Luigi Mangione's Spine - A Back Pain Expert Analysis

[@e.miller8943]

About 15 years ago I went to an orthopedic surgeon for pain and numbness in my right leg. He told me I needed back surgery. Luckily I did some poking on the internet and discovered my problem was piriformis syndrome. Muscle stretching cured my problem. About 2 years ago I went to a different doctor about pain in my hip area when sitting. He referred me to another doctor in the practice that does back surgery. Again I found real cause of the pain myself. I had ischial bursitis. Back surgery should only be done if all else fails, but too often it is done too early.

[@Vitobandito434]

I had back pain since childhood. I’m very hypermobile and very tall and weak naturally. I was on multiple depressants because the chronic pain was attributed to depression. I have spent several years in PT. I did the exercises religiously. But they never fixed me. My body just never responded to the work I did. But I never gave up. I think I finally started to find balance when I started ice skating. It really helped me fix my body and give it better balance and stability.

[@darylwizzard5832]

I'm 65 I enjoy ice skating. Last week it rained severely for 3 days straight starting on Monday. Monday I had to leave the ice because of severe back pain because of the rain. Friday I felt pretty good but still plenty of stiffness. I gave hockey a whirl, by the end of it I had zero back pain. I think your absolutely right about ice skating for back pain.

[@helperboy5020]

i dont think its necessarily ice skating which is required. Since it was the depression which seemed to be the root cause, doing a sport like activity which would require a lot more brain function compared to just doing PT, was probably the key. Functional activities (like sports, physical labour , skill based activities etc) tend to do much more for the body and mind than purely repetitive actions seen in a gym or PT

[@rccyberwarrior2267]

@@helperboy5020 The depression was caused by the chronic pain according to the person who posted their comment.

[@jerryrobinson7856]

@@Vitobandito434 Neurosurgeon Dr. Ara Deukmajian (Dr. Deuk he goes by) says that pain and depression go hand in hand. Anyone in spinal pain can find his KZbin channel quite educational. He is different and advanced. He does not like to use any hardware if avoidable.

[@kingarthurusatenniscoach1415]

Stuart Mcgill Back mechanic the Mcgill 3 helps me. No sit ups

[@kristibike]

I’m 63. I have spondylolthesis. I believe in proper posture, and your videos really help. I still can’t walk very far. I’m starting to pick up power in stationary cycling (Zwift). I don’t do my core work, I struggle . You’re awesome.

[@mariede3968]

you look beautiful and so young. I pray for you.

[@kjw79]

You understand what it’s like, that’s what makes your channel so valuable. Back problems are so much more than mechanics. They are a lifetime journey for a whole person’s mind heart and soul. When the journey to recovery and relief is limited by cold corporations via time and profitization, wow what a situation. I hope things get better in the US in terms of medical care soon. 🇨🇦

[@shueibdahir]

I actually believe certain industries should not be allowed to privatize at all. The free market economy does not work in healthcare long term. There’s not a single country where it hs been successful, especially with the insurance model.

[@IlPinnacolo]

The worst part about back pain is that if you are relatively young and fit, no one takes you seriously. I have VA healthcare and private insurance. I have gone as far as I can with both. Most recently they sent me to the pain clinic at the VA. This was like a tribunal where 5 practitioners basically told me three things 1)nothing is wrong with my back, except for the bulging disc, but this shouldn't cause me pain 2)Implied that it's in my head 3)An overweight PT told me that I'm weak - I guess being able to do 4 sets of 10 trap bar deadlifts of my bodyweight is weak, and being able to do 20 pull ups is weak My frustration with these people is intense. You have to be an overweight smoker to get taken seriously. I wake up in pain every day. I can only imagine how much Luigi has suffered.

[@KBradAdams]

I agree people that don't live with the pain have no idea. Its not about being weak sometimes its about a damn disc pressing on a nerve and we just want relief. Good luck.

[@ccturner8224]

Very nice video! I don't think many of us who don't have these issues understand the tribulation that the sufferer goes through.

[@vanessam9784]

agreed. you seem very kind 😊

[@wendymarrero9010]

Compression fractures, Herniated disk,tilted pelvic,worn out vertebra, worn out disk, pain,popping, clicking Noise in key of my pelvic, Sciatic pain running down all the way to my foot. I had two injection,physically therapy, Aquatic Physical Therapy etc... I was not living I was just surviving. begging for help,crying in Vicious horrible pain UNTIL I CAME TO SEE TO SEE HIS VIDEO I STARTED THE CORE EXERCISE AND IT SAVES MY LIFE THANK GOD FOR ANGEL LIKE PEEBLE I'm so kindly appreciate all that he done for me God bless him and my thousands angles dance around him thanks you

[@ronlanter6906]

That is awesome, so happy to hear that. I know many with severe chronic backpain that have gone through so many different treatments with no success. I'm going to forward them this video.

[@AnonymOus-ss9jj]

What video are you talking about? It can't be this one. This comment seems a little like it came from a bot.

[@DescartesDooley]

@@AnonymOus-ss9jj I think he is referring to other videos by the same creator, Dr Peebles

[@heathermunoz6282]

I agree. My life has changed due to his Core Balance Training program.

[@clif5677]

I'm in my mid 60's with chronic lower back pain. It can be very life consuming. My older brother had back surgery several years ago. While it did help with his pain, it left him very limited in his abilities. A couple of years after his back surgery, his surgeon in Tulsa Oklahoma was murdered by a back surgery patient . The person then killed himself. I won't let surgery or pain meds be part of my plans. Just trying to find the right exercises to help the chronic sciatica and help my lower spine get back in alignment.

[@Idrinklight44]

Find a PRI trained physical therapist, it will help. Has mine, doesn't happen fast. 30 yrs with 13 bulging discs and thoracic outlet in both shoulders. Slowly, steadily improving!

[@incognito595]

Oh how horrible.

[@jerryrobinson7856]

@@clif5677 My Pain Physician recommended a specialist Physical Therapist (PT) in the Chicago suburbs called Achieve where I live who had one more extra year of PT training in Manual Manipulation. In 2024 I have gone 41 times and I feel all the thoracic pain gone and my neck pain is manageable. I have one disc in the lumbar I will need to address. I have had four major spine surgeries, so my motto is fix what you can with PT. If after 10 sessions you do not ‘feel the progress’ look more carefully for a specialist. Correct what you MUST surgically. But I learned, look for surgeons of excellence regardless of travel inconvenience. You may find Deuk Spine Institute KZbin videos a place to learn. Don’t give up. Stay focused on correction. Best wishes.

[@puggirl415]

@@Idrinklight44 PRI? Postural restoration i_____? Did I guess close?

[@rccyberwarrior2267]

Curcumin and krill oil can help relieve inflammation and pain, in addition to exercises and topical creams.

[@gforce2002]

Great analysis, Dr. P. I went through the CBT course back in the Spring/Summer and am now am still mostly pain free. Core balance training changed my quality of life so much!

[@westysutube]

Excellent explanation. You would be on tv to share this with everyone. I appreciate all you’ve said here now that I’ve been in your CBT class for about 7 weeks now. I’m SO grateful to have almost complete relief from my back pain. The more my body strengthens from your program, the better I feel in every way. Can’t thank you enuf❣️

[@jonesfamily1342]

Great video! Your analysis on the downward mental spiral and corrective action are absolutely spot on. So thankful for you and your constant effort to emphasize the importance of maintaining a balanced core through your non-surgical approach. So many surgical options go after the symptoms rather than the cause of the discomfort.

[@ucfnathan]

as soon as i heard about his condition i totally understood how he snapped. anyone with chronic back pain would understand that possible spiral. totally agree!

[@lovly2cu725]

back surgery is always iffy

[@anthonygregorio2208]

That doesn’t excuse his actions

[@JanetSiemer-nk8mu]

True, people that hurt, hurt people.

[@DR_1_1]

@@anthonygregorio2208 Maybe a side effect of his painkillers meds...

[@ucfnathan]

@@anthonygregorio2208 nobody said it did

[@tommyluck19]

Thank You for the video! I'm very sorry for all of those who effected about this horror. And sorry for Mangione as well. Everyone's lives ruined

[@jeanphillips1184]

Been trying to explain "imbalancing" moving bones into spinal misalignment for years to doctors, chiro's etc. They just want to adjust bones or PT but the body becomes stuck (psoas, QL, etc) but they don't work with the patient and demand the patient do their A, B, C routine which doesn't work for every back pain. They refuse to listen that you get out of neutral alignment and into a tilt which leaves one unable to walk effectively or do other functioning activities. Thank you for explaining how this happens. Looking forward to your next video but have been subscribed for years.

[@CLoveR52806]

In massage school, I learned how to work the psoas muscles - when I had mine worked the release was like an explosion, not of pain, but of energy that both I and the practicing classmate were astonished by.

[@Wind3Warrior]

That is fascinating. I have heard some things in more esoteric trauma literature about the psoas specifically holding a lot of tension. Have you discovered any patterns with psoas imbalances related to blocked vital energy or ptsd like symptoms?

[@CLoveR52806]

@Wind3Warrior I don't have enough time in the profession to be that knowledgeable, but I do want to mention, the "energy" did have a physical sensation that we both felt - like a rubber band being released from being stretched - my classmate even drew a picture of what they felt. Our training included discussion around how the body holds our trauma and had roots in the work of Trager, Rolf, Soma, & Japanese Ki work for good measure. Amazing school.

[@karlgant8953]

I have heard or read about people that were advised that they were candidates for back surgery who regret going under the knife because later after surgery realized their situation was worse after surgery.

[@teresamoore103]

Yes and it's a hard pill to swallow because after you have the failed back surgery there is no help.

[@karlgant8953]

@@teresamoore103 The guy that publishes this YT channel I think was in the same situation so maybe he can help. He recovered from back surgery I believe he said. It is a long process. It will be like training for a sporting event in the future. Today you are not yet in shape. But take baby steps toward next years goal of walking around your local city park. Occasionally I will sprain my back and then it hurts for a couple weeks but so far I have learned that if I just get up and try to do my daily routine the pain will eventually go away and I will be good as new. As I get older maybe I will not heal and the pain will persist but I am pretty sure I will not under go surgery.

[@andybryant3052]

You are a very good communicator. Not a lot of extra fluff. It shows you've dealt with people for a long time. My anterior torque ballast is becoming excessive and I started experiencing back pain yesterday for the first time in a long time. My mood slipped instantly. I couldn't hardly make it to the gun shop.

[@MaXimus-l7v]

The worse is being stuck in an able looking body. Nobody believe you have issues. Meanwhile we agonize at all times of the day an night. 😢

[@laulaja-7186]

You are not alone. Didn't John F Kennedy have back trouble?

[@laulaja-7186]

It's not just that. The way back pain works, you'll be doubled over in pain one minute, and five minutes later loosened up and jogging down the street or carrying heavy luggage just fine. Then everyone REALLY thinks you're not for real.

[@PatrickGalbraith]

You and Lower Back Ability channels have helped immensely! Thanks. I knew the problem from the first glimpse of that X-Ray

[@shivanisarahfox5499]

I've had chronic low back pain since 12 years old following an accident, then surgery. I'm 56 now and have had a bad flare up this year. Along with depression, anxiety, exhaustion and ibs from years of medication. I marvel at how I'm not completely mad after all this. There have been times when I felt close. Chronic pain wrecks lives on so many levels.

[@suzanneminikus9770]

I had a failed back surgery and have been in so much pain, bedridden, and no quality of life! I moved so my Dr told me to find a new Dr and stopped my pain medication. Now where I live no Dr will give me anything for my pain because of the opioid empathetic!! I have all thesesame symptoms and I'm so depressed and feel WORTHLESS. I cry and scream 24/7! HELP ME GOD!! 🙏🙏🙏

[@kevinbuda7087]

You have no choice...start smoking pot.

[@jerryrobinson7856]

Hi Suzanne, I have had four spine surgeries. A pain physician has an obligation to treat the pain. The goal of a competent physician is to “relieve suffering”. I have been dealing with this for decades and it’s no party. However, with “pain management” imaging and perhaps some epidural injections, you may find “truths” that give you a path for treatment or surgical intervention. On KZbin there is Deuk Spine and Dr. Ara Deukmajian (Dr. Deuk) speaks regularly. Furthermore, you can send your recent (within the last 6 months to a year) MRI and CT scan images for a free review. He is based near Orlando Florida. What you need is an excellent diagnosis and pain management.

[@suzanneminikus9770]

@kevinbuda7087 I don't smoke and I tried gummies but not helping, don't like the feeling at all.

[@suzanneminikus9770]

@jerryrobinson7856 Thank you! I just had 3 MRI'S of my neck, spine, and lower lumbar. I will contact them! Appreciate you! 🙏❤️

[@jerryrobinson7856]

@@suzanneminikus9770 Most surgeons like this have a web site with resources to upload your images over the internet. I have sent the .DICOM files this way. This way you don’t have to mail your CD’s. A .DICOM file are the actual images. Each surgeon type physician has their own DICOM file program - some rather sophisticated, that can display your images. I have even sent images to Europe in just an email link. If you do have to physically mail them make sure to use a small box (the post office has mailers for this) so they don’t get bent. When I bring CD’s with me to a Dr’s office, I type out my full name, mailing address and date of birth and tape it to the back of the CD envelope, so they don’t get lost. CD’s are the property of the patient. Usually free reviews identify if they can help you and may evaluate your insurance. Some say they can also arrange a video conference with a surgical physician and some of these are complementary, some may be covered by insurance and I was dealing with two other another surgeons who charges a fee. I had all these surgeries and it was the physical therapy that made the most difference. This year I went 41 times (twice a week) and I felt progress. If after ten sessions you are not feeling progress you may need a different referral. My doctor put me on to an advanced clinic where they do more manual manipulation (an extra year of training) I think are based only here in Chicago suburbs. Achieve Manual Therapy. I realize intimately how “we are such a charm to be around” in pain, (humor). On that note, when we laugh, we cause a chemical release of good feelings to the body. A funny movie, humor comics, etc. When I can’t seem to get to sleep, a hot bath relaxes the body and chemically changes your body. You may have heard, read a book to fall asleep. I use KZbin black and white TV programs (no color to stimulate) and pick shows like the Dick Van Dyke show, well written and timeless funny. I rarely get through the 25 minute show. One other pain trick for sleep are peel and stick pain patches. Salon Pass and Amazon has their own brand and the formulation is “Lidocane” and these are suited for one or two spots of concentrated pain. I use 3M DuraPore tape because it won’t tear the skin. The tape is to avoid the patch scraping (rolling) off as we move in our sleep. If the pain area is puffy or hot, that’s inflammation and a flexible ice pack can help. There is an anti inflammatory patch called “Diclofenac” buts it’s about $3 a patch. I cut it length wise in half and tape it as well for my neck. Take a few drops of isopropyl alcohol on a paper towel to clean off oils on you skin prior to applying so it sticks well all night. Lidocane 4% is a pharmacy item. Diclofenac 1.3% is a prescription. It is non narcotic and any doctor can prescribe it. Most insurances VILL not pay for patches, period. I also found it’s cheaper than insurance in some instances (especially more pricey meds) to log onto GoodRx.com and type in your zip code and the product name, quantity, etc. I found my CVS to sell a box of 30 Diclofenac patches for $122. Walgreens was $287. All you have to do is say use the GoodRx coupon code and all the pharmacies are very keen on this. It’s a buyer beware. My point is insurance is rarely a bargain on pricey prescriptions. I have 14 and thinning that down. The other thing is understanding that a lot of pain is inflammation or nerve. Nerve paid is stabbing like and that needs to be addressed professionally. I have been taking a prescription Daypro generic anti inflammatory every day for a decade. BUT, most people’s stomach objects. I found eating a meal and half way through take the pills and keep eating is the trick. It envelops the medicine in your stomach and dilutes the medication better. Never take the pills after you eat because that causes heart burn. If you forgot, take the pills and eat some more food a few minutes later. Hope this helps Suzanne. Keep focusing on solutions for the long term and pain management in your daily life. I got injured when I was 27 and I am 67 now. Over time you separate the ‘what works and what doesn’t’. Keep the faith and keep focusing on solutions.

[@Jules2468]

Great video. If only everyone was as empathetic and intelligent as you.

[@azurestrike6551]

i did not know that back pain can be so devastating. now i understand why my friend always seems to be in bad mood whenever he talks about his lower back pain

[@bojohannesen4352]

Lol wtf?

[@allgunsblazed9106]

Severe back pain is just about the most miserable you can be , I have it and will wake up sometimes being disappointed that I didn't pass away in my sleep. It's a living hell , that's the only way I can explain it to someone able bodied.

[@Happiervibes123]

I SO wish I had found you before I had my double fusion of L4, L5, SI. It was actually an SI joint problem I had and it took 15 years of debilitating pain which led to finally being bed ridden until I got the right diagnosis. I had my left SI Joint fused and immediately my level 10 pain was gone. YES it is also mentally debilitating - I used to be very active and love to work. My best 15 working years were robbed from me AND the GASLIGHTING was Horrible! (BUT - I wouldn't have killed anyone because of it). YOU Are the BEST Back person I've found - after all those years. Thank YOU!!! I do also have a spondy and scoliosis, and it's all become so degenerated since I couldn't be active

[@JoshuaGAlbert]

I have a L4/5 herniated disc for 15 years. I've tried everything (except surgery) and it kept coming back with debilitating nerve pain. Couldn't even sleep. I started power-lifting and it has changed my life. Powerlifting is a special form of lifting weights that focuses on lifting heavier weights. You might think this is the last thing you want to do with a bad back, but you're wrong. Heavy is relative term. You don't go past your safe limits. But those limits will go up! There are so many reasons why this is good, if done safely. I modified the canonical powerlifting plan, with special consideration for the back. I'm 34 and in peak health (now). In the last few years if I stopped for a few months it would come back slowly as my body deteriorated. I believe this could help you (man or woman, young or old) so I'll share. The routine is go as heavy as possible without hitting your limit (therefore you MUST use an app to track progress), fewer reps (warm up set is ~20 reps, second set ~10 reps, then couple sets of 4-6 reps, a set of 2-3 reps, and a few sets of 5-8 reps -- You adjust weights to maximum so that you can do this number of reps per set), take 4 min breaks (using a timer). Lots of sets. You track your weights and reps with an app (I use Hevy) or you'll totally fail to progressive overload and you'll probably hurt your back. Each day you try to add a little more than last time (either a bit more weight, or one extra rep, etc.). You progressively build strength over your whole body in a balanced manner. This easily rebalances the muscles mentioned in the video after a few months because powerlifting engages compound muscles (you'll use connective tissues as well as big ones). Anyways, three different days. On each day there is one main exercise that you focus your session around. Its the first one in the list. The other ones are secondary exercises, that you intersperse between sets of the main exercise. You don't have to do all the secondary ones each day, pick what you feel like. The main thing is building strength and proper technique (building muscle memory and teaching your brain to progressively push past limits). Day 1) bench press, dumbell rows, weighted pull ups, toes to bar, front lever raise, hanging leg raises, Day 2) Deadlifts, bicep curls, seated cable rows, lat pull downs, Day 3) leg press (not squats because you have a bad back), should press, leg curls/extensions, bulgarian split squats, weighted hyper extensions, lat/front raises. Importantly, buy a good weight lifting belt that you MUST have for deadift. Buy a 13mm Inzer Forever Lever belt. The best. Wear it tight when you do deadlifts. + every day you do stretching and 360 Core (this means you do all muscles all the way around your core). Important note: listen to your body. If you feel your back twinging. Don't do deadlifts (or heavy leg presses) that day, instead replace them with weighted hyper extensions, or seated cable rows, or do legs instead. Be patient and consistent. This listening to your body is an interesting aspect. On the one hand you want to feel a compulsion to go for more, but you want to have self-discipline not to hurt yourself. This warrior inside your mind negotiates with the monk. Bonus recommendation: Be a hybrid athlete, Add + 1 day yoga per week, Add + 1 day running per week. You're effectively recentering your life around fitness and strength, and giving yourself into the process. Only in this way can you fight your shitty spine.

[@shanimandel7721]

Imagine being the doctor who did this surgery and now your shoddy work is the biggest news in the country

[@ellenanortje3707]

Some of these people are so egotistical they may feel no shame.

[@jaguarreal9116]

That misaligned spine at l5 is almost impossible to work with. The more aggressive the more you risk other issues. Remember , lugi reported no more pain!!! No more pain killer!!! He walks fine , out of the car and biking.

[@IlPinnacolo]

​​@@jaguarreal9116I walk fine, and I got on the podium at a state criterium championship (cycling) so I guess not being able to put my socks on in the morning is just psychosomatic and the pain isn't real. Especially since I don't take pain killers. The bar for a clean bill of health is so low that if you are still breathing you get an A+.

[@harrietmiller3312]

Would love it if the doctor’s name became available. My doc ruined my back and life and not so much as an, I’m sorry. Next!!! AND, he got PAID and then gets to keep going. Do these doctors not have to take the Hippocratic Oath anymore? I call it the Hippocritic Oath.

[@shanimandel7721]

@@jaguarreal9116 chronic pain is dynamic in nature. It also doesn’t always affect gait in a visible manner. I believe him that he was in pain. Why would he lie about that?

[@liltsummerlin423]

THANK YOU for understanding!! It's so hard to explain this to those who have not suffered its effects on mental health. It's frustrating and very depressing

[@darrencooper4251]

Thanks for sharing this video I definitely understand how he feels it's what I am going through but iam trying to stay strong 🙏 & anyone else who is suffering with this problem 🙏

[@Jacknjellyfries]

My brain just exploded! I have suffered from back pain my entire adult life. Every time I get a workout routine going I “hurt” something else. It could be a different part of my back or my knees or my hamstrings. I have shared this so many times to physicians and it goes over their heads. It’s the imbalance.

[@bruceg1845]

great report!!!

[@patdarish6777]

Thank you. This video was so informative and helpful. I look forward to seeing more from you specially what areas need to be strengthened and how to do that to balance everything and reduce or eliminate back pain. My question, can Luigi’s back issues be corrected to improve his quality of life? Would another better done surgery be required? If Luigi’s condition can be improved, I pray someone communicates this to him.

[@surfertango]

Wanted to thank you in general and specifically grasping a OD muscle doing exercise to transfer strain into your hip. Works for me.

[@poeticallyinclinedjayne9040]

Chronic intractable pain changes people and their brain stress response. It's like living in chronic fight/flight overactive amygdala. Long periods of sleep deprivation, etc. It is crippling and disabling. This killing is tragic but also needs to take into account how his brain/spine drove him to this. Not as an excuse but as an understanding of how difficult this condition is to live with. And having a failed surgery that shows no improvement from his condition complicates it further. It looks like the screws only stabilized the misalignments. There may not be a winner in this scenario, but the conversation about invisible disabilities (he was ambulatory) needs to inform society, insurance and medicine. These conditions introduce high risk and need to be treated more comprehensively.

[@loumorace1756]

Thank you for your kind assessment

[@troyawitt]

Well said! You’ve been there, you know the deal. Thanks to your CBT video class, I have had over a year of relief from back pain and am back to being able to stand for long periods of time and live life to its fullest. It seems so simple, yet so many practitioners go different directions. When I get any pain or a little tightness, it’s back to breathing INTO my back for a good stretch or some bridges. ❤

[@aszantu]

keep doing this

[@heathermunoz6282]

I was hoping you would break this down. Thank you!

[@andreafelix1256]

this is why I hit every muscle group every time I go to the gym. I want my body to be agile and balanced

[@CynthiaBowers-o8r]

I would much rather do physical therapy rather than a possible failed surgery. If only surgeons would be open and honest about the weight of each option.

[@kyleloyd5962]

New follower. Jacked back from military. Now I'm a climbing arborist. August Hunicke content brought me here. Excited and interested in seeing if this protocol works for me too

[@mariacarneiro7495]

Spot on!

[@wendymarrero9010]

Dr Ryan Peebles thank you thank you thank you for saving my life and giving me hope

[@laulaja-7186]

A half hour walk at the start of each day, tends to loosen it up. Not an extreme case, but I do find life a lot more livable when I can start the day like that. Also a warm shower at the end of the day.

[@LaraEdwards-x5p]

After you do a video on low back pain, please do a video on upper back pain due to hypermobility and kyphosis. I've had this since my 20s.

[@Claire-cj6nn]

Thank you for preaching again the right path.. 👍🏼

[@idahardy4052]

Thank you for explaining that the body is designed to work as many systems together - the breath, the movement, and the therapy has to go together forever. Luigi was only 25 or 26 when he had this done. Too young for this surgery in my opinion. Physical therapy would be the best place for anyone to start. Additionally, his parents are part of the corporate health care system and they’re very wealthy - worth over 100 million dollars. I would bet that Luigi did not even have insurance from United healthcare. I’m a retired exercise physiologist and used to mainly work with cardiac patients, but even with them, I found myself teaching them how to move with more awareness and change they patterns of movement and habits of rest that they’ve developed over the years. Breath work, a balanced approach to muscle activation, and certain dietary changes go a long way before and after any kind of surgery.

[@DR_1_1]

Doctors are part of the health care system when they push for surgery and heavy medications... I also had very strong back pain in my late 20's, I never took opioids, no surgery, but I was stuck at home for months, weeks in the bed, couldn't get food some times, and my "career" was over. I hear his family are in real estate, tourism related I think.

[@명희이-r8e]

Very beneficial health comments!! Thanks!!😊😊👍👍✌️✌️❤❤

[@Chanticlair47]

I hope Luigi’s lawyer sees this or becomes aware of this so that it can be presented as evidence in the explanation of the mindset.

[@amynatalicchio2279]

Truly an excellent explanation! Thank you:)

[@user-ov4wr5yu4r]

Many patients don't do their homework after therapy. I don't plan to end up like them. I have mild spondy and moderately severe scoliosis, but I only have constant pain several months out of the year. I'm not close to surgery. Because every other word out of my first ballet teachers mouth was anterior pelvic tilt and ileopsoas, with a shout out to transverse abs, and a special place in her heart for the sartorius. I also credit many of my classical jazz teachers for the concept of isolation. Having said that, every case is different. Maany people are working sincerely, but so depressed that they can't overcome this problem. I also have the spectre of potential cauda equina hanging over my head. There is no guarantee. But I do my homework.

[@maligator99]

Your knowledge and determination to recover effectively will greatly help!

[@annstar2793]

Any long term unresolved injury or chronic illness will create extreme mental suffering, and we can’t get help from the right providers. Great video and thank you to Luigi for speaking out for all of us who have been let down by traditional healthcare.

[@Whinny40SW]

He murdered another human being. That is NOT speaking out.

[@bear211]

​@@Whinny40SWAnd yet millions of Americans felt heard for the very first time.

[@skyaker8241]

You're actually thanking a mentally ill person for murdering a husband and father who had nothing to do with his case?

[@brianfloyd8033]

August hunicke said thanks for ur help

[@jeanine219]

Excellent information and advice. Thank you!

[@writingtheblackhorse]

Brilliant . Thank you .

[@paulasmith4933]

Thank you!

[@goldibee]

I’m 45 and have a neck injury and pretty significant pain issues relating to my hips/SI joints. The pain is all consuming… I can see how someone could snap.

[@danarodgers6432]

Great video. Thank you.

[@angelinacar2]

You are incredible! I totally agree and understand what you are talking about. Realizing this is the beginning, but being able to heal is another story. I feel bad for Luigi. For now, he will probably be much worse than he was.

[@pattyfluegel7816]

I heard he also had bladder and bowel problems. I also noticed how they did not correct the alignment of the S1 L5. Terrible.

[@kyledavis635]

In the picture of him in custody and in the clothes he was in when arrested.... it appears he peed himself. Probably when they asked him if he been in NYC recently and he reportedly got nervous and began shaking.

[@coochieman8068]

@@kyledavis635thats not fucking true lmfao what???

[@DR_1_1]

That surgeon who left him with a misaligned spine should have been the first to go! Then he is prescribed heavy painkillers... and the boy becomes a zombie!!! Luigi was not even at UHC... sounds like he was "medically" manipulated into becoming a murder?

[@coochieman8068]

@@kyledavis635 lmfao bro where did you even get this, clown

[@Flowers57862]

I get it. Chronic pain is everyday all day long. I had spinal fusion surgery. I did very well after surgery healing great, walking. A year later it’s been a nightmare!!

[@saraadams9518]

It has never been said he had this injury.

[@bhushanvarshasingh1085]

Please also make videos on cervical fusion rehabilitation and training.❤

[@bolingorastafari69]

Please people, also be sure to use magnesium supplements to help pain also.

[@indiaj.6658]

5 years chronic back pain since 2020, and I'm losing my mind from it. 😢

[@fitnesssoup7553]

To add, most of the "physical therapy" being administered is severely inadequate. I've learned far more and been helped by doing research on KZbin, books and other reading than any of the physical therapists that have treated me.

[@sashafroyland]

Thank you.

[@RichRich1955]

Yes. Sitting allows the psoas to shorten. I've had minor issues with that. I wonder if psoas strengthening and stretching fix that or just stretching the psoas.

[@m.bird.]

Strengthen the other muscles and do dynamic motion. It's being sedentary and braced in one position.

[@ernestmac13]

I actually knew a young power lifter who had low back pain; which he described feeling as though his back muscles wanting to bend his upper body backwards. I asked if he was doing hus ab training; and he told me he iften slipped ut due to being tired by the wnd if hus workouts. He started doing his ab exercises; and hus back issues went away. Thus said; core exercises that treat your torso as the three dimentional ibject it is, will strengthen all if the muscles if your torso, so they are all in ballance, which helps maintain the skeletal structure if your torso. Thus includes hio and shoulder health, as qell as back health.

[@JG-bi3he]

You couldn't have said it any better. Insurance companies should listen to you. I'm sick of other people saying spinal fusion back surgery is a quick recovery. Back pain is something extremely serious like you said it affects us mentally emotionally. I had a spinal fusion and decompression surgery lil over a month ago and it's the worse surgery I've ever experienced. I'm in more pain now than before my surgery. My back feels broken stabbing pain. Recovery is no fun. And the hospital basically tried to kick me out as soon as I woke up. I hate physical therapy it never helped me. They want to strengthen my stomach but I'm always in more pain. Insurance need to understand that physical therapy is not the answer for my kind of back problem. Physical therapy is a waste of time. I think Insurance uses, demands physical therapy as an investigator to see if you can move. I'm sick of those videos out there saying oh look I can walk after two hours. My surgery scares me because I am in so much mire excruciating pain now. They should put me on the news and interview me about back pain and my surgery.

[@cooperroscatman3394]

I appreciate and agree with what you say about musculature imbalances and their relationship to back pain HOWEVER there is just too much unknown about Mangione's specific case to make comments on or be critical of the surgical result. We do not know how bad his spondylo was before the surgery or how stable it was. On the widely circulated X-ray his spondylo is from a fracture (pars break is seen on the X-ray) whether it be a stress fracture or from some traumatic event that occurred in his past. Impossible to say that his increased lordosis is not a sequelae of the spondy or if it preceeded it and the biomechanical stress of an increased lordosis contributed to a "stress fracture" leading to the spondy. We don't know how bad it was before the surgery. The X-ray shows almost a grade 2 post surgical result. Maybe it was a grade 2.5 or 3 prior to surgery and a reduction to below a grade 2 would be a good improvement. We simply do not know. The use of pedical screws for fusion reduction of a spondy is a good technique to achieve alignment improvement but we do not have the pre and post X-rays to compare. Also if his spondylo was very unstable (which would be assessed likely from flexion/extension X-rays and measureing the amount of translation change between those images and in comparison to neutral X-ray and recumbant views) no amount of musculature rebalancing is going to correct or significantly improve symptoms in a spondylolisthesis that starts out as a grade 2 or worse in the neutral position that is dynamically unstable. Symptoms of Grade 2's that have minimal translational change between flexion and extension X-rays views can improve nicely with PT but the unstable ones are surgical cases - and if he started out at worse than a grade 2 whether stable or not >95% of those cases require surgical reduction to improve functional capacity. Not a good affliction to have and it might have driven him crazy.

[@anthonybillera2929]

A lot of times the issue starts with fear from physicians telling you you “will never be able to do X again unless you get surgery”. Or “don’t bend down anymore or you risk damaging your back forever”, and this instilled fear leads to people be suckered into surgeries they may not have needed. Especially at a very young age.

[@SC-sh6ux]

Great analysis! Does LM have an infection from his surgery? His personality and behavior changed greatly at that time. Infection, medication, and pain can lead to psychosis.

[@m.bird.]

Also general anesthesia. Messed up my vagus nerve for a bit.

[@SC-sh6ux]

@ Absolutely! So glad you recovered 🙏

[@1lifelive570]

Everything you said is spot on. I have the same thing. ❤️‍🔥❤️‍🔥❤️‍🔥

[@GUDDAisHere]

I need the next the video!

[@AmazingJane137]

What have you got on scoliosis?

[@kevinbuda7087]

I have this problem. I am 67 and have been a carpenter since 17. dr. peebles here has me on the right path to regain my health. shopping cart syndrome? rest. then begin bridges. He is correct and it has worked for me as i no longer am bent or in immense pain. stay away from back experts(surgeons) because they will lead you to this surgery which is from the 1920 and 100% failure. L4,L5 is so common.this man here is a true healer. fyi...on forms it is better to say "I cant work" then "I cant do my dishes(stand)" or "my quality of life..." . Personally,I believe this surgery should be banned and there are doctors out there that are trying to do just that. thank you,Dr. for giving me my life back. and merry christmas.

[@davidadamsmusic]

I would love to hear your story! I am 2 years in- same problem. How does one get on Doc’s program?

[@DR_1_1]

​@@davidadamsmusic The only exercises that helped me were lying on my back on a mat with bent knees, and pushing down with the middle of my spine while expiring... so starting in a bridge position, but I could not even raise my butt when my back was really hurting! Also on my knees and hands, pushing my back up as high as I can like cats do, while expiring. Always be extremely careful, soft and calm while doing this, then when it's a bit less painful, try to retract your belly while expiring, in both cases, as if you wanted to touch your spine with your abs. I don't know the exact names of these exercises, if any... PT was more helpful than all doctors, those had to admit I had some scoliosis, but it was less than 20% (?) to be officially categorized as an illness.

[@davidadamsmusic]

@@DR_1_1 thank you and good luck with your continued progress!

[@kevinbuda7087]

@@davidadamsmusic he should have the link under all his videos. i have done a lot of self internet study. there is a doc in washington who has an injection of fibran in to the disc itself. "discseel". there is a guy in dallas who does an ultrasonic removal of leaked fluid and one in florida.

[@DR_1_1]

@@davidadamsmusic Just a correction, for the exercise on the back, do not tuck the belly in, it's only for the the 2nd exercise when arching the back upward... in this case it's the opposite, try to push your belly outside (not always easy while expiring!) So keep spine laterally aligned as much as you can, pivot your lower back so that the spine is flat on the ground, gently pushing the middle of the spine against the mat then if you can push the belly toward the ceiling while expiring... In both exercise try to expire slowly to make it last as long as you can. Then calmly inspire while relaxing the body, and repeat a few times. I just did it this morning and thought I had this "detail" wrong... Of course bridges to muscle the glutes and other exercises are fine if they don't hurt!

[@steveenczi8967]

Yoga ,swimming ,deep core ,walking

[@annalarson2914]

How did you get his MRI?

[@puggirl415]

I'm very hypermobile, probably EDS but I can't get a diagnosis. I've apparently had lordosis and anterior pelvic tilt for all of my 62 years. It was only at 60 that I began to get a lot of pain. Years of injuries from the hypermobility as well as compensations and surgeries to fix certain joints but I'm routinely told to just strengthen my core. Suffice it to say that I was sent to PT over and over where they exclaimed over my hypermobility wrote in my chart about my lordosis then told me they thought I needed to strengthen my glute medius gave a few exercises and cut me loose. Of course that's not going to solve anything much and could make things worse compensation wise. I tried to tell them what I was doing to help myself. I am trying to change my gait, and posture but they did not hear me. Now I just walk and while I'm walking I practice not heel striking, and balancing my pelvis. I work on breathing into my back as I walk by lowering the rib cage and trying to engage side abs. I'm studying how to deal with my psoas and my quadratus lumborum which I think is the back muscle you did not name. It's very hard to assess yourself and figure out what your compensations are. These doctors are basically not doing their jobs properly because of the system but I have little respect for them or the system. I'm on my own so thank you for covering this so I know I'm not crazy and that there is wisdom around these problems and a clear solution if you keep studying and researching and not going with surgery when it may make things worse.

[@imjamming]

My PT had me doing front and side planks, bird dog which I still do. He also had me doing some specific stretching. Never went the surgery route, as recommended by the spine surgeons. Never took any pain killers either.

[@Mr39knuck]

+ 1 on the bird dogs. They seem to have helped me tremendously..

[@DR_1_1]

I certainly couldn't do planks when I had back pain! The only exercises were lying on my back with bent knees, and pushing down with the middle of my spine while expiring, and on my knees and hands, pushing the back up like a cat!!! I spend weeks at home couldn't even get food sometimes, I'm happy it's better now...

[@allgunsblazed9106]

That's nice for you but someone people have really severe pain and even walking is a chore , have some empathy.

[@volatilityclustering5706]

I have a L5S1 disc herniation and sciatica. My legs are so heavy these days. What should I do?

[@mikegraham3040]

62--at this 25 years--not that it’s right, but---I understand !!!! I UNDERSTAND!!!!!

[@m.bird.]

What many people don't know is that you must surgeon shop. Interview several and pick the best. The good ones give you more time and options.

[@nickolasthefrog]

Does each interview involve a $500 appointment?

[@davidlindgren7605]

do you know the name of the incompentent surgeon who allowed that spondylolisthesis to continue?

[@pratikroy9892]

Nice

[@steveenczi8967]

So would walking help me I think mines from sitting to much

[@laurenanderson7823]

so, i need to work on my hip flexibility?

[@lovly2cu725]

I should look to see if I have an x ray to see if mine arent aligned> i have l4- thru s1 at UCI in 2012. he opened l4 not l5 and i still have pain., refused to do a revision

[@EllieOrzechowski]

It's amazing that they put the hardware in but didn't even align the spine! Malpractice?

[@DR_1_1]

Or malicious intent... then they put him on painkillers, they are like heroin... More profitable for the "medical" industry than asking him to rest and do some PT! TBH I even wonder if he was not framed, he looks a bit naive.

[@kyledavis635]

@@DR_1_1 "Looks" naive? Never heard not to judge a book by it's cover? Btw, what does naive "look" like?

[@DR_1_1]

@@kyledavis635 I'm judging by his words and actions that "look" a bit naive to me, not by his face... Seeing what his surgeon had done to him, he should have gone after him first, instead of the CEO! Of course he could not hit all the healthcare system... Even maintaining a body like this when you need surgery and painkillers for your back... that doesn't sound very smart to me. Also keeping the same weapon on him, with a manifesto?

[@kyledavis635]

@@DR_1_1 Prisons are filled with criminals who did stupid things in getting caught...

[@chrisdonnell2575]

He didn't think this through he will be sleeping on a horrible prison bed for the rest of his life, back pain will intensify 250%+. I'm working on strengthening my back now kettlebell swings and Westside barbell reverse hyper is helping. I think a large part of mine is tight hips and hamstrings stretching is helping a lot too.

[@RaverX88]

Back pain is no joke, the pain can make u snap 😢

[@DR_1_1]

Pain forced me to stay at home, in bed for weeks... Strong painkillers on the other hand might make you snap? I never took them, or only basic painkillers that had no effect at all on my pain.

[@holytrashify]

Ive been watching your videos for a while now. So when I first saw his X Ray on social media, I knew exactly that it was a lower lumbar spinal fusion spondilolithesis, when people asked...😅

[@carolhill9934]

Is it possible for a person with severe scoliosis to achieve muscle balance? I have chronic pain in my left lat muscle. It is constantly working to keep me erect.

[@GUDDAisHere]

Perfect.

[@doreenarcher8543]

Thank you for this video. I have misalignment on my right side. I was born with it. I’ve been in and out of pt my whole adult life. Looking forward to this video. I keep saying pt hasn’t been totally fixing this situation. For me because of pain or falling my independence has been limited. It’s frustrating but I’m not an angry person about this situation. No one did this to me. It’s a significant life challenge. There are times when I have a flare up that I need to take a time out. If this young man’s sexuality was affected, I’ve said it for years our sexuality is a health issue and a mental health issue one way or the other. It needs to be taken seriously.👌Great video. Thank you.

[@yvettep1093]

I found your channel because I wanted to learn more about Luigi's back surgery, which looks barbaric. I have a longer leg (just a few mm but significant enough). No back pain just right side Achilles issues. PT didn't solve it but I do their exercises at the gym. Still feel imbalanced.

[@m.bird.]

A few mm is easily compensated for in the other joints. It's also possible to lengthen bones with load.

[@luluj.9360]

Exactly what happened to me!!! God bless the poor kid. Please doctor what can we do???

[@skyaker8241]

"God bless the poor kid" who murdered someone in cold blood??? What about Brian Thompson's poor kids?? His wife??

[@geomcc39]

How can I share with you my X-rays. I have sever Levoscoliosis would love to get your view on what might help 😊

[@michellem3441]

My heart goes out to him. Desperate people do desperate things. Good comes from bad. The US healthcare system is legalised criminality.

[@devdroid9606]

The listhesis was apparently caused by a pars defect, incured during a surfing accident. That could be corroborated by the angle of the upper pedicle screws.

[@m.bird.]

Pars fractures can heal. Will be incredibly painful and unstable for a long time though.