Lumbar Degenerative Disc Disease: Part 2: Non surgical treatments

Рет қаралды 98,320

Күн бұрын

This episode on Lumbar Degenerative Disc Disease looks at Non-Surgical treatments like modifying daily activities, core strengthening, bodyweight loss, physiotherapy and injections. It's crucial that all of the non-surgical options be explored before surgery is considered.
#thespineguy #lumbardegenerativediscdisease #nonsurgical #spinesurgery
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
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Contact two locations:
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415-927-5300
2 Bon Air Road, Suite 120
Larkspur, CA 94939
7100 Redwood Blvd, Suite 200
Novato, CA 94945
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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.

Пікірлер: 372

@dlg5485 Жыл бұрын

Thank you for highlighting the difference between peer reviewed research and industry funded papers. I have severe DDD and I read a lot of studies on the topic. It is often very difficult to even know who is behind the study or what their incentives are. This is SO important to understand.

@phyllisthomas1326 Жыл бұрын

Dignos with d d d it's very painful to painful

@timothymunn3387 2 жыл бұрын

Dr, Su does an excellent job explaining giving a much better understanding of the different scenarios that people like me may face in the future. I've been an educator for 33 years....he explains in a way everyone can understand. Great Job!

@bobcondra8589 4 ай бұрын

I am a retired anesthesiologist and have had four lumbar fusions over twelve years for DDD and spinal stenosis/ fascet disease. Your videos deserve an academy award for factual down to earth understandable explanations for various spine conditions. Please keep up the great work you do.

@tomstirdivant37 2 жыл бұрын

I was diagnosed with DDD. I’ve been a steel worker since I was 17yrs old. Pretty sure moving tons of steel for nearly 30yrs has caused by back problems. I met with a chiropractor, had no relief. I then went to a pain consultant doctor that did a series of injections. She did four rounds of injections (4 injection points each time) at my L5-S1 within 3 months. She referred me to a neurosurgeon. He had me get an MRI, immediately after seeing it said I need to stop working and get prepared for surgery. I apparently had severe Retrolisthesis, I couldn’t feel my feet. Walking became a challenge. It’s been 3 months since my ALIF, I was feeling good for the first 5weeks then the pain began to set in. I’ve started PT this week, it has had immediate results.

@bolinhong2598 2 жыл бұрын

If you are thinking of any treatment to Degenerative disc disease, think of doc Oyalo herbal remedy as he has save me with me. I used his herbs and it work for me. Till now my health is normal. His is on channel with his name Dr Oyalo

@erirst1255 2 жыл бұрын

How you feeling now since taking PT

@terriliggett5377 Жыл бұрын

What are your PT exercises? Thank you

@AB-yc1np Жыл бұрын

how many milimeter was your Retrolisthesis. also how much disk was left milimeter wise

@elgiro15 2 жыл бұрын

Loves ur videos alway watch them, why is it when you see a surgeon for DDS no one never talk about checking for Pelvic positions disorder like ApT which in a lot of cases is the main source of the pain and contributes to DDS , even physical therapy missed too

@kindraeversdyk1728 2 жыл бұрын

I’m 44 with DDD and more. Nothing has helped me and I’m terrified to have surgery. Walking and sitting is an issue. I can’t work out. I had to leave my job recently. I am so happy I found your page today.

@peterichard3925 2 жыл бұрын

Visit Doctor Ani John on his KZbin channel his herbal medication is the best and permanent solution to all kinds of virus disease and STDs contact him now for help he cured mine completely within 12days.

@santimadrid8196 2 жыл бұрын

Don’t give up my friend there’s a permanent solution to your problem visit Doctor Ani John on his KZbin channel he cured mine completely with his natural herbal remedies

@silviaferreira6188 2 жыл бұрын

I am also 44 just found out I have ddd working on my stretches and meditation, it has worked. Hope you feel better

@insertmyidentityhere Жыл бұрын

Omg, me too, I just turned 45, felt in great shape until a year or 2 ago, now my neck is already in Stage 3 and just found out I have degeneration in my L5, S1 too…. I don’t know what exercises to do or not do now 😢

@insertmyidentityhere Жыл бұрын

@@silviaferreira6188What stretches or exercises do you do?….

@BrockOBauma 3 жыл бұрын

When I started having problems, surgeons told me to hang on because advances in artificial disc replacement were going to make them the next big thing . It's 20 years later and nobody seems to even mention that option now.

@veecamp7088 3 жыл бұрын

A neurosurgeon where I live went nuts doing that surgery. He was sued by over 40 patients the last I knew. I thought it would be my healing too after decades of this. I am thankful I could not go do it. This physiotherherapy or with the blood platelets is the best thing I've heard.

@KHANGENISYS 2 жыл бұрын

@@veecamp7088 does ddd heal? I am only 25 and planing to die because of this

@veecamp7088 2 жыл бұрын

@@KHANGENISYS look for a doctor to give you pain meds for relief, special chairs, even exercises easy to do at home. Don't give up.

@juniormako6184 2 жыл бұрын

I'm so glad to share with you my experience on how I got rid of my Degenerative disc disease with dr.oyalo herb whom I met on channel. No more symptoms of back or neck pain. I'm completely free. Thanks Doc

@juicegeneral5082 2 жыл бұрын

@@juniormako6184 how

@bobheide Жыл бұрын

Dear Dr. Su, Your approach to patients who are watching is wonderful. Thanks so much, your the best.

@junbug1029 2 жыл бұрын

My lumbar and cervical spine are a mess. I have severe stenosis and 3 bulging discs in my lumbar spine. My neck is straight with disc disease. I’ve had MRIs and was immediately suggested to have a laminectomy and fusion for the lumbar spine. I refused both. I’m on 25 mg of Pregabalin at bedtime, I use a cervical pillow, a passive neck stretcher and a SI belt. All help but my back is getting more painful. I didn’t used to have back pain, but sciatica and hip pain. I see our cervical neck chiropractor weekly and ice when needed. Degeneration is so much fun! Thanks for the info.

@serkigiwa7706 Жыл бұрын

Any relief now am having sameness with burning sensations symptoms on both arm and feets and I have stopped taking pregabalin because it temporary pain relief and cannot leave my life on pain killers. Please share your symptoms

@Kausar720 7 ай бұрын

Yeah am just on similar path ...i really need help....am on pregabalin for almost two months now

@userunfriendly9304 2 жыл бұрын

After 8 months of physical therapy I have been sent to pain management for my DDD from L1 through S1, currently I have 5 bulging discs and L4-L5 is unsurprisingly in the worst condition. I am getting the epidural steroid tomorrow and I hope for some relief. My personal case of DDD developed when I was 19 and I am now 20 so I am just a little salty about it being so early onset. For the past several months I have been entirely incapable of running or complex movement with rather annoying constant pain. I'm just wondering if surgery is the right option if I am unable to experience relief after my series of injections.

@DrBrianSuTheSpineGuy 2 жыл бұрын

It depends on what the imaging looks like. Unfortunately if you have multi-level to generation it is unlikely that you would be a surgical candidate. It's hard to know without evaluating the imaging. As a disclaimer please consult your surgeon

@davidsmith4559 2 жыл бұрын

At your age I would try everything short of surgery. They are developing new technologies including disc replacement.

@MarkFriedman-d7q Жыл бұрын

Good Saurday the 29th of July to you. Thank you for your great website. My 66 year old wife was recently diagnosed with DDD which tends to hurt her more when sleeping>. Is there a website OTHER than a bed manufacturer, which she can see if the “Sleep Number” bed Should be set to. We would appreciate any information you can share with us.

@whatnextkai1294 Жыл бұрын

In my case, had DDD for over 10 years and more. Recently tried a few de-compression exercises and they seem to work really well, especially for the lower back, just letting your core hang loose supporting yourself between two chairs e.g. Upper back seems more tricky but pulling back and down seems to work work somewhat.

@HVACRTECH-83 Жыл бұрын

I have stenosis and degeneration l5 s1 causing severe sciatica. I've had 5 flarups over the last 4 years or so and gets worse and lasts longer each time it flares up. A month ago I got my first injection and unfortunately the pain became so much worse after the steroids. Therapy does ease the pain quite a bit but it's just temporary relief, every morning I wake up and pain is back to intense and I struggle getting ready for work, showering,dressing, tying my boots,ect. Very informative video

@lucianadinato5567 8 ай бұрын

Omg we have the same issue and I was reading that injections with steroids make the problem worse and now I am terrified to start this treatment with pain management, I don’t want to take more pain killers bc of the pain caused by injections. What should I do???? I can’t even do my job anymore

@osangbautista565 3 жыл бұрын

Very well explained,thank u so much doc😘

@bolinhong2598 2 жыл бұрын

@moicus29 Жыл бұрын

Disk between L4 and L5 is bad. The shot they give me gives me like 95% of my range of motion back pain free. Lasts about 8 months.

@clublulu399 Ай бұрын

Doc Su, you are truly the most honest doc on the internet I found. It’s refreshing and much appreciated.

@katherinerodgers7052 6 ай бұрын

I have been diagnosed with mild scoliosis located just above severe ddd in L5 s1, my family doctor says because my scoliosis is mild so he doesn't understand why there is pain in that area, only where the ddd is where the pain should be. Keep in mind the pain where the scoliosis is has only been around the last almost 2 years the ddd over 29 yrs but worse last year. Dr Su I am so grateful for your insight because my doctor will not send me to a specialist. The mri's 10 years apart show the severe deterioration differences use to be bulging now not much there at all between the L5 and S1 left. I am doing everything to alleviate the pain . One I am no sugar no grain way of eating. Doing core exercises, walking a lot, puppy pose and now he finally is sending me to physio.

@mtioran 2 жыл бұрын

I have had disc herniation and high pain for the past year plus degenerative disc disease and a bunch of other stuff like scoliosis and stenosis. I tried anti-inflammatories and I got ended up with a gastric and esophageal ulcer and the pain was still there. I just tried cortisone injections in my spine and it didn't even touch the pain I have had trouble with cortisone injections in my knees and feet as well so this does not work on me. There is nothing left because the PA at the office said that there's nothing wrong with my spine and I should just go home. mri is full of problems but he thinks everything's peachy. So I can't even get up with the surgeon because PA blocked communication. Now I'm looking for another surgeon but half the surgeons don't even do some minimally invasive spine surgeries. Hi have to go from one spine doctor to another trying to figure out if they can do a surgery that can help me. Because not all of them do every type of surgery. So I stay home on pain medicines. I have no life and I'm in pain everyday. It's nice to talk about ideal situations regarding surgery and the choices seem to be easy. But in real life it's hard to get people to cooperate and be helpful. I really given up on doctors

@juliawilly9151 2 жыл бұрын

Physical therapy really caused more pain (3 times), the more I stand-the worse it hurts-I’ve been treated for depression since I was 30-I’m now 72-I have had epidurals, facets-no help, not one bit.. Have 17 % scoliosis, and muscle spasms. People I know with use stem cell-not positive.

@bolinhong2598 2 жыл бұрын

@Nigfis Жыл бұрын

I'll take it! What are you offering? Pain is my constant companion. I have had enough of it.

@ythings 2 жыл бұрын

Im in my 30s with ddd and this is highly informative

@bolinhong2598 2 жыл бұрын

@bradboisvert4892 Жыл бұрын

Same going for injections next week

@evelyns3201 Жыл бұрын

Really helpful thank you! Love your detailed description and openness about treatments. My spine doctor had zero to say about DDD. Basically the “there’s nothing you can do” and invalidated my pain by saying DDD doesn’t cause back pain. Beyond disappointing and traumatizing!

@genxx2724 Жыл бұрын

I was treated dismissively by two spine surgeons at UCLA. Then two spine surgeons at Cedars Sinai, plus one other outside who I saw for a second opinion, said I definitely need the surgery.

@ourlittlefamilyanimals4744 3 жыл бұрын

I love your channel you make it easy to understand information and you can tell you care about people to give them the best outcome.

@bolinhong2598 2 жыл бұрын

@LadieBjj 2 жыл бұрын

My hips keeps falling out of place. It’s very painful. I am only 41. I used to be fit and very active and now if I sit down my hips is out. Doing normal chores is a nightmare! I went to chiropractor, physical therapy and my back is still crooked. I am trying one more thing and I will flip on every body because I can’t have surgery when I’m 70

@ДавайДосвидания-м4у 3 жыл бұрын

I have 6 years of unsuccessful non operative treatment , I’m praying to get a surgery one day. I feel like I tried everything from steroid injections to a neurotomy and nothing works except the oral Prednisone I take for a couple of days before getting an infiltration which my GP refuses to prescribe. I’d take that 15% difference

@juniormako6184 2 жыл бұрын

@bolinhong2598 2 жыл бұрын

@stj971 2 жыл бұрын

I have DDD, 3 drs all said it is inoperable. I had lumbar and cervical injections and had severely bad reactions to both. The only thing that helps me is pain meds which, good luck, finding a Dr that will prescribe. really tired of living in constant pain. Btw for some ppl like myself, steroids have nasty side effects worse than any pain med.

@jabah126 3 ай бұрын

Then I must loose weight and keep it off. Makes sense as just losing 10kg makes a big difference, I know.

@thechugdude Жыл бұрын

I'm trying to deadlift again. What are my options?

@hablefikirwolle1733 9 ай бұрын

Thaanks Doctor for you mentioned that stress can cause this disease.thanks

@jamilawilliams7108 3 жыл бұрын

Does large breasts put a lot of pressure on the disc as well??

@DrBrianSuTheSpineGuy 3 жыл бұрын

It can certainly put pressure on the cervical and thoracic spine. Less so on the lumbar spine. As a disclaimer this should not be considered as medical advice.

@jamilawilliams7108 3 жыл бұрын

@@DrBrianSuTheSpineGuy thank you

@bolinhong2598 2 жыл бұрын

@pualaniwagner789 Жыл бұрын

What if I have both, Degenerative Spondylolisthesis grade 1 L4-5 Severe Stenosis?

@DrBrianSuTheSpineGuy Жыл бұрын

Then I would defer to watching the degen spondy video series

@boriskrizan7447 3 жыл бұрын

I just had an intervention done on my L4 L5 and L5 S1 that included ozone+blood plasma+collagen...its very early to say if it works

@DrBrianSuTheSpineGuy 3 жыл бұрын

Those treatments do not have any scientific evidence but may work and if it does for you that's great. As a disclaimer this is not considered medical advice and you should always seek advice of your spine surgeon

@andyl9900 3 жыл бұрын

How are you now? Would love to hear an update from you

@boriskrizan7447 3 жыл бұрын

@@andyl9900 Better, although I´ve always kept excercising as well so it´s hard to say what actually improved my condition and also, I went to chiropractor for the first time ever and it turned out my pelvys was twisted a tiny bit. This needs to be corrected first. You need to make sure your "base" or core is in line (both legs are the exact lenght) before you start any king of treatment. It is caused by muscle imbalance. Also, after let´s say 20-30 minutes of sitting, I get up and do some stretches and pelvys movements, or even traction if need to be. Also, long walks seem to be helping. You need to be moving as much as you can. Hope this helps.

@andyl9900 3 жыл бұрын

@@boriskrizan7447 Glad to hear you found what worked for you. May I ask what was the problem with your lumbar area that required intervention? Yeah I think muscle imbalance overtime might have caused one of my disc to degenerate. And I'll probably try those treatments you mentioned above before going into surgery, as pain level is stable at a 5-6 for now.

@bolinhong2598 2 жыл бұрын

@jefffuchs2667 9 ай бұрын

What a flawed test. This should be so simple. Find 2 points with the same elevation that have a great distance between them. Have a laser on one end and see if that laser meets the same elevation on the other end. Lasers don’t bend with “the curve of the earth.” The laser should not meet the same elevation if their is curvature End of experiment

@gsmith4991 2 жыл бұрын

You have GREAT videos , thanks I have a question. I visited a chiropractor for consult after a diagnosis of lower lumbar spondylosis from L3 through S1 with degenerative disc disease ( age 68) and was given info on the DRX-9000 spinal decompression unit . What are your thoughts about this device ?

@DrBrianSuTheSpineGuy 2 жыл бұрын

There's minimal harm in using it with the problem being once you stand up gravity takes effect again.

@bolinhong2598 2 жыл бұрын

@miketilton6393 Жыл бұрын

This channel is light years better than any other channel on these subjects

@dfriedman2518 3 ай бұрын

My husband was just diagnosed with this condition. Can it cause difficulty with walking? My husband cannot seem to walk normally and slides his leg instead of lifting it as you would do normally. He does tend to lay in bed instead of sitting up. We haven't started PT yet and I have scheduled him with a psychiatrist. Worried about this walking.

@DrBrianSuTheSpineGuy 3 ай бұрын

I would have to look at the images studies. Please call 415-925-8200 for a video visit

@CHRISTIANSINGLEGIRL 10 ай бұрын

i took a spinal xray before my 41st birthday and this is what it says also I have scoliosis No vertebral body height loss. There are mild endplate degenerative changes at L5-S1. Facets appear to be well aligned. Mild levoconvex lumbar spinal curvature could be seen with spasm or positioning. Transitional right lumbosacral segment. IMPRESSION: Mild early endplate lower lumbar degenerative changes. Otherwise no acute process. can you tell me what this means, and what i need to do................ I am 280lbs i know i need to loose the weight,,

@jameskao1001 Жыл бұрын

It doesn't sound funny at all, Doctor, that my back pain goes away every time when I take a long vacation. But my doctors don't take it seriously when I mention it. Thank you so much for your expertise!

@hablefikirwolle1733 9 ай бұрын

Stress can cause it.

@Rawdil 2 жыл бұрын

I have DDD on my L5 S1, seriously considering Stem Cell injection.

@bolinhong2598 2 жыл бұрын

@Beltoftruth. Жыл бұрын

It's very dangerous and expensive.

@CTROCK 3 ай бұрын

80% of the comments I read from KZbin to Facebook people who went to Physical Therapy do not help them at all with DDD problems at all!

@SathishSathish-kb4uq 2 жыл бұрын

I have multi level degenerative disc disease, i cant walk even for 2 minutes. What is the remedy Except surgery

@DrBrianSuTheSpineGuy 2 жыл бұрын

Please watch the non-surgical treatment video

@cindyhernandez9979 2 жыл бұрын

Hi. having DDD can the pain spread to your flank area in your back

@generic_official 10 ай бұрын

What if you have been told you have DDD, but there is no pain? I assume you just carry on without treatment.

@DrBrianSuTheSpineGuy 10 ай бұрын

Yes it's not a problem

@dorothyharberts9099 3 ай бұрын

I am so glad that I found your channel. You are very clear in explaining these issues to those of us that are experiencing some of these issues, but are not in the medical field and don't really understand. It is frustrating when you have pain and you have your doctor orders an MRI. When you go back to your doctor they don't explain the report clearly and slowly so that you understand what the MRI shows. Thank you so much for helping me understand my MRI report. Please continue educating all of us. You have a special gift of helping people to understand and make good choices in their care.

@CriaAndKiddFW 10 ай бұрын

"Just lose weight." My dude, I used to hike mountains. If I wasn't in constant pain at 48, as a disabled veteran, I'd be walking and hiking every weekend. DDD on T-8 to T-10 and L-3to S-1. I've had RFAs and on tons of meds. I feel like I've got serated knives twisting into my back and hips with walking, carrying anything heavier than a 1/2 gallon of milk, or walking accross the intersection.

@1947froggy Жыл бұрын

What about Viadisc NP Allograft?

@theandersons777 11 ай бұрын

Most of what you've suggested are good and even helpful. However you still are treating symptoms and not curing the patient. Nutrition and supplements to rebuilt, regrow, etc is more important than treating the pain. Comfrey, vitamin c, collagen, msm, glucosamine, Omega's etc will be more helpful than steroids. Steroids will weaken long term... core training, nutrition, and losing weight. Top 3

@janicemorris6085 3 жыл бұрын

In 1994 at 38 years old my foot dropped with no relief from a decompression which was spine surgery #2. The foot has remained dropped. in 2014 I took a bad fall and subsequently was fused. Now My "good" side has a lot of, numbness R/T stenosis and bulging discs etc. I am a good weigh don't smoke and despite the dropped foot ride my bike, a lot. I have an inversion table , do hand stands and try to stay hydrated and active. My whole adult life, it seems, has been devoted to issues with my spine . A major drag. Thank you for these wonderful videos

@juniormako6184 2 жыл бұрын

@JT-un7dc 2 жыл бұрын

@@juniormako6184 whatever scammer! There is no magic pills to fix degenerative disc!

@bolinhong2598 2 жыл бұрын

@sjgeneralcontractors2137 2 жыл бұрын

My ex used flint rehab device and it helped with foot drop. Try to look into, usually used for those with stroke but many now covered by insurance along with physical therapy

@369blackpanther 5 ай бұрын

What I find so interesting is my Mother had severe DDD and zero back pain I have mild DDD on 2 discs and have issues sitting /working out - she at 74 had more mobility than me!!! so many factors affect back pain ...

@katyfoster6780 Жыл бұрын

Wonderful explanation and guidance

@W4SLLC Жыл бұрын

Im broken so doing decompression with the RX9000 lose weight and hold your body upright also yoga then feet and whole body massage plus cold showers 🚿

@certifiedrhodess356 Жыл бұрын

I have a l5/s1 extrusion disc that’s hitting my nerve but I also have DDD my surgeon has done injections he hasn’t really talked bout surgery I believe bc my DDD but since February when I injured my back I’m really limited on what I can do over a short period of time what would you say The success rate is for a microdiscectomy of the L5/S1 disc with degenerative disc disease doc & also I’m 28

@JillyBean1968 3 ай бұрын

Great information. I found out a couple weeks ago from my chiropractor that I have degenerative disc disease In between the 6&7 vertebrae in my neck. Had my MRI this past Wednesday and it showed severe bone growth with a lot of calcification. He is sending my results to our neurosurgeon for a 2nd opinion to see if surgery is needed at this time or not. Until then, we will continue with adjustments, traction and massage therapy with the chiropractor and I will be going to another doctor for pain management using injections. It’s been quite a wild ride. Thank you for your video.

@ChristopherPage-tv8ns 6 ай бұрын

And what is done to determine if it is ruptured? I was told for 15+ years that my disc was "just" herniated here are some pills.... The pain got worse, much much worse over time. It was the discogram that determined that it was actually ruptured and not just herniated. Surgery was done to fuse and the pain was nearly taken away completely. How would numbing determine if ruptured?

@DrBrianSuTheSpineGuy 6 ай бұрын

MRI

@ChristopherPage-tv8ns 6 ай бұрын

@@DrBrianSuTheSpineGuy I had numerous MRI's and they never determined a rupture, only said it was herniated. It was not until the Discogram and a CT that they were able to see that it was ruptured.

@waltonesq 4 жыл бұрын

So interesting!

@sausyhance6792 Жыл бұрын

Can you answer this ? foe me.i had surgery awhile back and they tried giving me an epidural and it didn't take well needless to say they didn't do a patch job on me and for like 12 hours plus I was losing my spinal fluids can that have done more harm to me ? They had to come in the next morning and put 20 CC of blood to stop it so could that have done more damage to my DDD problem thanks waiting patiently Teresa.

@sweetjayrom Ай бұрын

Please how can I get the graph?

@thelenny38 4 жыл бұрын

Excellent information

@mkarakum 3 жыл бұрын

Dr. Su is the Best Doctor in Northern California!

@bolinhong2598 2 жыл бұрын

@egutierrez3490 2 ай бұрын

I have Moderate disc height loss at l5-s1 and there is some lower lumbar facet arthropathy... will weight loss help ? Im currently doing chiropractor care and streaches also exercise at home . I hear the moderate disc height loss will cure itself with age is this true ? Any advice or exercises you might recommend?

@DrBrianSuTheSpineGuy 2 ай бұрын

Going to physical therapy would be reasonable. You should also watch the lumbar facet joint syndrome videos

@egutierrez3490 2 ай бұрын

@@DrBrianSuTheSpineGuy Thank you for your response 🙏

@tagqasim4668 2 жыл бұрын

Great video, thank u so much Dr.Su! Is it safe to have spine surgery while one has significant inflammation and Osteoarthritis in the facet joints of the spine? Will surgery fail as a result of such factors? I'm looking at tough decisions with all of this and would appreciate ur input. Thank you!!

@DrBrianSuTheSpineGuy 2 жыл бұрын

Yes that is not a contraindication to surgery

@ruztytv7617 Жыл бұрын

I have DDD, I just got diagnosed the other day, what should I do? Can chiropractic treatment help?

@whiteheat1578 3 жыл бұрын

Thank you for taking the time to make these very informative posts, greetings from Belgium

@bolinhong2598 2 жыл бұрын

@57.likithn67 Жыл бұрын

Sir i am suffering ftom degenerative disc disc i am 22years of age..i need to consult you what can i do …please help me out

@zohntpz6620 3 жыл бұрын

How can i met you Dr. Brian

@DrBrianSuTheSpineGuy 3 жыл бұрын

You can always make a zoom appointment with me by contacting my office at 415-927-5300

@bolinhong2598 2 жыл бұрын

There are better ways to cure Degenerative disc disease 🦠 permanently using root and herbs and I got rid of mine with herbal supplements I got from Dr Oyalo on channel and it work for me perfectly. Cure for DDD is real and doc Oyalo is doing well with it.

@millionhailezgy7300 2 жыл бұрын

@@DrBrianSuTheSpineGuy did it have any fee

@blakemoore666 2 жыл бұрын

Dr. Su, Have you used or done research on peptides, such as BPC157 for use with DDD? Either tablets or injectable? If so, what if any efficacy are you finding? Thanks!

@DrBrianSuTheSpineGuy 2 жыл бұрын

I have not.

@sjgeneralcontractors2137 2 жыл бұрын

What about new treatment options utilizing stem cells, PRP or iv high dose vitamin c and turmeric by mouth daily along with implementing stretching and avoiding gluten which is horrible for those that are arthritic

@sjgeneralcontractors2137 2 жыл бұрын

Also can Synvisc be used for this as with degenerative knee pain?

@hugocontreras4067 Жыл бұрын

@@DrBrianSuTheSpineGuy blessings Dr. !!!!! I am glad i found you channel 😊. I my call for a consultation this November wile i am visiting California. Thanks

@julietteSoul Жыл бұрын

I crushed my T 12 - 3 1/2 yrs. ago and my dr. or insurance co. Wouldnt let me get an MRI. That is New Mexico for you. No neurologist will see me because of this. I am in chronic pain since the start.

@DC_bleedblue 6 ай бұрын

Is DDD “normal” for people in their 20s?

@DrBrianSuTheSpineGuy 6 ай бұрын

Yes it can be

@mariantyson Жыл бұрын

Have you done any videos on adult scoliosis and suggestions for pain? In 5 years my lumbar scoliosis went from Cobb angle 52 to currently 68. I was lucky in my 20s though. I was despondent from back and neck pain at a desk job. I transition into the ideal career: community college teaching. You stand and communicate, you pace in front of the whiteboard, you walk quickly to change classes, and have fun! I retired at age 64 from too much pain. I am now 71. I had a good career, but I’m shrinking and twisting (from nearly 6 ft to 5’8”). Ideas? Thank you.

@DrBrianSuTheSpineGuy Жыл бұрын

Yes I will do one on scoliosis that is on my radar

@concretehoustonpro 5 ай бұрын

Question for you Dr. Su. You mentioned in your video, "if it was your back you would try PRP". My question is, If it was your back, would you also use a combination of Mesenchymal stem cells injection with the PRP at the same procedure or would you just use PRP only?

@DrBrianSuTheSpineGuy 5 ай бұрын

Prp

@derekrupert2013 Жыл бұрын

Standing for long periods kills my back. I’m best if I can rotate positions.

@thehunterofdeath2180 3 жыл бұрын

I got that shit is killing me they had me on prescription opioid it works but it mess up my stomach I'm a long chronic pain patient n I got diabetes nerve damage too so that medication calm my nerves pain n burn in my hand n feet is crazy living like this

@michealcheng2949 3 жыл бұрын

thank you DR Rorpopor Herbal on KZbin FOR Helping me to cure my Disc degeneration disease God bless you DR Rorpopor Herbal on KZbin.......

@bolinhong2598 2 жыл бұрын

@nolaburgess6559 2 жыл бұрын

Dear Doctor I had a bad car accident. I have been diagnosed having multiple Tarlov Cysts. Can you tell me anything about these Cysts? Thank you Nola Burgess ⭐️⭐️⭐️

@hmp2085 2 ай бұрын

Did someone try glucosamine & chondriotin and healed the spine discs?

@DrBrianSuTheSpineGuy 2 ай бұрын

There's no clinical evidence to show that that works

@hmp2085 2 ай бұрын

@@DrBrianSuTheSpineGuy You are right no clinical evidence but ...

@chantalbarry3023 3 жыл бұрын

Moi disques dégénératives et canal lombaire rétrécie je souffre ils veulent pas m'operer trop risquée je vais au kiné et fais du vélo d'appartement Salutations DOCTEUR

@Douggiie 3 жыл бұрын

Very useful info. I'm in the beginning phase of physical therapy for Degenerative disc

@michealcheng2949 3 жыл бұрын

thank you DR Rorpopor Herbal on KZbin FOR Helping me to cure my Disc degeneration disease God bless you DR Rorpopor Herbal on KZbin.......

@bolinhong2598 2 жыл бұрын

@brendabarge9883 2 жыл бұрын

Physical therapy never helped me!

@deborahhorch828 2 жыл бұрын

I started having bad back problems 3 years ago no at then I started having pain in my knee I can't hardly walk then I started having pain in my grown I'm a mess I'm taking pain meds the patch lidocaine 5 I'm on muscle also I take a muscle relaxer and ibuprofen isn't that enough thanks very much be save and please be aware and then your teacher

@keenanmurray7652 6 ай бұрын

What’s your opinion on cortisone for DDD?

@DrBrianSuTheSpineGuy 6 ай бұрын

That is not typically a useful evidence-based solution

@agirlnamedgreg 2 жыл бұрын

Would you talk about IDD therapy? I’ve just been diagnosed with early onset DDD in my L4 and L5. I’m 22, I’ve been in such severe pain (9/10) that I’m on arthritic crutches to take the pressure off my bulging discs. I’m on Lyrica as treatment suggested by Rheumatology for Fibromyalgia and doing traction exercises, this has already helped a lot down to a (7/10) in pain. I’m sleeping more than 3 hours a night for the first time in months thanks to the medication. The neurosurgeon has suggested this IDD therapy to help but insurance won’t pay for it. Is it something that’s worth doing or would I be wasting my money?

@bolinhong2598 2 жыл бұрын

@DrBrianSuTheSpineGuy 2 жыл бұрын

There's little evidence regarding that therapy in the interdiscal space.

@KaitlinWonders 3 ай бұрын

I am currently trying to manage back pain as I wait for an MRI. I'm still very young, barely 30. Its a combination of so many issues with DDD showing up on an preliminary X-ray. Its a life long process and quite frankly exhausting.

@KaitlinWonders 3 ай бұрын

@DrBrianSuTheSpineGuy all this is to say thank you for making this information accessible and giving me the vocabulary in case I meet with a surgeon in my area.

@zohntpz6620 3 жыл бұрын

Dr. Brian,,,,, please help me out of this case

@bolinhong2598 2 жыл бұрын

@turbyturbo1 3 жыл бұрын

Hi Dr. Brian Su, do you have any recommendation in southern california? thanks

@DrBrianSuTheSpineGuy 3 жыл бұрын

The doctors at cedars Sinai are excellent.

@bolinhong2598 2 жыл бұрын

@cristodas1347 Жыл бұрын

Im suffer L1,L2 tumor in my spinal

@ucityguy81 2 жыл бұрын

What do we do about severe stenosis my mri shows in my cervical and lumbar? I have minimal cervical symptoms but terrible lumbar symptoms notably leg weakness and buttock pain making it hard to walk. And how/where do I see you? MF Scottsdale AZ

@DrBrianSuTheSpineGuy 2 жыл бұрын

You should watch my video on Central cervical stenosis. You can make a virtual appointment with me by calling California orthopedics and spine

@jennifertrue3438 Жыл бұрын

Could you provide information about Radio Frequency Thermo Coagulation?

@DrBrianSuTheSpineGuy Жыл бұрын

Please see the facet joint syndrome videos

@chafouaube985 Жыл бұрын

I have a question and i need an answer: it is possible to have sciatic spasm? Because i have a sciatica

@Neely2457 4 ай бұрын

Thank you Dr Su for making these videos. I’m an anesthesiologist and interventional pain fellow. I had reservations on provocative discograms especially tampering with a control disc which may be perfectly normal. Some institutions rely on them a lot. I felt that they were over utilized and possibly harmful. It’s great to know you stick to evidence based medicine. Keep up the great work. Cheers.

@DrBrianSuTheSpineGuy 4 ай бұрын

I would not use a provocative discogram they are painful and they have been shown to increase degeneration based on the Stanford studies. However there is terrific evidence for functional anesthetic discography. It is low volume does not pressurize the disc and correlates with surgical outcome

@brandonbrimer1997 Жыл бұрын

Can you do a video about why younger people have DDD I’m 34 and was told I have it at 29 with my first back surgery

@DrBrianSuTheSpineGuy Жыл бұрын

It can happen for sure in young people.

@ДавайДосвидания-м4у 3 жыл бұрын

I had this HORRIBLE provocative disco gram before my neurotomy.. it’s pure torture. I guess I need a new doctor , I didn’t even know there was another option. The other option sounds like a visit to paradise in my humble opinion.

@juniormako6184 2 жыл бұрын

@bolinhong2598 2 жыл бұрын

@terriliggett5377 Жыл бұрын

What other option are you referring to? What is a nurotomy

@etherbunni30 Жыл бұрын

I just had X-rays done a couple days ago and DDD was listed in the report. Also, L2-3 was listed as having vacuum disc phenomena and endplate sclerosis, plus I have a leftward curve in my lumbar spine. I’ve had pain, numbness, and tingling all down my left leg into my foot and sometimes on the right, and a persistent numb patch of skin on my left front thigh. PT has made zero improvement so far. I have a consult set with a spine surgeon in a few days and I’m paranoid that surgery will be a topic of discussion. 😱

@DrBrianSuTheSpineGuy Жыл бұрын

Surgery should be the last option.

@DanScottChannel Жыл бұрын

I'm having serious balance issues and walking is difficult. My MRI shows 3 disk bulges where L4-L5 appears to be the worst. It says superimposed right posterior paracentral with cephalad migration contiguous into the bilateral neural foramina ostia, posterior central and left para-central spaces. Can this be corrected without surgery? Also L5-S1 disk buldge is uncovering? Can this be corrected with PT?

@DrBrianSuTheSpineGuy Жыл бұрын

You may consider a cervical spine MRI as well. I would have to look at the images. You can make a virtual appointment at California orthopedics and spine

@DanScottChannel Жыл бұрын

@@DrBrianSuTheSpineGuy Thanks you Doc!

@AlejandroRodriguez-xs4lt Жыл бұрын

Hi Dr, what do you think about shockwave therapy to treat herniated discs or torn joints/ligaments in the low back?

@DrBrianSuTheSpineGuy Жыл бұрын

There's no clinical evidence to support this

@florcountryvlog5906 3 жыл бұрын

Thanks for this video i hope my mum can walk back. She have a DDD, now shes lying and setting on bed then doing her daily routine treatment.

@maria-ceciliapeon5776 3 жыл бұрын

Stem cells transplants at the Mayo Clinic. Dr. Qu, read about him.

@juniormako6184 2 жыл бұрын

@bolinhong2598 2 жыл бұрын

@richarkalulu3990 Жыл бұрын

Dr su i just did my MRi scan last month and based on your explanation I feel good when I lay down because standing standing straight is very difficult for me and i bend on my left side, what's your advice to my condition

@pete9372 Жыл бұрын

What a great clip, very informative. Thx from U.K. Dr Brian👍

@gmabrenda5295 2 жыл бұрын

Would like to see more information/education about pinched nerve, siatica and treatment

@DrBrianSuTheSpineGuy 2 жыл бұрын

Please see the videos on lumbar stenosis and lumbar disc herniation

@bolinhong2598 2 жыл бұрын

@InGodITrust1111 10 ай бұрын

What about stem cells

@DrBrianSuTheSpineGuy 10 ай бұрын

it only works with dark disc disease and with a high intensity zone it does not work when there are modic type changes

@BY-xt1vb Жыл бұрын

Doctor I really love your video. In a future video, would you like to share your thoughts on innovative/alternative/controversial methods for disc degeneration disease? Things like prp, stem cells, artificial disc replacement and dynamic stabilization might be interesting to know their pros and cons. And what you think might be promising In the future either with incrementally better surgical techniques or breakthrough methods.

@DrBrianSuTheSpineGuy Жыл бұрын

Yes

@MohammedSaifulIslam-n4c 7 ай бұрын

Please i want to talk to u

@DrBrianSuTheSpineGuy 7 ай бұрын

You can call 415-925-8200 for a virtual video appointment with me

@D-T-L 2 жыл бұрын

If i believe i have this disease, what type of doctor should i see? I'm also feeling discomfort going down my right leg and also other joints, not sure it's related. What type of doctor should I see?

@DrBrianSuTheSpineGuy 2 жыл бұрын

A spine surgeon.

@clairejevon8106 2 жыл бұрын

I saw a consultant today who recommended steroids injected into the L4 and facets joints in the area because I have running sensations in both legs and feet for 3 months now. There hasn’t been any pre injection therapy recommended. I hope this works for me.