Non-Surgical Treatments for Lumbar Degenerative Spondylolisthesis - Part 2

[@sandraguti46]

Finally a doctor talks how this spondy issue affects the person psychology by falling into depression or anxiety. This is an emotional game for me.

[@winningalways43]

Me too!

[@sarafielder3240]

I started to cry when Dr. Su acknowledged the emotional effect pain associated with this condition can have. It's been a roller coaster ride for this commenter. Thank you for that courtesy, Dr. Su.

[@NancyBroms]

ME too!!

[@blackops6gamer]

Wishing everyone watching this a nice day, and may everything work out in your favor🎉

[@jjn49772]

Are you the producer? I am a former TV producer. Your videos are simple and easy to understand. Of course much of that is due to your talent, the good doctor. But you don't get caught up in a lot of special effects or worries about video rules (Like no jump cuts). The illustrations and X-rays are on point. Nice work and thanks. You have helped me understand my situation a lot better.

[@whatthe6532]

Excellent presentation. Would be very happy to have this person as my doctor.

[@hunnybunny4973]

I love how he says, it pissed the nerve off. I couldn't describe my nerves better

[@ritastutler1470]

How nice for a doctor to realize that chronic back pain can be so depressing. I was walking three and a half miles with a friend a few times during the week and on my own for shorter periods. I am going to try and stay strong. Thank you ❤❤❤

[@andym3511]

Smart guy. You can always tell when someone knows what they're talking about - they can take the complex and explain it with simple clarity. I would be very confident with this guy as my surgeon.

[@davidbarker5823]

lol, apparently not.

[@cmbooks2000]

Dr. Su, you really have a way of calming a scary situation so that patients can listen, learn and consider what is best for them. Thank you for your channel

[@papadopification]

He is such a brilliant doctor, he speaks so well. Love that guy.

[@wayn0693]

Thank you so much. I have just learned more in your 11 minutes than I have in the last 4 years of dealing with all the pain and all the shit that goes with it. Repeating myself over and over again to so called specialists and surgeons. Everything you spoke about was clear and honest. Thank you.

[@adefauzia754]

Alhamdulillah/thanks God, i found your YT on my case. Thank you doc, only you suggested otherwise. I am 68 y.o. mine is grade 1 n healthy. My spine doc suggested me for ops. My pain is bearable/manageable. I take ibuprofen only when going out all day. I still can travel very far by bus, thousands miles, alone. Right now i am in therapy twice a week at a hospital in Jakarta, Indonesia. Thanks again doc n God bless you! 👍🏻😍

[@tommychang6764]

I am trying to avoid traditional spinal fusion operations. metal rods, screws, and therefore restricting movement.

[@loannett]

My leg pain was so severe, my life was so limited, depression so deep, I don't know what I would have done if I had not found Dr Su.( thank you utube!) My back is a mess: Spondylosis spinal stenosis scoliosis and osteoporosis. Thank you for you skill, your great office staff and your utubes.❤

[@MorganJServices]

Thank you for this straightforward educational information on this very serious spine aliment. I had a grade 4 spondy, stenosis diagnosis 25 years ago with S1, L5 & L4. Immediate surgical intervention of fusion & hardware install was necessary. I was no longer able to walk, and the pain was unbearable. The recovery was difficult but I have zero regrets! At my annual physical this year I was 2" shorter. My low back, left side muscle and sciatic pain has returned with a vengeance. I asked my chiropractor for xrays. L3 & L2 have collapsed. NOW, after to listening to this video series I realize that my sudden ankle pain and incontinence is a serious indicator of my need for additional fusion. I will be asking my GP for a referral to a spine surgeon. I sure wish the surgeon from 25 years ago was available but he has retired.

[@Calculatorboy1]

I’m have same problem but I don’t have money for surgery I’m 32 I have no family

[@XCarfaxAbbeyX]

How wonderful! A doc who believes in pain and seems to be willing to manage pain from spondy appropriately. I was just

[@judyoneal7887]

My poor Mom had this happen to her at age 87. She had terrible back pain & so I took her to the neurosurgeon who had done a lumbar decompression a year prior. I might add, she recovered from that surgery nicely. Unfortunately, we accepted the answer of no to a permanent fix “at her age”. What a mistake that was. I guess it depends on how you look at it, but I feel I failed her. My Mom is 94 now & frankly, you wouldn’t let a dog suffer with the pain she has been forced to live with these past 7 years. Unfortunately for her, in time she gradually lost the ability to do most all of the things she enjoys. For years now she’s been unable to go to church, go out to dinner, to sit at the piano, to sit at the dining room table & enjoy dinner with the family at holidays. My Mom can’t stand long enough to brush her teeth, or for the Keurig to run so she can make herself a cup of coffee. Any activity that requires she load her spine is extremely painful. Over these 7 years her diagnosis has morphed into “degenerative scoliosis”. It’s heart breaking as she’s really healthy considering her age. Her high blood pressure is well controlled & she has no dementia. Her short-term memory has only started failing her some in the last year or so. Now her pain keeps her from taking even a few steps some days so she uses a wheelchair between her hospital bed & her recliner. She no longer leaves the house really at all. Now, it may be that at age 87 no neurosurgeon in his or her right mind would have agreed to operate & fuse her when she was 87 (that’s what we were told she’d need). But I don’t know that, because I didn’t encourage her to at least get a 2nd opinion. I really regret that. I am not saying folks should def get surgery, or def not get surgery. That is a decision that can only be made by a patient & their surgeon. I am saying if you are living in debilitating pain and are told you are not a surgical candidate, before you decide to accept a lifetime of debilitating pain, no matter how long or short folks think you have left, please get a 2nd opinion.

[@josefaeusebio218]

Yes, I am also 87 and have lumbar pain 4 months now. No to steroid injection nor surgery. No doctor would advice me surgery because of my age. Just Rehab machine-operated/assisted nerve and muscle electrical /laser stimulations including lumbar traction 3 x a week! Plus physical exercises. I improved but some pain still lingers in my groin-hip and buttocks. I can walk but really slowly with a cane or walker, careful I might fall. Will I be like this until age 94 also? I can't sit long at our dining table. I can't walk out to church or my garden. No outside parties or meetings. Can't cook or play my piano... Not work long on my computer. Only Lying in bed is most comfortable!

[@worldpeace8187]

Thank you for sharing your experience. I am late 50's & found out about 3 years ago that I have this condition. My primary doc just said well this is as good as it gets. But with videos & feedback like yours I am thinking I need a 2nd opinion as scoliosis is starting to happen.

[@judyoneal7887]

@@josefaeusebio218 I can see right where you are. I encourage everyone living in pain to seek a 2nd opinion. I did that after I was clearly blown off by the 1st surgeon I saw. It’s so important that you feel a connection with the surgeon you do see. You have to realize that you might not get the answer you are hoping for, even with a 2nd opinion - because that happened to me. However, if you can walk away with a sense that he/she really took the time to listen & understand how much pain you have & how much it’s impacting/limiting how you live your life, & if the Dr. has explained so that you really understand why he/she feels you’re not a candidate now. - well at least you’ll know you’ve covered all your options for now. That’s how I felt after my 2nd opinion visit. The surgeon was great & really explained why he was saying no, & said, “If you were my own sister I wouldn’t operate & I wouldn’t want anyone else to either & this is why….” Listen, new things are coming down the pike so quickly in this field. I’d encourage you to see pain management Dr. regularly as they’ve helped me lots. They also stay up on all the new treatment options that come up. I do hope today is a good day for you.

[@judyoneal7887]

@@worldpeace8187 oh you need to see a Neurosurgeon. A primary Doc is def not the one to treat this issue.

[@waqaskhalil9335]

Timely referral and awareness of a Rehab Medicine specialist (PM and R physician) is the need of the hour

[@bigal5323]

Currently there is two other surgical surgeries not talked about on here. Dr. Scott Hodges perfected a total joint replacement surgery, which includes a new facet joint to replace the damaged or arthritic facet bones and a artificial disk. This combination allows total movement of the spine to protect upper and lower adjacent disks and structures from deteroration normally occurring from fusion's. Plus no heavey steel hardware bars!! Just one bolt.!

[@DrBrianSuTheSpineGuy]

You are referring to the TOPS procedure which was recently FDA approved in the United States. That is used in the setting of a spondylolisthesis. It is still early on and while the concept is interesting I personally don't feel like there's enough long-term data for me to use it yet. Please consult your spine surgeon

[@hildenieuwenhuijsen3736]

ohhh Dr Brian Su I just lovvvveeeeeeeeeee your information. Thank you Thank you Thank you

[@probityb4riches251]

I suffer with narrowing of spinal canal. Weakness in quads and recently herniated L4L5. One thing I would add that helps but sounds crazy is celery. I hate the taste, but the relief offsets taste. 3 raw stalks in the morning. Natural anti-inflammatory are found in it.

[@morganswisher1937]

I've never heard of celery. Are you saying it helps with the weakness or the pain?

[@XCarfaxAbbeyX]

Wow. Interesting. I love celery! Will give it a try!

[@alliea3327]

Don't hesitate to take curcuma (turmerics), its good too

[@terryschwaighofer6373]

Pain in my buttocks and legs became unbearable. seeing pain management. received the shots in my back for L3 L4 and L5. Leg pain got better but with tingling and numbness in both legs. Quality of life to me is non existant. Can't do anything without my lower back hurting more than I can take. Very depressed and non independent now which is really hard to take. Can't take nsaids due to Gerd and diverticulitis. Can't take ANY pain meds makes me throw up. no anti-inflammatory due to IBS and stomach issues. Shots were done on 31st of January. Don't see my pain management Dr until the end of February. Waiting for your next video. With tears in my eyes a heart felt ty for your video's. No one has explained all this to me and without you I wouldn't have a clue what is happening to me. Much love ty

[@Christinejs]

Did you get your surgery

[@frankmalone8005]

Great presentation Dr.

[@carolebitz3207]

Wow Did I need this!!! Wish this guy could treat me.

[@spicyspacecake]

This was brilliant! I was just diagnosed with the “spondy” (too hard to remember/type full name) & this gave me a very pragmatic understanding with hope! Thanks so very much for taking the time…

[@carolinamm8936]

Excellent! Thank you 🙏🏼

[@terryschwaighofer7368]

Thank you for your videos. I have been watching. I was diagnosed with Degenerative Disc Disease about a year ago. I did therapy for short time which helped. However, I did quit when the pain got better. Before that I had been about 40 pounds overweight and became motivated to lose the weight. I started doing a work out called Size it up. I hate excersize, but fell in love with this excersize. I lost 35 pounds and then my back began hurting really bad. That's when I went to my Doctor who sent me to physical therapy. The therapist told me I couldn't do the size it up excizes anymore. I rarely cry but I did about this because I knew I would put the weight back on and I did. It sent me into a deep depression. Then this year the pain in my lower back got so bad that I can't do anything or I end up flat on my back. I went to unload my washing machine and broke 3 ribs. Dexascan showed Osteoporosis. I had Hyperthyroidism when I was 40 and got down to 95 pounds so I had to gave my thyroid destroyed. And had to have a full hysterectomy due to bleeding tumers. I am 61 now and it the bone issues started about 2 years ago. I started on Evenity and took the shots for 6 months. I stopped this month due to the cost. I'm now taking vitamin d 5000 mg. I can't take any of the other bone meds due to conflict with other meds I take for stomach and bowl disease. I feel stuck but don't want to take the shots in my back or have surgery even though the pain is severe and is affecting my life severely. I just want to thank you very much because no one took the time to really explain all this to me. So I truly thank you♥️. And you have motivated me to start with the phsical therapy again. Just wanted you to know that you are so very appreciated ♥️. I now understand it all and what I have to change. But I sure miss the excersizes I was doing with Size it up. Life isn't for sissies and I'm am lol. Again, thank you Terry Schwaighofer

[@seniour2003]

I want you to be my doctor I've been to so many pain doctors most of them are nuts I love the way you explain things and the way you speak I can understand you so well thanks for the videos Good job!! IM SO TIRED OF HURTING!!!

[@gulshanbanuhajee2116]

You are amazing. You explain so beautifully. Wish I could be your patient. Thank you for your advice

[@reginamay2767]

Vitamin d has no effect on bones. Look it up for yourself.

[@frankcapobianco755]

I watched Parts 1 & 2 and found this very helpful. My situation: I was having pain in my lower left back area and the MRI revealed severe left foraminal stenosis at L5 with compression of the exiting left L5 nerve. I thought I might be eligible for arthroscopic surgery to clear some space but was informed that the "closure" is due to anterolisthesis, 7mm. Which I now understand can be referred to as Spondyloisthesis. I had xrays taken to check stability and was happy to hear that there was no instability. Based on what I saw in Part 1, 7mm does not seem like more than a grade 2. Also I have bilateral Pars defect at L5. Overall this is a issue when walking/standing for a period of time. I am able to exercise pain free and primarily do relatively light weights but high reps (e.g. 40-45lb of weight while doing squats and lunges). I don't know if this type of exercising will worsen my Spondylolisthesis but would love an answer. I am 59yo. The physical pain can be distressing but have been able to cope. The emotional part was starting to get to me, but I really have no desire to get surgery (it has not been recommended at this point) because I fear it would radically alter my physical ability to exercise. The pain med treatment was very intriguing because I thought it would not work but now I understand that I would have to take anti-inflamatory over a period of time. All in all very helpful and would love an answer to my question. Thank you.

[@DrBrianSuTheSpineGuy]

If you have a pars defect you should be watching the series on isthmic spondylolisthesis

[@frankcapobianco755]

I will, thank you.

[@Shelllock81]

I'm only grade 1 spondylisthesis and I feel for those further along and it's already so incredibly debilitating and painful for me. I hope you are all being cared for and heard

[@sandraguti46]

I am grade 1 and it is very annoying to feel the pain all the time and taking storid injection all the time

[@elizabethlawson8945]

Thank you for this information. I am scheduled for my third back surgery in 24 months (second fusion - this time 2 levels). It is a hard decision to make; however, you are spot on regarding the emotional toll this takes on a person!

[@simplytruth9729]

I hope things are going better for you and your surgery went well.

[@sofiaaltamirano2397]

Thank you so much for the video! It has been of good value for me, it provided me clarity on my condition and hope

[@madhuabeyrathna1932]

Dear doctor.. Thank you very much for explaining well about the available treatments. I have a bad back pain, sometimes pain in buttocks, legs as well. I did an X-ray, results says I have grade 1 lytic spondylolisthesis in L5. However I got a call from GP saying that no concerns with my X-ray just to see a physio. Lucky I requested a copy of my results from radiologist because I know the pain I'm going through, so now I know what causes my lower back pain. I'm just 37, recently bought a house, wanted to settle down and have a family. I like to have a child. But I'm scared now how can I go through a pregnancy with the pain I already have. I used to dance a lot but can't remember a date I danced lately. I'm going to a physio since last 4 months, took anti-inflammatory as well. Nothing helped really. I feel anxious about my future now. Any suggestions from you doctor? You might not see my comment, looks like video is posted while ago. However I really appreciate the knowledge you given to us through your video, god bless you. ❤

[@DrBrianSuTheSpineGuy]

Please watch the video on isthmic spondylolisthesis

[@madhuabeyrathna1932]

@@DrBrianSuTheSpineGuy thank you doctor for the reply. I will watch it.

[@ajitswapnavlogs8557]

I'm also facing the same spondylothesis L5,S1 .My age is 24.I got recently married and I'm scared how to get pregnant in This situation

[@skrstl]

​@@ajitswapnavlogs8557hi im in this sitıation too, I'm afraid of possible comlications during pregnancy with spondylolisthesis, i want to know did you get pregnant already and how it is affected your spine and lower back pain

[@Clairebearthegoodfinder]

I am facing adult neuromuscular Scoliosis I am in need of surgery. I am glad I watch this. Thanks

[@skilitzki2692]

Extremely extremely smart doctor, explains what really needs to be done based on your situation and doesn't prompt you to take drastic measures like surgery. I have a similar situation, it's Lumbar Spondylosis L5-S1. Had it for almost 13 years now due to deadlifting weights back in 2010, I just ignored it until I decided to have it checked out back in 2017 because I was playing soccer at the time and it's affecting my performance. My doctor recommended the same thing that Dr. Brian explained. I never took medication but I did physical theraphy, bunch of excercises and stretching to strengthen my core, but I'm a lazy ass so as soon as the pain stops, I just stop doing the excercises completely lol. I traveled last week to Japan and it seems like the nerve got agitated so the pain is worse this time, hurts really bad probably because we have to lift our luggage that weighs around 20lbs when switching hotels/airbnb. I'm looking forward to having my back checked, probably next month. BTW enjoyed watching your video Dr. Brian, I sent this over to my friends so they would better understand my situation. Cheers from Manila!

[@ftumi]

Also because you were sitting on a plane.. for what I'm assuming, a long time

[@teresita8864]

These videos are excellent!! I did not know it was important to take aleve for two weeks. I stopped when it didn't work right away. I am scheduled for an ESI but am going to try the Aleve for two weeks before I go since previous ESI's didn't do much. Thank you!

[@samirsiri2778]

Good job thank you

[@sandymenzel5355]

Thank you for explaining.

[@rickbarron6972]

Thank you SO MUCH for giving these presentations. I've had degenerative disc disease and spinal stenosis for about 4 years now(L3,4,5) I DIDN'T know what the doctor's meant when they said that I had arthritis in my back, UNTIL I watch your videos. Thank you! Recently I've been in EXTREME pain and bed ridden for the last 2 weeks. Feels like I'm going to fall when I stand up. Scary. It's like chewing on tinfoil, except the feeling is in my spine. UGH! Thanks for the advice of keeping The cycle of inflammation down and on a regiment for 14 days. I was only taken 800 mg of ibuprofen ONCE a day, and only when in pain. Have had 3 epidurals that did not work. I have basically given up. Every prescription I've taken works for a month....and then nothing. Was hoping there was more advancement in turning your own blood into plasma and injecting for replacing the normal size of the disc. ( In one of your earlier videos I think you called it PRP.) I'll do some more researching on your videos to see if I can find it. Thank you!!!

[@terryschwaighofer6373]

I would too! Absolutely fantastic Doctor to take time out of his busy schedule to help others.

[@dawnmorning]

Was thinking if PRP would be used in spine.

[@mollyalptekin9185]

Good explaining the complicated subject in simple English, keep up the good work. Thank you.

[@loknau743]

Thanks for sharing

[@johnmitchell8925]

Thanks Doctor

[@docomo661]

Thank you this is super informative. I’m 35 this year and last year I started feeling chronic lower back pain, had an X-ray done and been diagnosed with L4-L5 spondylolisthesis. In the past 2 months or so I started feeling numbness in my left toes, and getting random cramps in my calves, sometimes in my sleep. Are these likely to be related to the spondylolisthesis?

[@DrBrianSuTheSpineGuy]

Yes that is possible. You can call 415-925-8200 for a second opinion or you should see a spine surgeon

[@bourda2012]

Thank you for sharing such informative information.

[@sueastrop6509]

I agree with everything you say but I take Eliquis and cannot take Advil or any Ibuprofen .

[@rhesasanong7095]

Hello Doc Thanks u your excellent explain...Im in Grade 1 spondylosis...its this generous thanks.

[@kingpromise6390]

Giving thanks to Doctor Ani John is something I will always take personal because he brought me back to my full health he is a good man and trustworthy so kind to every patient, contact Dr.Ani John on KZbin channel now for help for kind of health issues.

[@XCarfaxAbbeyX]

I have RA and now Dxd with this. So far my RA pain management is covering this. Just barely. I would like to increase the cymbalta (am at 90mg) as I get about 4 hours of relief with it on board. Also, I get horrible back spasms after walking for abt 15mins.I sit down for 5 and can then go another 15. Very depressing. Two chronic pain Dxs and losing the ability to walk seems too cruel. I wanted to go to Ireland...before I die(I'm only 62)--I just don't see that as a possibility anymore...it took FOUR YEARS before one of my docs took spinal films even tho I started bringing LOWER BACK pain to their attention. I feel sad and hopeless most of the time. I guess I will go find a good spine doc for his help with this! Thank you Dr Brian...you are great.

[@joselemus6424]

God Bless you the way you take your mom, I did it too, but in different circumstances, i went to second or third doctor opinions, and helped us a lot in her treatment, again you should be proud the way are taking care of her, 👏👍

[@NeerajMainka-r2v]

Core strengthening that really help i have grade 1 and doing my stretching and core strengthening exercise’s at-least 4-5 days a week and its realy helpful with pain relief .

[@JC-gy5bh]

Thanks!

[@Predictable1]

Thank u very much for this video. It is so helpful to learn about all these different options

[@17cench]

Hello..for the naproxen dose i am taking the 220mg capsules..So would it still be 2 in the morning 2 at night or more than that

[@DrBrianSuTheSpineGuy]

Yes. But no more than two weeks and under physician direction.

[@PikesCore24]

You say that flexion of the spine makes the space for the nerve smaller 1:40 s. But strengthening the core (anterior abdominal wall) almost requires flexing the spine. What to do?

[@DrBrianSuTheSpineGuy]

It is good to do exercises to strengthen the core

[@PikesCore24]

@@DrBrianSuTheSpineGuy Great! But what about your comment that flexion makes the space for the nerve smaller, at 1:40s Do you want to retract that?

[@rogersherrell]

Thank you

[@hanifrahimi9965]

Hi, tanx so much. I have a discs problems. My discs have torn up in both sides left and right. Fortunately, there is not any evidence to push the nerves and I have severse irritation in that points not in my leeks. It's my question. How can treat it or it's possible to cure or not. Thanks I am waiting to hear from you Sir.

[@preciouschristian]

👋👋👋👋👋 Excellent delivery. Thanks Doc

[@johnnielsen5088]

I have had several back surgeries over the year and had the misfortune of all down last week. I tried taking the Avleve as for four days as recommended in the video and ended up with bladder retention (I could not pee). I would therefore check with your primary physician before taking any of these over the counter medications. Jack

[@carolbreese9551]

What about a spinal ablation as treatment?

[@DrBrianSuTheSpineGuy]

Please watch The video on lumbar facet joint syndrome

[@WonkyWomanLife]

Grade 4 to 5 rotation and stenosis. L5S1

[@kevinwatkins9027]

Good information really needed this

[@KirtFitzpatrick]

This was helpful. Thank you.

[@SandravsSlots]

I have this, and I'm currently on state disability from my job. I do physical labor, so that's why I'm not working. There are times when the pain is so bad that I either can't get out of bed, or I almost fall when I walk.

[@julie1462]

awesome information thank you

[@10laws2liveby]

Very good, had I been told this 65 years ago or even a month ago It would have at least shown me a path to take.

[@marlenetafoya5904]

Oh my goodness! You’re definitely a blessing!!!

[@desgoulding7154]

You are an EXCELLENT SPECIALIST very informative as well. I don’t want to have my L 4/5 S1 fusion some 50 years ago I had Leminectomy had groin pain, Butt,both thighs DRIVES me nuts had bad fall on Esclator 1 year ago came down on butt very very hard then neck head. Now 73 NO LIFE laying get up walk after a short time need to lay down morphine and Endone fusion mid August 24 just worried now I think this is normal. Thanks for sharing

[@Pankaj159]

Excellent advices , love the way of explanation. It's easily understandable even for a layman like me. great job

[@inlovewithkarate29]

Wow I learned so much than my own doctors who I have been going for years. I wish I had a Dr. Su near me. But I am also great full for the video.

[@DrBrianSuTheSpineGuy]

You can always make a virtual appointment with me by calling California orthopedics and spine

[@inlovewithkarate29]

@@DrBrianSuTheSpineGuy I will, thank for your fast reply.

[@ritastutler1470]

My l4 and L5 is fused but I am getting some slippage even with fusion. I have a torn disc, I have severe stenosis, two bulging discs, facet disease, ..degenerative changes for sure. A doctor who looked at the newest mri said I actually have a kink that shows up. I have severe nerve pain…where the nerves can not exit . I asked a pt and the doctor and pt really thought with all the diagnoses I should do what I can at home. I have been strengthening my core and try to keep as active as possible. When the weather first changes to cold I don’t want to do anything.

[@bonnieketterman6542]

This video was very informative I really learned alot about my problem how it can be treated I've had it for quite awhile.

[@waltonesq]

Always interesting and well presented.

[@maureenburke7769]

Excellent!

[@nancykram4656]

Thank you, Dr Su. I shared your video with many friends.

[@bam4827]

One of the best presentations I've come across. A bit curious if radio frequency ablation would be a viable option. I've had epidurals and they work for a short time, approximately 2-3 months. I've had microdisectomy of L4-L5 without fusion...Trying to avoid fusion because of my profession (firefighter)..

[@DrBrianSuTheSpineGuy]

If your pain is from the facet joint that's possible. Please watch the facet joint syndrome video

[@stevemorrisanamericaninasia]

Excellent review. Thx.

[@joea.9969]

Im scared that i have this. I thought it was sciatica but ive done some heavy lifting at work and think i dud some damage. Having moderate lower back/ hip pain and some upper leg tingling sometimes in the toes also sharp jolts of pain when moving certain ways.

[@Clairebearthegoodfinder]

This is fabulous.

[@BebeJawas]

Well presented Dr and so reassuring that I'm not terrified now You give us hop

[@BebeJawas]

Hope

[@laurathornton5828]

Thank you for all of your info. May Yehovah the God of heaven and earth bless you and all that you do!

[@junepews]

I have Spondylolisthesis, back pain. Its hurts to lay down, walk and sit. Have my first fysioterap next week. Try to lay down 90 ° but it really hurts, only get 4 hours sleep because of my back pain. Have my very first appointment with a physiotherapist next week, hope this can really help

[@mariarivera8538]

Thank you, thank you 💙

[@prakashborulkar4244]

WoW...Wonderfully Simplified To Alleviate Fear Of Spine Surgery 🌺🌸🌹🌼💐

[@1947froggy]

What about Viadisc NP Allograft?

[@DrBrianSuTheSpineGuy]

It is currently in clinical trials. It may be promising but the data is not there yet.

[@1947froggy]

@@DrBrianSuTheSpineGuy MD in Carlsbad is doing this, getting an appt soon.

[@07Convertable]

Thank you Dr. Su. I've been taking Tramadol for years for my multiple issues with my back. It doesn't address the tingling unfortunately.

[@kingpromise6390]

Giving thanks to Doctor Ani John is something I will always take personal because he brought me back to my full health he is a good man and trustworthy so kind to every patient, contact Dr.Ani John on KZbin channel now for help for kind of health issues.

[@cynthiarende2159]

My L2 is slipping off L3 so guess lawn mowing isn't good is it or would the twisting help it? Not sure ifanyine answers these. So glad I found your video, very well done & informative.

[@gomphrena-beautifulflower-8043]

I suffer with this and it is extremely painful. God bless you all

[@amandagarcia8307]

Great video. Can you do a presentation on thoracic spine? I’ve been dealing with thoracic issues for a year and half. I’ve had epidural injections and RFA to no avail. Currently trying inversion.

[@DrBrianSuTheSpineGuy]

Yes I could do that. I would watch the lumbar facet joint syndrome video which largely parallels the thoracic spine from an intervention standpoint

[@geethapriyakumaraguru4090]

Excellent video

[@marlkr3832]

Helo sir thank you for creating such an educational videos. I'm very impressed by your video actually according to my CT scan report I have been suffering from early degenerative lumbar spondylosis. I want to share my CT scan report and x-ray and get consolidation from you when you are free thank you

[@jamesarden317]

what medication is given to patients that is bordering to CKD? I assume Nsaids are not the way right?

[@DrBrianSuTheSpineGuy]

You should consult your nephrologist

[@salamanrasoli]

you mentioned the causes being both nerve issue and facet joint issue; so how would you know to choose facet joint injection vs epidural injection with corticosteroids?

[@DrBrianSuTheSpineGuy]

I would watch the lumbar stenosis playlist in the lumbar facet joint syndrome video. Usually with lumbar stenosis people have leg pain with facet joint syndrome people have back pain. We choose the injections accordingly.

[@salamanrasoli]

@@DrBrianSuTheSpineGuy so lumbar spinal stenosis usually would go epidural? But in the case of spondyloli you would also choose epidural d/t it eventually causing lumbar stenosis?

[@kayeszymanski6945]

Yes I had to have an L4-L5 fusion due to spondylolisthesis and bilateral pars interarticularis fractures. Right side was in pieces. Surgeon said he left the other side to heal on it’s own. Right side not salvageable. Pain free after the surgery. He also removed a large synovial cyst compressing my spinal cord.

[@jonschlegel2961]

Hi I have the same dx as you. How long did you live with it before surgery? And how are you doing now?

[@kayeszymanski6945]

@@jonschlegel2961 Hi it was 9 years ago so I’m guessing it was probably 6-12 months of living with it. Couldn’t stand the pain anymore so had the surgery. The surgeon I had was fantastic!!

[@jonschlegel2961]

@@kayeszymanski6945 oh wow 9 years ago! How are you today? I try to manage my pain and for the most part I do. I’m very active and proactive about my health. But some days I can’t play golf when I want to. And I picked up golf cause I can’t play other sports anymore :(

[@kayeszymanski6945]

@@jonschlegel2961 I still have occasional pain every now and then. Mostly when it rains or snows. But nothing close to the original pain! Best wishes to you!!

[@jonschlegel2961]

@@kayeszymanski6945 thank you so much! Can you point me in the direction of your surgeon? That would be amazing! So happy to hear after all these years your quality of life is still much improved from what it was! Congrats!

[@fantasycreed]

I have grade 2-3 spinal slippage, instability, a fractured pars defect, and a 10mm bulging disc - partially due to a car accident. I’ve been told surgery is really the only way to fix this issue, but I’m also hearing that certain exercises could potentially lessen the pain and make me strong. I’ve been in so much pain since car accident, I can’t work or drive, can barely stand alone, the pars defect has left free-floating bits of my spine hanging out in my lower back, the area is sensitive to touch, even the waistbands of my pants irritate it. If I get surgery for spinal fusion, I risk getting fused more and more and more as time goes on, I’ve been told I’ll be completely fused by 40. If I don’t, I don’t know if I’ll be able to live anymore. I will have no income and will be in chronic pain, pain I can barely stand. Thank you for this video, I’m looking to alternative ways to fix myself without surgery. I wish PT would fix the slippage, but it’s good to know it won’t.

[@DrBrianSuTheSpineGuy]

Watch the playlist on Isthmic spondylolisthesis

[@fantasycreed]

@ thank you, I’ll be sure to check it out!

[@rubygrooms137]

W atched it .thanks fir the info...❤uvr appreciated!

[@janamanning9996]

Would you consider making a video of a complete physical exam - including reflexes (DTRs, hoffman's)? Absolutely love your videos!

[@DrBrianSuTheSpineGuy]

Yes I can put that on the list.

[@janamanning9996]

@@DrBrianSuTheSpineGuy thank you!!

[@maryallenger9847]

My MRI diagnosis says Extensive spondylotic changes with spinal stenosis. The Orthopaedic Surgeon said I have Lumbar spondylitic Myelopathy. Can this be so?

[@robinbrown3290]

After a 2nd visit to urgent care in 5 days, the doctor said I may have piriformis. I attribute my pain to anterolisthesis L5S1 and mod degenerative disc space. Now what? I’ve a pain mgmt appt next week so we shall see. PT works to an extent, but several days I’m unable to walk more than a couple minutes, standing for even less.

[@tajha123]

Mine is bad and I’m getting it surgically fixed! Scheduled for Feb!🙏🏻♥️✨

[@combatskels]

Hi tajha123 how bad is yours cause mine also has same problem.my Orthopaedic surgeon never explain like this doctor.that’s why I didn’t take my pain seriously.after one epidural my pain came after 2months later after doing just my house work. Now I can’t do anything.hard to do anything even walk.now I’m afraid of this surgery.

[@tajha123]

@@combatskels I had my surgery and have 2 new cages or disks. 8 inch incision from the front by vascular surgeon so they can expose the spine 2hrs. Then vascular surgeon closes they flipped me over and fixed everything they could. Old 2nd generation compression rod removal and I have a railroad of screws down and two screws running through my sits bones an 8 hr. Procedure😰 I needed 4 pints of blood but woke up ok. This is my 4 th surgery from when I was a Shriners kid. 15 Harrington rod popped off requiring a cast 9 months. Second surgery removal of the slip dried. Then at 19 they did spondylolisthesis surgery with a wire. They have also remove that wire now. My recovery is tough and I got traction during transport to rehab so now I have very bad swelling in my hips and numbness. They are talking in circles and won’t address it like it’s par for the course. I was fine after surgery and doing great until that. I think he was a very good surgeon but my aftercare has been horrible. I will keep you updated on my progress. It’s been about four weeks now.🙏🏻♥️✨

[@tommychang6764]

so will I need a spinal fusion operation? L4-5 transforaminal lumbar interbody fusion with allograft, autograft and instrumentation.

[@linaelenasearle2462]

At 87 with spinal stenosis /spondylolisthesis is surgery afvisableor conservative treatment. Improving 6 moths medication and physical therapy

[@DrBrianSuTheSpineGuy]

It depends on your physiologic age meaning how healthy you are

[@DanSchultz-yr6ni]

Loved learning more about Multilevel Degenerative Lumbar Spondylosis from your channel and have now subscribed to your channel. Who would you recommend watching that would complement your channel from a PT perspective?

[@jihadsakkal3394]

thank you very much could i watch a video on caudal steroid injection in details best regards

[@DrBrianSuTheSpineGuy]

Please watch the video lumbar epidural injection

[@Just_MHO_thomasina]

Thank you doctor! 🙂🙂

[@10foxylady]

Ouch 😓 I have that painful degenerative disease and I’m in pain 24/7 I have done everything and I notice more I make movements like cooking or cleaning the house more I’ve pain and stiffness and muscles espasmos; can’t sleep well either. It’s awful . I’m desperate and about to losing my hope. I wish that there were something to heel besides surgery 😓