CERVICAL STENOSIS RADICULOPATHY - PART 3 - SURGICAL OPTIONS

Cervical Radiculopathy or Pinched Nerve in the Neck, is most often causes by either a bone spur or disc herniation. Posterior Foraminotomy, Anterior Cervical Discectomy & Fusion (ACDF), and Cervical Disc Replacement (CDR), all proceedures are designed to take the pressure off the pinched nerve. This video will touch upon these options.
#thespineguy #cervicalradiculopathy #ACDF #CDR #posteriorforaminotomy #spinesurgery #spinesurgeon
Dr. Brian W. Su, MD
Spine Surgeon
Chief Development and Strategy Officer | California Orthopedics and Spine
Medical Director of Spine Surgery | Marin General Hospital
Director | Marin Healthcare District Board
Chairman | Marin Specialty Surgery Center
Yelp:
www.yelp.com/biz/brian-su-md-...
Contact two locations:
www.caorthospine.com/
415-927-5300
2 Bon Air Road, Suite 120
Larkspur, CA 94939
7100 Redwood Blvd, Suite 200
Novato, CA 94945
Curriculum Vitae:
www.caorthospine.com/brian-su...
FTC: This video is not sponsored.
Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Information obtained from this video should not be taken in lieu of your own medical provider's advice and treatment plan. Please consult directly with a physician or other healthcare professional regarding any diagnosis or treatment plan options. Content provided on this KZbin channel is for informational purposes only and should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose , treat, cure or prevent disease.

[@MrDanKahl]

I've been dealing with cervical ridiculopathy for years. So many different PTs, chiropractors, injections, etc. I've done a ton of research on this, and no one has ever explained the pathology or treatment options more clearly and directly then you in this series. Amazing work. Thank you.

[@debwood3783]

Great video series!! I just got diagnosed with cervical radiculopathy and the pain is intense. I have watched probably a dozen videos this weekend trying to get some insight for options. Your videos are far and away better than any of the other videos I watched. You make it easy to understand and I learned a lot. I wish you were in Arizona to treat me!

[@peterhutlas3572]

I did solve this by correct exercises and patience, + sleep and nutrition is important as well, but it can take 2-12 months before it disappears, I know what to do, but since I don't have uni in physio nobody trusts me, so until I get one, it will take 5 years 😊

[@isaacguerrero6169]

@@peterhutlas3572 help me bro my stuff and systems started going away but I want to get a 100 percent relief

[@augen8819]

​@@peterhutlas3572 my pain is mostly at night, do You have advise?

[@peterhutlas3572]

@@augen8819 sorry bruh, since I am still not getting paid, since am not qualified by uni yet, I am not gonna tell you anything, even when I know, enjoy this hardcore capitalism.

[@kapilkundux]

​@@peterhutlas3572😂

[@Kellylovescats576]

You are fantastic! I learned more about my neck issue and subsequent surgery from you than 3 Doctors who’ve treated me. Thank you!

[@DHang-fh1gp]

Thanks for all explanation. So well explained.

[@CaptainAndy99]

So easy to understand and follow.

[@doreenglenn5251]

Thanks for all your info to help us out!!

[@drewgodderis5390]

Thank you Dr Su... you have a great bedside Manor very comforting and also your highly informative way of presenting things in a way or I should say in Lay terms that people can understand is wonderful I could see why you have such great reviews you entirely deserving

[@conorhannelly9871]

Brilliant video

[@johnregan5752]

Thanks Brian

[@astridjolie4330]

You are the best love your videos 📹 ❤️ Thank you 😊 🙏🏽

[@tamarascharck6927]

So awesome that you show the options risks and benefits of all of these options. So many times a patient can have a laminectomy or forminatomy and avoida fusion but too often a doctor will just do fusions because they are quicker and pay more. They don’t really care about the longer term risks and patients results.

[@AshevilleGelman]

Thank you, sir! This video series has been extremely helpful for me. My local VA hospital is very good, but so far they have given me very little information. They told me to try ibuprofen, but they never said how much. I wasn't taking enough and I wasn't taking it regularly. I am now, thanks to you. Great videos!

[@m.b.9169]

Hello hope you're all doing well tonight. Thank You Dr. Brian S. This too is a video that is very important to me. Why? Because you've touched a topic that my sister and I are going through. My sister has had several neck injections and still suffers from her pain, as for myself I have sharp pains from my neck I can't turn my head around without pain I also have migraines brought on by my neck pain. You might say that we haven't found relief of any kind. Thanks for all your information and I will continue to fallow your videos. God Bless You. 🙏🏻

[@honeyoconnor3743]

Thank you for this series. It has helped my understanding of the condition I have. I had a herniated disc C7 T1 and arthritis, stenosis, and bone spurs with left sided radiculopathy and numbness in my 2 outer fingers on my left hand. I’m mostly healed at 12 weeks out, but still some radiculopathy with the pain in the elbow. My physiatrist ordered a nerve study to rule out impingement of the elna nerve. I will be scheduled for a steroid injection C7 to calm the nerve down. I’m so glad to find out most cases resolve with time. I’m hoping I don’t need surgery.

[@LIrvin-gb6ij]

Sir, thank you for the video. I learned a lot just by watching your video. Thank you for taking the time and educate some of us on Cervical Radiculopathy.

[@annettebutler8490]

O.. I00 00

[@user-ey5oh4lb5o]

Thankyou ,I've struggled with this in the UK for 32yrs. So informative and clearly explained. I just seem to get reviewed by my consultant and never am free of chronic pain issues.Im unsure why surgery has not been offered?

[@cherylduffey9463]

Please show a video on CT/Mylagram.

[@user-is1xp5op8n]

Great info was getting a little nervous

[@aliciaedmond9316]

Good afternoon

[@darlenemorton5721]

I wish I could see you fir treatment

[@raycarlyon8436]

I have been offered an operation on my neck, the doctors have decided to do this after much deliberation, I have already a plate in my neck. They have informed me the op may not relieve the pins and needles in my fingers, they are going to perform the op to reduce degeneration. I am also having a cortisone injection in my lower back, the doctors explained there is not much room to operate there, and it could be a very risky op.

[@chamarystigers8731]

Hi you I have surgery my neck c2 to c7 with plate and 10 screw yesterday hurting bad will be healing soon

[@thelenny38]

What about a procedure done in Florida? Cervical endoscopic laser discetomy..surgeon goes through disc front small incision cleans out herinated disc bone spurs no fusion.

[@vipingaur1207]

Thanks for the Viedeo Sir... I have bad posture on my back side. I did the back shoulder exercises that's why it's come, it's look so ugly but I don't have any pain, I wanna again my reshape my backside neck. Which treatment is better for me surgery or some exercise

[@andresparra441]

Dr. I have an MRI showing a herniated disc C2-C3, C3-C4, due a trauma lifting Apliances carting then second floor, I live in San Diego California, please make a video about herniated disc in this area, I will apreciate it, also included vase with this herniated disc pinch affects the spinal cord what are the symptoms, thanks

[@TheKevphil]

Could you comment on "Direct Visualized Rhizotomy" for cervical Stenosis? Thanks!

[@shashankdhananjaya772]

Excellent video, could you please give more instructions to keep this radiculopathy in check. How to avoid progression?

[@DrBrianSuTheSpineGuy]

Pt and core strengthening

[@SpirituallyNixawake]

Thank you for your demonstration. 👏 I had my ACDF C6/7 in 2021 I suffer with degenerative disc disease and had cervical Myelopathy. Unfortunately I have been left with permanent nerve damage. They will be going in again to decompress C6 I asked what that means, I was told they will go in deeper. I wasn’t sure what that meant. I was told they had left some of the cervical myelopathy in the disc for whatever reason. I am so worried as I have new symptoms constantly including pins and needles and other sensations 🙏👍

[@DrBrianSuTheSpineGuy]

Hard for me to know without looking at the imaging.

[@aliciap2853]

Thank you Dr. Su for your informative videos. Can you do a video regarding C1 & C2, the symptoms, the types of referred pain involved, as well as the treatments? Ex: feeling bone on bone, headaches, C2 out of alignment...& etc. Thank you in advance!!!

[@DrBrianSuTheSpineGuy]

That's an unusual condition but will put it on my list to do a video about

[@aliciap2853]

@@DrBrianSuTheSpineGuy Looking forward to it. Thank you!

[@andresparra441]

Yes also involving pinched nerves in C2-C3

[@ricardosalas4451]

Thanks a lot for further enlightenment Dr. Brian! Ur a heaven-sent NeuroSurgeon Doctor! I am having nerve stenosis and have a C2-C3, C4-C5 & C6-C7 problem.I also have bulged-discs per my MRI report .And I have a cist-like thing that grew on the left side of my neck. Is this cist-like thing just a spasm? Currently I am using a traction device of different brand but I am intending to replace it with Saunder's traction device, one driven thru a pump. I still drive a vehicle ( is this advisable activity)?

[@DrBrianSuTheSpineGuy]

I would have to look at the imaging studies.

[@darlenemorton5721]

I’m dealing with this for months the pain and emotional taking a toll on me I’m 63 I have Medicaid insurance and having problems find a Dr to treat me can you help me.I live in NJ

[@angelamartinez3401]

Doc you’ve been awesome explaining it in a simple way for people like like us who are not doctors. I have bone spurs and foraminal stenosis , it’s going to the cord and my lighthead and tinnitus are my symptoms I’m going crazy I feel like I got a hangover every single day , I haven’t heard you talking about my symptoms , are my symptoms normal or could it be something else ? Can you talk about dizziness from cervical stenosis if you don’t mind ? Thank you doc God bless

[@DrBrianSuTheSpineGuy]

Dizziness usually does not come from stenosis but headaches can

[@sanek1985t]

@@DrBrianSuTheSpineGuy how stenosis produce headache? How it works?

[@DJR40]

CDR IS the best ultimate but if not have pain from arthritis in facet

[@DJR40]

dr brian (give me real comment its really get go resolve when your opinion (u r spine surgeon u r can give good answer (i know i can search the result on the network (also have some expert dr their are have forum

[@whendis.roberts9903]

Dr. Su, 2hrn I rotate my neck it sounds terrible. Like grinding and pop corn popping . Not good. I had a severe injury to my neck when I want 21 years old. My now deceased Husband pulled up on my head trying to kill me and separated my vertebrae and I had to get Chiropractic Care for about one year. Now my neck sounds terrible. Also I have major injuries in my lower spine.

[@tenminutetokyo2643]

What about bones fused by AS?

[@otonielmurillo746]

Doctor question This information makes me feel good, I have c4-c5 a disk protrusion mild right neural foraminal narrowing. Disk deformity 1.5mm. C5-C6 Disk protrusion mild spinal narrowing, annular fissure is identified, disk deformity 2.6 and the same thing with Disk C6-C7 I'm just wondering if this can heal itself? I just feel mussel pain on the neck is frustrating please advise😔

[@ceejay1794]

Thanks for the information. I’m 6 yrs post a c3-c7 acdf. Before the acdf I’d had a stroke in my mid pons. My symptoms are worse. I’ve now been diagnosed with Cervical Dystonia and Occipital Neuralgia. Could my body not be tolerant of the fusion? Could my radiculopathy be worse because of the brain injury. I need help in peeling back the layers to these questions. I’d love to set up a phone conversation somehow to explore ideas of diagnostic tools and treatment. Thank you 🙏

[@DrBrianSuTheSpineGuy]

I'm sorry you are not feeling well. There could be many reasons for persistent pain after an anterior cervical fusion. I would certainly start with a CT scan to document the fusion as well as an MRI to look for persistence stenosis. You can always make a zoom appointment with me by calling 415-927-5300. As a disclaimer this is not considered a substitute for medical advice from your physician

[@barbaraworkman5382]

Thank you for taking the time out of your busy schedule to read this. I'm trying to understand why they're not doing anything about my neck other than injections in my neck, but they only last around 3 to 4 months. I have 3 pinched nerves in my neck, and they're not bone spurs. I had a double lung transplant 5 years ago, and the medicine from that had caused osteoporosis. My back has been messed up for about 23 to 26 years. It has gotten worse also. My doctor wants to stay away from surgery for now, but what I don't understand is why. It's not going to get better. My balance is horrible, I'm constantly running into things, and I try to do balance exercise, and I can't. I had to get reviewed by disability and it had to be done by one of their doctors, and he diffently saw what was going on with everything. If you can, please help me understand. Thank you

[@DrBrianSuTheSpineGuy]

I would need to look at the imaging.

[@ayshasaeedkhan5235]

I had epidural in my labour day one and now 3 months complete still have pain in my back can I know possible to get disc after epidural?

[@jacquelinegalarza8374]

I am going to do something on my neck cause I have pressure on my disk.i am share to do it

[@nirupajaseeharan8900]

Hi sir, I’m 35 years old female in 2020 I started to get pain in my elbow afterwards went to see doctor they prescribed anti inflammatory for months nothing get changed in my pain went PT also nothing changed but little by little the pain started to elevated like from behind the neck and shoulder blade .. numbness.. tingling feeling in wrist and little and ring finger.. burning feeling in my behind the neck started.. they gave me shots in my elbow and shoulder.. for few weeks it felt good later started again … they did nerve conduct study it gave results last oct C8 Radiculopathy … I took ibuprofen with Tylenol.. they proscribed some sort of muscle relief medicine… nothing changed… still If I bent my elbow longer it started to aches and weakness feeling.. couldn’t carry big Stuffs in that hand ., even if I continue to write longer it’s getting worse pain.. can’t sleep that right side.. if I do fist tight it’s shooting pain goes out little finger to elbow. I’m using ice and hot massage… I don’t know what to do?? All the treatment are given by my pcp.. which department doctor do I need to see? Please help me out.. last two years this pain been there… if I don’t work or don’t do anything in that hand it was little relief but when I started it’s coming back..

[@DrBrianSuTheSpineGuy]

It sounds like you need cervical imaging and an evaluation by a spine doctor. As a disclaimer please consult your surgeon

[@nirupajaseeharan8900]

Thanks a lot for the reply. My doctor ordered me to do an MRI for spine lumbar and spine cervical. I’m waiting for it.. nowadays I’m getting numbness in my hip area. Really thanks for the reply.

[@VivekAnandh02]

@@nirupajaseeharan8900 I’m having the same symptoms and treated with same procedures. Lately started getting numbness near lower mid back and hip too.

[@PRAVEENKUMAR-ys9sz]

hello sir I have a spine nerv problem please help me

[@Joseph_Clark07]

Hi doctor. Thanks for the useful information. I am wondering one thing, I was diagnosed with herniated disc last year in august. Until now, doctors have done nothing but give me pain killers to manage the pain. I am wondering one thing, at what stage dose it becomes serious for a operation? It’s like I’ve been in and out of hospital since then fad the pain becomes quite bad but they usually just send me home with more pain killers

[@DrBrianSuTheSpineGuy]

I would have to look at the imaging study to make an assessment.

[@mlcaldwell13]

How long should I allow non invasive options without improvement before looking into injection or surgery? I had a cervical fusion about 10yrs ago also.

[@DrBrianSuTheSpineGuy]

It depends on the imaging and your symptoms. You can call 415-925-8200 for a video visit with me

[@jimmydirck2048]

I have been diagnosed with cervical stenosis. I seen a neurosurgeon at Audie Murphy VA hospital. After reviewing my Mri, Ct scans and x - rays.. He said my C3 is over lapping my C4.. I'm having major chronic nerve pain my neck, shoulder, arm and in my back. Numbness the whole 9 yards... He told me if my symptoms progress to go to the ER... My question for you is. When should someone with cervical stenosis go to the ER...

[@DrBrianSuTheSpineGuy]

Watch the cervical stenosis videos and you would have to speak to your surgeon

[@ronenzexer.1774]

Hello. I am 68 years old. Diagnosed (MRI) as suffering CERVICAL SPINAL STENOSIS - significant at C5-C6 and medium at C4-C5. The main issue for me is numbness in my hands (palms, fingers), especially my left hand. In addition, I have some weakness in my left arm (compared to my right arm). Is this likely to be Radiculopathy or a Pinched Nerve in the Neck?

[@DrBrianSuTheSpineGuy]

You may have myelopathy so you may want to look at the playlist on cervical and spinal cord compression

[@christinefinn6180]

Oh I wish you were in Ireland.. got a new MRI and had review with nurosurgeon Monday after 16 months with pain specialist and rhizotomy.. MRI shows C5/6/7 issues and pressure on cord however he was reluctant to jump into surgery and is have a case conference regarding my old and new MRI.. I'm even more confused as it's been a really bad three years..

[@DrBrianSuTheSpineGuy]

I'm about to release a video on cervical spinal cord compression that I think will be very helpful for you.

[@christinefinn6180]

@@DrBrianSuTheSpineGuy super thank you.. I understand what nurosurgeon said about being conservative re surgery as possibly can make thing's worse but what I have endured and do daily not to mention impact to my life is worse love your videos and appreciate your reply! I feel in limbo now between pain specialist and nurosurgeon.. thank you and kind regards from Ireland!

[@ahwell9984]

When two vertebrae are fused after a disc is removed, what does the relevant pair of nerves use for a foramen; how do the nerves branch out of the spinal canal?

[@DrBrianSuTheSpineGuy]

If you take the disc out and do a fusion the exiting nerve still exits at that level there is just no motion there

[@cherylduffey9463]

Do you have a video on a Myelagram? I had a spinal fusion 3 months ago. I have recently began to have numbness in my thumb and halfway up my forearm in my left hand and arm. My Neurosurgeon has ordered a CT/Myelagram.

[@DrBrianSuTheSpineGuy]

I would recommend a myelogram as well as MRI

[@cherylduffey9463]

@@DrBrianSuTheSpineGuy Thank you so much for answering my message. Aren’t those Milligrams dangerous? Couldn’t they cause spinal fluid to leak out? Is there a video I could watch ? I’ll call your office, but, first I need to get their number. If I call California info, what town are you in?

[@hamiltoncooper3603]

Have you performed any of these types to any patient who’s involved in combat sports? If so where they able to perform the same after the surgery and what was the recovery period length?

[@DrBrianSuTheSpineGuy]

Patients after they fuse or have a decompression on their neck can return to full sport.

[@hamiltoncooper3603]

Dr. Brian Su - The Spine Guy - Would a man be able to fight with no issues? I know people who can’t turn their neck after fusion. 🤷🏼‍♂️

[@rakishman1313]

one question , once I have foratonomony would that prevent me to have a successful ADR placed at that level, would it affect the stability of the Artificial disc, or cause instability? Thanks a lot for the video

[@DrBrianSuTheSpineGuy]

In theory it's reasonable but we don't have long term data on that.

[@rakishman1313]

@@DrBrianSuTheSpineGuy thanks for the prompt reply , I am confused as I have 3 level adr with M6c after 4 years c56 has a posterior bone spur protruding into spinal canal and one of my consults suggested it but if it would cause instability down the road I assume anterior revision is probably the more consistent way to go. However since my placement of the disc is still perfect on the scans I am not sure if the risk reward is there to remove the artificial disc . So either option does not look great at this point I guess. Thanks for the reply I appreciate it and love the videos

[@ericburton5914]

I have it all, so if i have a choice i pick chisel out the bone spur at the back of my neck so not to disrupt from part of neck. Just chisel out that damn spur and dissolve it flush it out or vacuum it out of my neck please.

[@mrkilwag]

Sir, are surgeries, where only herniatied part of disk is removed, popular in USA? I am thinking to undergo such a in Poland. Thank you very much for your contribution to make patients familiar with ale possible ways to treat their spine related pain. Something that was so scary in the past seems to expand in ways of treatment so much that it becomes more and more common and patient friendly.

[@isaacguerrero6169]

Doctor typically are these surgeries successful in reducing symptoms of pinched nerve

[@DrBrianSuTheSpineGuy]

Yes they are.

[@flyboyutahfoy8896]

@Dr Can you address cervical spinal stenosis, in an episode?

[@DrBrianSuTheSpineGuy]

You probably mean Central cervical stenosis or compression of the spinal cord. I will make an episode on that.

[@flyboyutahfoy8896]

@@DrBrianSuTheSpineGuy “Severe Degenerative disc Disease at C4 - 5 resulting in spinal stenosis with anteroposterior dimension of 7.5 mm”

[@nancybennett5319]

How does Cervical Disc replacement affect a person with Multiple Sclerosis? ❤

[@DrBrianSuTheSpineGuy]

There should be no issues with that

[@rbaet3465]

Dear doctor,is the timing of the surgery matter? Can I postpone my dad's surgery for years or will it cause some damage to the nerve or so? Also, according to your experiences, What is the likelihood for someone to recover themselves given that person is 70+. Thank you and your explanation is brilliant. :)

[@DrBrianSuTheSpineGuy]

That's a good question. If there is significant weakness less than gravity there is some benefit with earlier surgery rather than later. Otherwise you should not have surgery unless the pain is severely affecting your quality of life. As a disclaimer please consult your spine surgeon.

[@Eg33n54]

How is your dad recovering? Did you get the procedure done ?

[@rbaet3465]

@@DrBrianSuTheSpineGuy Just saw your reply today, Thank you so much doctor :)

[@rbaet3465]

@@Eg33n54 No surgery yet But recovery is super slow

[@escape2064]

Hi. I'm currently 28 and have had CHRONIC (every. single. day) pain since starting when I was 17. That's 11 years of absolute hell! It started from what I remember around my left nipple (like underneath it, inside) and quickly spread throughout my entire left chest, into my upper back, and up the entire left side of my neck within about 2 years. Luckily (or unluckily) it has stayed stagnant since then and has not spread anywhere else. Unfortunately it affects pretty much everything for me. My breathing is impacted (it hurts to breathe on my left side, feels like my ribs are broken). It hurts to talk (constant pain in my throat and neck on left side). This pain has also caused me to develop massive anxiety. I am pretty much scared to death of people. I feel like they can see my pain and can tell I'm "different" even though I know they can't. I've been to pretty much every specialist. Neurologist. Pulmonologist. Cardiologist. General chest specialist.I've done 3 rounds of physical therapy. I've tried many different diets. Exercise almost every day (even though I feel like I'm gonna die when I do). Staying active. Stretching. Needling. Still after 11 years no doctor has ever given me a definitive diagnosis. I pretty much always get looked at like I'm a crazy drug addict psycho. Well just the other day I was feeling sorta fine and then I turned my head to the left and boom! my pain intensified tenfolds and remained the same throughout the rest of the night. This strongly leads me to believe that it is a pinched nerve somewhere. I'm making an appointment with an Orthopedic surgeon (I'm hoping this is the correct specialist to see, if not then I will ask him/her where to go) and I'm demanding an MRI. I'm guessing this sort of thing is diagnosed through an MRI. If not then please someone correct me. It's mind boggling to say the least that I have never been ordered one. Again, most doctors have always written me off for being "too young" or crazy. Well this time I'm getting one. Not taking no for an answer anymore!!!! Hopefully I'm close to getting rid of this shit so I can actually live again.

[@escape2064]

Not only do I hope I can get rid of this pain but I hope this is what it actually is (a pinched nerve). Honestly the not knowing part is almost worse than the pain part. My mind is always racing trying to think of what this pain is and where its coming from. The not knowing REALLY sucks!

[@prestoncoddington521]

@@escape2064 I’m 31 and I have early onset DDD from genetics since I was 18 and I have to get a multi level fusion from osteophyte complex and complete loss of disks bone spurs pressing on the spinal column and cervical nerves. The pain has just been debilitating. It’s unfortunate that a lot of doctors I’ve come across doesn’t take our pain seriously because “we’re too young” it’s just muscle strain 😒. You’re not alone! If you need to, go to the ER and demand a CT or MRI. Good luck to you

[@escape2064]

@@prestoncoddington521 Ouch! I'm sorry to hear you're going through that, I hope it turns around for you one day :) And I know tell me about it, I've been in and out of doctors offices for the past 11 years since I was 17. My favorite is when I get written off as a drug seeker, when I have deliberately suffering through my chronic pain for the past decade almost entirely med-free because I am terrified of becoming addicted to pills :) I don't even drink alcohol. I actually have an MRI on my chest soon (it took me 6 months to get one). We'll see.... I just hope it shows something even if it's not fixable!

[@prestoncoddington521]

@@escape2064 I always tell them I don’t want pain meds. That pain meds doesn’t fix the issue. I have tons of tattoos so believe me I can handle pain, it’s how long the pain lasts that I have trouble with. They have me up to 600 mg of gabapentin, supposed to help decrease inflammation of the nerves but when it comes to structural issues, no medication can fix it. And MRIs definitely show more then CT, let me know how it goes! Because my MRI didn’t physically show spinal column stenosis, and I’ve had all the symptoms of a pinched spinal cord, they are supposed to treat the symptoms, not the MRI. However, don’t lose hope if it doesn’t go exactly as you hope. You’re your own best advocate and don’t take no for an answer.

[@Rollwithit699]

I can't believe you have to demand an MRI! Sounds like that should have been done long ago. I'm dealing with the same. Good luck to you. 🙏

[@malikto1]

What about ultrasonic surgery to only remove the bone spurs?

[@DrBrianSuTheSpineGuy]

That is a marketing gimmick and is no different than using a small burr. Both remove Spurs successfully

[@malikto1]

@@DrBrianSuTheSpineGuy The demonstration by Dr. Cantor if the Cantor Spins Center in Florida would counter that. According to their video the burr cutter can cause damage if it nicks the nerve where the ultrasonic cutter does not. Very interesting to see conflicting views from spine surgeons.

[@aventuraseneldesiertodecal8284]

Hola doctor, me gustaría una cita con usted, como hago para comunicarme con usted?

[@aventuraseneldesiertodecal8284]

Hi doctor did you receive workers comp?

[@Squids_Vlogs]

Why does the disc need to be replaced if its a bone spur causing the issue?

[@DrBrianSuTheSpineGuy]

It doesn't always have to be treated from the front by taking the disc out. Usually the disc and bone spur is the offending agent. Sometimes we can consider doing something posteriorly

[@denisetorkelson8530]

if the issue is just a bone spur alone and the neck, can that just be shaved down rather than a disc replacement?

[@cherylduffey9463]

How much does it cost to have a video conference with you? I am in North Carolina.

[@DrBrianSuTheSpineGuy]

You should call California orthopedics and spine and schedule a virtual appointment. I take most insurances

[@cherylduffey9463]

I am wearing a Bone Stimulator. Apparently my bone didn’t start growing after the Fusion.(5,6 &7). On my last visit my Dr. Said it has started to grow, but, he did not show me the X-ray , like he had every other visit. Also, the top Titanium ring has begun to tilt down. He said he is not worried , if the bone begins to grow, it will cover it. I’ve played guitar for 65 years! And the numbness is beginning to affect my playing. How do I get your office phone number? What town is it in?

[@jackierogers7139]

What about Nerve Root Ablation? Good or bad?

[@DrBrianSuTheSpineGuy]

I would watch the video on cervical facet joint syndrome

[@jackierogers7139]

@@DrBrianSuTheSpineGuy Thank You! I shall try to locate that video.

[@jackierogers7139]

I did watch it. I had Ablation done on my Lumbar spine 3 yrs ago. It worked well for a yr. Now my pain DR wants to do the Cerviical spine. I had the Median Branch blocks done AFTER doing physical therapy. At PT they told me it hadn't worked but warned me, about Ablations. They said each time I had it done when the nerve does grow back there will be more nerves with it and eventually take up all the space ? Your opinion on that would be most appreciated! I am somewhat of an enigma patient. 11 yrs ago I was diagnosed with Renal Cell Carcinoma IV. They told me I had 5 other areas with lesions. I let them take my left kidney and did nothing else. 1 yr later, no lesions. I was a passenger in a car at 14 when the car was struck by a train. 1967 I could not tell my parents. I went on to lead a normal life with race horses at all the CA Tracks, lived in San Mateo at Bay Meadows. At 36 I had my only child and 1 yr layer had my first back surgery. Dr's wear thinking my spine looked like it was tipping off my pelvis. After surgery they told me my spine had already fused itself and wasn't going anywhere. At age 51 I was rear ended and had another back surgery. I am blessed to have had good docs, but I will be 70 this year and would love to live another10! < pain free? Any advice would be appreciated and I can surely find Marin County if need be. Thank you for ALL your great videos and your time. Near Seattle, Jackie Rogers

[@YeshuaKingMessiah]

But in 3 mos it’ll be all better U promise (in part 2) Why get the op? Esp if u take narcotics till it chills out??

[@DrBrianSuTheSpineGuy]

It doesn't always for sure go away but usually does. Please consult your surgeon

[@YeshuaKingMessiah]

@@DrBrianSuTheSpineGuy I have a feeling I’m just continuing the activity that caused it so it’s getting worse, not better. It’s called making a living lol Do bone spurs ever get reabsorbed if the pressure/cause that caused them goes? I had another pinched nerve (affected other side) that hasn’t come back in spite of this opp side developing the cervical radiculopathy. I would think they would be both sending searing pain down my arm, and throbbing into upper back n base of skull-because I’m doing things again that strained my neck. I’m so tired of inability and PAIN

[@aliciaedmond9316]

Good morning how can’t talk tu you

[@DrBrianSuTheSpineGuy]

You can call California orthopedics and spine for a zoom appointment

[@BenedictaSablah]

Please I have a bulging disc, chronic back pain , please I would like to share my Mri This is my watup line kindly send me a hi so I share my mri

[@DrBrianSuTheSpineGuy]

You can call for an appointment with me at 415-925-8200

[@chicago23elazig88]

Dr Su Can sent you picture of my mri Can you look at it tell me if I need surgery please I went spine center Nurse practioner see me instead of Doctor She didn't explain enough to me she said your disc smash don't know what it nean by that. You're such a great person making all this video for humanitarian

[@DrBrianSuTheSpineGuy]

You can call California orthopedics and spine to make a virtual zoom appointment with me

[@chicago23elazig88]

@@DrBrianSuTheSpineGuy I from Chicago I really do like the way you talk you explain so good. I hope you're in Chicago area Its to much far and expenses for me to afford to flight, but thank you all your hard work I become your subscriber watching every video you make it since I'm suffering