How to Read a Lumbar X-Ray

In this video, Dr. Webb explains how to read a lumbar xray in laymans terms.
TIMESTAMPS
0:00 Introduction
0:58 What X-rays are normally taken?
1:45 How to count lumbar vertebrae?
2:32 How flexion, extension, or oblique films are helpful?
3:17 Identify local anatomy: spinous processes, transverse process, pedicles
4:00 Intervertebral disc anatomy
4:58 What are disc herniations?
5:45 Sacrum anatomy
6:05 Neural foramen anatomy
7:15 How indirect decompresion after a fusion helps relieve nerve pain?
7:58 What is lumbar spondylosis?
8:48 How is lumbar arthritis treated?
8:51 What is lumbar scoliosis?
9:13 How is lumbar scoliosis treated?
9:26 What is lumbar spondylolisthesis?
10:09 What is a lumbar vertebral compression fracture?
10:30 How are lumbar vertebral compression fractures treated?
Dr. Antonio Webb is a fellowship trained Spine Surgeon located in San Antonio, Texas who specializes in degenerative, artificial disc replacement, and minimally invasive spine surgery.
Dr. Webb is a highly decorated combat veteran who spent 8 years in the US Air Force as a medic/LVN including a deployment north of Baghdad, Iraq in 2005. His medical training also afforded him the opportunity to operate and perform surgery in Liberia, West Africa, Bangkok, Thailand, and Port Au Prince Haiti.
Dr. Webb completed a combined Neurosurgery/Orthopedic Spine Surgery fellowship at the prestigious Texas Back Institute. TBI was the first practice in America to implant an artificial disc replacement. He took the best practices from all his mentors to formulate his own unique approach to spine care believing that conservative treatment is the ultimate goal, using surgery only as a final and last resort.
To be seen or have your patients seen by Dr. Webb, please contact:
South Texas Spinal Clinic
9150 Huebner Road Suite 290
San Antonio, Texas 78240
Office: 210-614-6432 Fax: [phone]
antoniowebbmd.com/
www.spinaldoc.com/

[@jhonnyrodgers9629]

Does this guy teach? Quick straight to the point, no fluff. I like it

[@richwilson9517]

retired ER Doc here. what a balance between info, graphics, presentation, authority and personality! excellent. thank you. Subscribed.

[@allaboutspine]

Thank you!!!

[@SachinKumar-ej3ng]

Thank you doctor, love and peace from India :)

[@Benlive27]

Saw him last week. Great doctor!

[@LVLV-im3ne]

Excellent information & great details on nerve compression 👍🏾

[@brianwilliamsart]

Clear and impressive! Very helpful for this 72year old artist who just fell ten feet from a ladder and is dealing with a fairly light but still painful compression fracture in L2! Thank you Dr. Webb! From Kyoto Japan

[@antoniowebbmd]

Sorry to hear that. Here is a video that talks about those fractures and one way of treating them kzbin.info/www/bejne/d37afXtvj7WKma8

[@ruthquetant7375]

Thank you for this informative video‼

[@donnaallen3815]

Thank you- you helped me understand more than md. They misread 2 X-rays and mri after 2 yrs & no follow up even with symptoms of weakness in leg. Now they are finally taking seriously after increased numbness and decreased ability to bear weight and sit. Ty again.

[@VikasVerma-xf6hb]

Nicely explained doc... Thanks

[@productsreview31]

Quick and simplified. Thank you 😊

[@allaboutspine]

Thank you!!

[@lindawitherspoon446]

Excellent. Very helpful. Thanks

[@danielbohn]

Awesome!! Ty, doc. Greetings from Brazil 🤝🇧🇷

[@Mohrisbetr]

Nice video. Concise but covered the anatomy and common pathology really well

[@ajacolon577]

I am a medical secretary for a spine surgeon and this was very helpful. Looking forward to more videos such as this one :)

[@allaboutspine]

Thanks!!

[@user-lm6fl2wq8g]

Hello, i have a question. If i go in for an MRI lambar spine without contrast.. will the show inmages of my brian or scan my brain or take any picture of my brain, or have anything to do with my brain? Or since its for lambar spine, will they only focuse on that and other parts of my body? I have high anxiety cause i dont want my brain involved.. thanks so much. I hope to hear back from you soon?

[@superman-wq9ij]

No shouldn't scan your brain, just your lumbar region.​@@user-lm6fl2wq8g

[@kimberlyNP]

Great video!!!! I am starting as a NP in the UC soon!!! This was a giant help!!!!!!

[@KuloMarvis-fe6sd]

Thanks so much, I learnt much from your detailed, simple explanation

[@allaboutspine]

Thank you!!

[@Testeverything123]

Very helpful Dr. I’m going in to look at mine today it will be helpful for me to understand what I’m looking at.

[@paulstarbucks9480]

I have my LS X-rays here as well ... Excellent explanation, now I kinda know what I am looking at 😊..!

[@milenagotch2504]

Thank you Dr. Webb. So helpful!

[@allaboutspine]

You are very welcome!

[@CleAnthony]

God willing I can make it through med school be like you one day! Thanks so much and God bless Dr. Webb!

[@ruthquetant7375]

Work hard and believe that you can! And you will🙌🏾🙌🏾‼‼‼

[@CleAnthony]

@@ruthquetant7375 appreciate you. Blessings to you and your family

[@blackvoid23415]

Thank you very useful video ❤

[@user-fk9gv6wi6v]

Thank you for your teach God Bless you

[@gluckystrong3336]

Very good video. Thanks!

[@allaboutspine]

Thank you!!

[@sheripalmer3192]

Excellent presentation! Thank you. I just started a new career as a pain tech and this was very helpful.

[@allaboutspine]

Awesome. I’m glad it was helpful!

[@jeswaniv]

Very nice informative video Dr.

[@allaboutspine]

Thank you!!

[@aedejoseph5903]

This has been helpful to me thank you

[@allaboutspine]

Glad it helped

[@alexmi7123]

OMG never been first to comment ur video! Just about to watch, but I'm sure it''s gonna be a great video as always, dr.Webb!

[@elizarock655]

If the pain in the spine happens when sitting and after sitting a person can’t walk normally will a standard X-ray/MRI show what structures are causing it? Have seen advertisements for seated mri ‘S . Thank you for the extremely informative and easy to understand video.

[@sreeharidascloud]

thank you doctor :)

[@samuelkontoh4609]

Dr Web you are God send 🙏✅ Thank you !!!!

[@nha8909]

this is greattttt

[@gemininy1211]

Can you do a CT and MRI next

[@ambermclaughlin3852]

Thank you

[@currencybuddy247paiddailyw3]

Thank you for posting Good explanation very helpful would definitely recommend to family and friends

[@allaboutspine]

Glad it was helpful!

[@rubelkhan-sq7cz]

thank you

[@anonymous-user-2024]

Thanks for the video. Could you please tell me the approximate radiation risk associated with a lumbar spine X ray for LBP? Thanks

[@Heatherhigleydrums]

What sort of imaging should you be given for suspected coccydynia? Basic lateral and 'AP' view don't seem to help much? Is an MRI the best option?

[@songbird427]

Thank you! I had a bad fall a few weeks ago, hyperextending my entire back(I have severe hypermobile Ehlers-Danlos Syndrome). I was just quite sore for a few days . Then suddenly after 4-7 days I woke up unable to move and some neuro symptoms related to lumbar spinal cord problems. I took a left-over methylprednisolone pack. It improved greatly but i still cant move well. When i got my x ray yesterday the AP showed a stack of marshmallows with L1 moved right about 30% of the width of the vertebrae and it was sitting directly on top of L2. The report said it was normal and all spaces were normal. The order only said "Low back pain". I never have low back pain. Not until i was folded in half. My X tays have never shown that before. And mostly I just want to get better and not injure my spinal cord. Who should i see? An orthopedic doctor?

[@fixingstufff]

I think I have lumbar scoliosis for years... But I can live with that. I also have a sharp pain in L5 that leave me unable to move

[@JohnMcClendon-ik2eh]

Hello Dr., this is John in Charlotte North Carolina. Do you have any friends that specialize in Fightin back injuries for Worker’s Comp.? We have a real back injury.

[@user-lm6fl2wq8g]

Hello, i have a question. If i go in for an MRI lambar spine without contrast.. will the show inmages of my brian or scan my brain or take any picture of my brain, or have anything to do with my brain? Or since its for lambar spine, will they only focuse on that and other parts of my body? I have high anxiety cause i dont want my brain involved.. thanks so much. I hope to hear back from you soon?

[@circleview21]

Amazing

[@allaboutspine]

Thanks

[@AbidAli-ee4xc]

Nice information 👍❤️❤️🇵🇰🇵🇰

[@lalboihangsing1187]

Can this tests detect spine infection spinal tb????

[@fuze59]

Is it possible to get a disk herniation with lots of pain but no sciatica?

[@ascales30]

Hello. I'd like to know how much would you charge to read my MRI. I would like to get a second opinion.

[@savannahwren6734]

For 2 years doctors did x rays of my back laying down from age 20-22 when I turned 22 a chiropractor took an x ray of me standing up and my L4 and L5 look awful and that bottom portion has so much pressure on the nerves as well as around my L4 and L5 I’m located in Florida but I wonder if I could get with you and figure out a way to be seen and maybe talk about surgery i just turned 24 and every doctor would rather send me to pain management which they give gabapentin and then say I’m too young for surgery? Any advice? I don’t care about the cost I will travel and pay upfront if quoted or if you know anyone here in Florida I can see?

[@mjmohammad4639]

amazing

[@allaboutspine]

Thanks

[@musabutu7463]

good

[@fixingstufff]

There is something weird in my x-ray.. looks like a tooth sticking out from the L5... would you read my x-ray please?

[@ashog1426]

This is why I stopped lifting so heavy lol lower back pain is a different sort of pain 😅

[@toughsuga2]

👏🏾

[@k.tharunk.tharun4631]

How to lumber spine

[@Emad_22.]

💚💚

[@AbcdEfg-zx5hm]

Dr keeps playing with his ring lol

[@ankitpatel2339]

My x yre ride your please s.r

[@Up2date7.]

Nice