0:00 I've seen several doctors, and everyone recommends something else: Laminectomy, Coflex, scoliosis, fusion, etc. Which one is right?
00:37 Coflex is a device that can be placed between the spinous processes to open up the spine.
00:57 Fusion is not generally needed for decompression of spinal stenosis.
01:35 Think of spine problems as having options not single solutions. Your job is to select the best options.
02:00 Spinal stenosis results from ligament thickening and joint enlargement, not exercise.
02:30 What is spinal stenosis? Spinal stenosis is narrowing of the spinal canal which can be seen well on MRI.
02:30 What is scoliosis? A deformity in the coronal (middle) plane of the body
03:22 Severe scoliosis should be fused when you are a teenager as it much harder to recover and riskier as an adult.
04:01 Will spinal stenosis get worse? Always. Spinal stenosis only get worse as time goes by. The only issue is how fast it progresses.
04:58 Spinal stenosis is narrowing of the spinal canal that can be seen on MRI as the loss of fluid in the spinal canal.
05:47 In cases of spinal stenosis the spinal canal shows up on MRI as a triangle instead of an almond.
06:27 Stenosis goes from mild to moderate to severe to marked.
06:50 Arthritis of the spine affects the FACET joints and causes a specific pattern of low back pain.
07:24 Diagnostic medial branch block and radiofrequency ablation are the preferred treatment for low back pain due to injured of arthritic facet joints.
07:50 Low back pain due to facet joints is treated by pain management doctors who do diagnostic medial branch blocks.
08:13 Spinal stenosis is treated by orthopedic spine surgeons or neurosurgeons, not pain management doctors.
08:47 Minimally invasive spinal orthopedic and neurosurgeons perform laminectomy using the METRX retraction tube.
09:16 Pain management doctors do epidural injection for nerve root pain or radiofrequency ablation for low back pain, but they don't have any treatment for stenosis.
09:55 Scoliosis makes laminectomy surgery higher risk, but the risk still favors the surgery and not avoiding it.
10:17 Spine surgeon or neurosurgeons who perform minimally invasive laminectomy use tubular retractors.
10:40 how to find a minimally invasive spine surgeon or neurosurgeon in your area.
11:22 Spinal stenosis can be cured by laminectomy surgery which opens up the spinal canal.
11:59 Nerve problems (neuropathy) are not related to spinal stenosis.
12:38 Spinal stenosis reduces the "innervation" of the muscles and leads to muscle atrophy.
12:59 Atrophy caused by spinal stenosis can be reversed by exercise. Find one which has no impact.
13:41 Pian management doctors perform radiofrequency ablation for low back pain.
Why does spinal stenosis happen?
Can spinal stenosis be cured?
Are spinal stenosis and neuropathy related?
What does spinal stenosis feel like?
When is spinal stenosis serious?
Where does spinal stenosis cause pain?
How does spinal stenosis cause muscle atrophy?
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