-Verbrecher: angeklagt waren 22 ehemalige Angehörige der Wachmannschaft.

[@coquitomoreno8359]

Graciss Dr 😊😊😊❤❤❤

[@loriclark505]

I wish you were my doctor

[@jacirogers9109]

Very helpful

[@muhammadghiyosov1311]

Doctor can you say me in which medical center throw off an illnes from this desease

[@sovankundu1419]

What about non compression case?

[@lynpayton2852]

Hi sir..is there a posibility of c4 c5 compression fracture cord hematoma at c4 level to walk again

[@nikitaranawat5636]

Quality content👍👍💕

[@debbiemarchica722]

I have each of these symptoms☹️

[@RainessaASMR]

Hi Doctor! Thank you so much for your video! I have been diagnosed with a 6mm C3-C4 herniated disc pushing on my spinal cord and causing symptoms for over 2 years. I have tried a lot of different things but I think I will need surgery. I am waiting for an appointment to see a neurosurgeon but wait times in Canada are very very long. It may be a year until I see a doctor and another few months until surgery. I am not sure what else I can do but wait and hope I don't get worse. Maybe I should explore seeing a doctor in the USA?

[@lololollo1977]

Did u make it ?

[@RainessaASMR]

@@lololollo1977 I haven’t seen a doctor yet! Still waiting for my appointment to be booked with the neurosurgeon 😅 everytime I call the clinic they say they are so back up because of Covid and keep pushing my wait time out 🥺

[@margaretjoan2220]

Hey did you get in the surgery? How did it go,did you get to do some exercises,physiotherapy to help with the symptoms?are you fine now?

[@RainessaASMR]

@@margaretjoan2220 Hi Margaret! I did not get the surgery. I am still waiting for my refferal to see the spine specialist / neurosurgeon. Thankfully my symptoms have improved!! I only have flare-ups ( body pain, headaches, dizziness) when I am too active / climb too many flights of stairs, too many chores etc. but Walking around and light activity is okay now! I think it is gradually healing on its own! So I think it is a blessing that I didn't see a doctor quickly or I might have received surgery I didnt need. It was a longggg healing proccess though! And I am not sure if it will keep getting better and I can return to full activity.. but I am hopeful! I

[@margaretjoan2220]

@@RainessaASMR that good,you will fine,the physiotherapist told to stay active is very helpful and important,eat healthy,do some stretching and vitamin,am improving slowly,am going to see the specialist tomorrow,I guess to refer me to someone else after.

[@argentinarodriguez4170]

Does it bring problems with the muscles, too??

[@PoTSdysautonomia]

I have a question… I had the surgery in 2018 but still on the decline repeat MRI showed myelomalacia. I can’t find anything on this topic. Can u help at all doctor?

[@mikegretah9233]

dr nabile ebraheim can you help me with my neck . i am in constant pain in 2013 i hade neck fution an after that i have only pain thank you

[@MBB112]

Dr Nabil, why are you only suggesting the fusion solution?! why not the artificial disc replacement

[@sjcajw7]

Artificial disc should only be used in young patients without extensive degenerative changes of the cervical spine. If you replace the disc in an elderly patient with severe arthritis/bone spurs, the arthritis and bone spurs will deteriorate the new disc prematurely.

[@Warriorsoull]

Unfortunately, I did not have most of theses signs. By the time I had balance issues and others I had permanent damage. I am only 46 years old.

[@rosamariagutierrezvargas3072]

No entiendo el idioma Podrias pasarlo e. Español soy peruana Tengo hernias en c3,c4 OPRIMEN LA MEDULA ESPINAL CUAL ES EL RIESGO DE OPERARME GRACIAS LS1

[@mickeycook569]

Details

[@corniss]

Can you have this with only legs weakness and numbness without arm symptoms.

[@grantechsweng5268]

I do have leg issues more then any arm issues

[@georgemphande9643]

Am pain every night and day I did mri found c3c4 and c5c6 cervical compression spine cord injury the progression is very fast I wanted to surgery but unfortunately have got heart problems what should I do please advise me people I don't to die.

[@utkalcommunication1075]

there is a patient who has got operated of spinal problem in the year may 2017 and since he is unable to stand or to move the total movement has stopped, even gradually voice gone and even problem faced on respiratory function, shall u suggest the treatment and about the disease, here there is no doctors are guided over the issue.

[@someshj8058]

Sir is there compulsory need surgery or not

[@akilmutnumuthu7867]

Thanku sir

[@mickeycook569]

Please help me Details

[@jaysmith6238]

I had every symptom. ACDF 6 months ago. C3 - C7 much better. Still not right though.

[@Waliwrites0077]

I have c4 c5 wh nerve compression..can it be cured without surgery..plz guide...since 2 months i m suffering from pain and inflammation around neck and shoulder in left arm

[@neetujogi8087]

Jay did u have muscle weekness?? I have it from a year now I feel its too late😢

[@grantechsweng5268]

Great vid well explained I am down to 5.2 mm will see how I recover.

[@vavolin949]

Много яко

[@gajendratakwale3059]

Hi Nabil. I gone through your total VDO. I had also gone through the cervical surgery in March 18. My nerve was also pinched in C5-6-7 in MRI. In my case Legs got affected first hence walking got affected. Then @1 month later my right hand lost the hold/grip. In between these two incidents there was huge tingling which starts from neck & goes to fingures of both hand & legs. However later on right hand fingures lost hold. As of today my fingers gain the hold @80-90% but some times it gets cramped. But legs are still not recovered that much. Means tingling & numbness totally removed after surgery but legs still not. I can move, walk etc but not as natural. It's just like a video shown. While walking, working it gives pain & very irritating. One thing also cleared that the problem in legs is due to cervical Spondylitis. Since improvement in legs taking time & there is pain in lumber region while movement I thought there may be additional problem in lumber. Hence could you explain which medicine, treatment, yoga etc to be adopted to overcome this problem. Many thanks

[@Chiroman527]

Thank you doctor for an excellent dissertation and explanation of these conditions. I have stenosis in C and lumbar spine. Neck myelopathy with weakness and tingling in both arms worse on the left. My gait is affected, my bladder is affected although the 6 surgeons i have seen indicated that no surgery for me. Maybe !!!!! In the C spine at C4 to C7 if the pain and stiffness become unbearble. Ive been to Mt. Sinai, NY Columbia Pres , and other surgeons for opinions for 2 years. Non surgical spinal decompression has helped a bit. One surgeon said that not only would surgery not help me but could make me Worse. I experience constant temporal pain , TMJ syndrome, tinnitus, a d also have facet joing arthritis. All of this including 25 degree dextroscoliosis from a 1 inch shorter right leg after a femur fracture at age 15. 52 years ago when the body cast was removed, the fractured right leg did not grow, but the left leg did. Nothing was recommended to my parents to pursue such as a shoe adjustment for life. Any advice and direction is appreciated. Ive tried acupuncture, any sessions of PT, CHIRO and just recentky the aforementioned spinal decompression.

[@lmd319]

I did have an mri scan that gave a lot of problems body starts shaking four an half hour . The result of the scan some foraming waist on level c3-c4 both sides c5-c6 right ,c6-c7 left . please let me know what you think

[@oconnorkieran5837]

Thanks a million Iv been just diagnosed I also have A.S. and C.H.D. for years Can please explain what is meant by loss of 50% of motion ?

[@somnyad]

Range of motion (ROM) loss of 50%. So basically, if the patient could move one direction all the way when healthy, just think of it as half of that.

[@robertopolitz9924]

Das ist eine äußerst sehenswerte Dokumentation! Sehr sachlich und ruhig aufbereitet. So etwas vermisst man heute im Fernsehen. Wir versuchen die Geschichte anhand von alten Briefen und Tagebüchern aufzuarbeiten. In dieser Rubrik gibts auch einige Texte aus Feldpostbriefen und Tagebüchern aus dem Russlandfeldzug

[@peterkaris8017]

am so greatfull for this i have understood the condition perfectly

[@dhanushkedissanayake22]

Sir, Cervical Myelopathy condition can be improved with Ayurvedic treatments.

[@Raj-ul9my]

NO, you must get surgery its the only cure, once the nerves are decompressed your body and your nerves have an amazing ability to heal

[@Raj-ul9my]

U need to understand what’s going on, conservative treatment is basically like taking pain killers for a tooth that’s infected and needs a root canal treatment. Your spinal cord is being pinched which if untreated for a long time can paralysis you. When your nerves are pinched the signals between nerve points starts to disfunction and that’s why u get pain, just the nerve is up pinched then you basically reversed that process. if you take strong painkillers for this or and injected to numb the nerve, what your doing is allowing the condition to deteriorate further with less pain until the pain killers were off. Conservative treatment. Is a failed treatment but they offer it first if normally they have a criteria of who should have surgery, normally it’s patients that have this issue for more then 6 months to a year. I’d I was an orthopaedic surgeon. If I find any pinching in the spinal cord I will straight away offer surgery

[@JJbro-rt5zu]

@@Raj-ul9myhi can we get in contact please I have questions

[@anirudhayadav543]

Your aal vedios is veri good for me bekas i am yoga teachar 13 ago bambo spontalitis pesent today i am 100% ok thanks yoga 💝🙏🙏🙏

[@gajendratakwale3059]

Hi Anirudh! I had also gone through the cervical surgery in March 18. My nerve was also pinched in C5-6-7 in MRI. In my case Legs got affected first hence walking got affected. Then @1 month later my right hand lost the hold/grip. In between these two incidents there was huge tingling which starts from neck & goes to fingures of both hand & legs. However later on right hand fingures lost hold. As of today my fingers gain the hold @80-90% but some times it gets cramped. But legs are still not recovered that much. Means tingling & numbness totally removed after surgery but legs still not. I can move, walk etc but not as natural. It's just like a video shown. While walking, working it gives pain & very irritating. Hence could you explain which medicine, treatment, yoga etc adopted by you as informed to overcome this problem. Many thanks

[@anirudhayadav543]

Gajendra Ji namaste Aaram ke sath aap Yog Shuru Karen Sharir Mein Koi taklif Na Ho aisa hi OK Karen breathing ki Kriya Jyada Karen Kisi Yog Shikshak ke sanidhy mein

[@sheezdaone]

TY for your Superior explanation! Was told I needed surgery 12 years ago😵had just turned 46, I did not have the surgery now having severe symptoms,Everything you explained...was not aware about earlier the better for this surgery😣I was also told I had severe osteoporosis would this affect this surgery,? Both and degenerative arthritis throughout my body, was in shock because I had no prior symptoms, Except vertigo, Which debilitate me for several weeks and cannot move the trunk of my body, is it too late for me to have the surgery? Had several mri’s over all these years, Definitely progressing😳

[@magno5157]

Did you go for a surgery? How did you do?

[@sheezdaone]

Addressing Magno’s question… Oh Fright😧no surgery, NO WAY! Not after this video plus a decade of holding off on surgery seems I’m pretty much f’d😒

[@magno5157]

Cherylann K I hope you’ll get treatment soon. I wish you well.

[@m.b.g.2235]

I too had no real clear symptoms until this summer when my neck and shoulders were unbearable. Mine is quite advanced without any pain for years. I read that 75% of people who have this condition don't have pain for years, yet it continues to get worse. I'm meeting with my surgeon again to discuss the surgery.

[@michaels999]

@@m.b.g.2235 did you ever do any surgery and has it helped

[@srinevassrinevas6055]

Which meadicen this problem I want sir

[@srinevassrinevas6055]

I want this problem solution

[@violetultra4414]

I'm still in pain and suffering even after a spinal fusion surgery. Diagnosed with failed back surgery syndrome now.

[@violetultra4414]

@@kimchaffee5397 I've already got a new MRI last month. There is some new herniated disc at other level. My doc think it may affects my condition now. Thanks

[@lmd319]

السلام عليكم ورحمة الله وبركاته انا عند الم في العنق ومشكل في المشي والم في الرأس وضغط في الادنين لا استطيع ان ارفع رأس الم في منطقة c8/t1

[@lmd319]

Problem with carrying my head after 10 min I have to lay down

[@dr.alauddin8435]

I am a pt of diabetic neuropathy?now I am lumber 3&4 disc prolapse. How can help me?

[@mrsensable]

Hi Dr. Nabil. Very good vidios. I subscribed a couple years ago. On Oct 5/ 2019 i injured my c5-c7 disks in an Atv accident and compressed the spinal canal. Symptoms include, severe body pain, loss of hearing head ache. Difficulty moving extremities. Severe Nausea. Myelopathy. Surgeon said im in trouble. Can i get back to a normal life , will i recover? The Doctors are very concerned. Im a carpenter and do alot of hiking etc.

[@sasukefan6919]

how are you doing now?

[@mrsensable]

@@sasukefan6919 Thanks for asking. Well I'm learning to live with a cervical SCI. Much more serious than I originally thought. Baisicly I live in agony. Burning pain and numbness everywhere. Am now registered as an incomplete quarapleagic . And you?

[@sasukefan6919]

@@mrsensable I'm so sorry to hear that man... did they not offer surgery, especially for the Myelopathy? I myself am only 24 and suffered a SCI 2 years ago. Symptoms include chronic stiff neck, jaw pain, back pain, arm pain and numbness and tingling. I'm just starting to drop objects often

[@neetujogi8087]

​@@sasukefan6919how r u now am in the same boat. No doctor can help I lost everything 😢

[@charlesg589]

@@neetujogi8087 Hey man, honestly I think i'm doing better than when I commented this. Was diagnosed fibromyalgia by one doctor and another thinks I have neck arthritis. I've been in the gym taking things slow and my strength has improved and stretching is necessary. I'm in pain but manage it with cupping, stretching, and exercising. I still have very bad days but they're less and less

[@jayendrasinhparmar3607]

Sir d4. 5.6after 4yers.

[@muhammadahmed2709]

I want to this video in urdu or hindi

[@user-daviddog]

Never mentions injuries that couse this

[@taniaregina3252]

Em português, por favor.

[@hikarumon]

Deixa de ser folgada e vá aprender inglês.

[@citizencain2383]

I'm talking to Sonospine as we speak. It's a surgery that doesn't involve fusion. The technique should be more known to people. Why it's not baffles me. Hopefully I'm eligible for it cause I do not want to go they a fusion at all. Pray for me people and look into this. Maybe it will help you out.

[@AdventuresInLiving]

What method

[@citizencain2383]

@@AdventuresInLiving The method is similar to this. Sonospine has a even smaller tool that does the same thing. My operation was minimally evasive, he went thru the back of my neck and within 2 hours I was back at my hotel. Next day eating food and walking around with my wife. I'm very happy I didn't get a fusion. I would do it all over again if had to. Can't say if I will ever need another operation but I will try to do the things necessary to stay healthy this time around.

[@AdventuresInLiving]

@@citizencain2383 do you know the name of the method

[@citizencain2383]

@@AdventuresInLiving no but you can call Sonospine and get it

[@AdventuresInLiving]

@@citizencain2383 perhaps would you and get back to us would be super appreciated

[@lindabrincken1677]

I need to c u doctor.

[@robertopolitz9924]

Das ist eine äußerst sehenswerte Dokumentation! Sehr sachlich und ruhig aufbereitet. So etwas vermisst man heute im Fernsehen. Wir versuchen die Geschichte anhand von alten Briefen und Tagebüchern aufzuarbeiten. In dieser Rubrik gibts auch einige Texte aus Feldpostbriefen und Tagebüchern aus dem Russlandfeldzug