Surgical Treatment For Lumbar Spinal Stenosis (Part 2)

There are many types of surgeries to fix this condition. In this video I review the minimally invasive options!
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I do about 15 new patient telemedicines every week. Here is the best path forward:
2- if we take that insurance THEN upload your images (get the CD from image center) to my portal for our 1st visit
3- I must have X-rays and MRI, X rays are critical. Just MRI isn’t enough. Need to be from last 12 months. Nothing older is needed, or wanted.
4- You need to get your CD 💿 of your X ray and MRI (imaging centers will never send them to us)
6- recap: email us, get CDs, upload
Step by step:

[KK-joyb]

I had severe spinal stenosis in my lower lumbar and the first two orthopedic Drs I saw wanted to send me to a bigger city at a spinal institution and were telling me I needed as many as four discs fused. I found a neurosurgeon who used something called an ultra sonic scalpel and without fusing any discs fixed my back. I have no pain in my hip or down my leg at all. He told me I had osteocytes so large that they were pinching some of my nerves almost flat. This was from osteoarthritis. I had this in sections 1-4 in my lumbar. I’m very grateful for this Dr and glad I sought another opinion because I believe a four disc fusion would have wrecked my life.

[teresafjeld]

Thank you for explaining spinal stenosis. I have suffered for over 30 years with chronic low back pain I finally had a pain pump surgery its helped but now my stenosis has gotten worse. Thanks for giving information to millions of back pain sufferers.

[surroundedbyjaggoffs]

I am 68 years old, had spinal stenosis since I was a in grade school, strengthening core muscles is the answer! The only time my back didn’t hurt was during military service, until I tried picking up something too heavy ! Good luck to all!!!

[Ltmotley]

Thank you for the most comprehensive video I have seen. My husband has been in pain for 6-1/2 years, and we have tried almost everything short of surgery, which he hopes to avoid. He was diagnosed with a disc herniation and now it is considered an annular tear. He has tried injections, massage, at home PT, back braces, etc. He now has a new symptom - foot drop. So, your expertise will enable us to make a more informed decision. It has been a challenging journey.

[leannemayor]

I have lost all feeling below my waist .it started with electric shocks from my butt down my legs . I’ve had injections that helped for a month or so . Now my arthritis . I just had a nural nerve biopsy .I have lupus demyelination and so much going on. But I can barely walk these days . Thanks for explaining xo from Sydney Australia

[jameshay]

Thank you, Dr. Donnally, very much for your explanations in both part 1 and part 2 of this series. The time that has been put into this narrative and the narrative that accompanies it is invaluable to me.

[dannettesavas]

I think it’s awesome that you answered everybody that’s just amazing and that shows respect and trust for me

[RJG]

Nice Job Doc. Terrific content and immensely helpful

[denisejames]

. Thank you for this precise description. My husband now 80, has lumbar stenosis. Walking is very difficult and he now uses a cane as his hips are also a pain problem. He lap swims 3 times a week and this keeps him mobile, with pain medication and now a heated back brace when gardening. I had a laminectomy L5 S1, some 20 yrs ago due to pinched nerves which gave me indescribable pain and finally my specialist decided to operate when all else failed. What a relief to stand up but I would not choose to go through it again. I maintain my core strength and seldom have a problem other than standing upright from bending forward which I try not to do. Comparing our spine issues, mine is great at 76 but his is worsening which has greatly restricted his once very active life.

[bbulliard]

So well explained to the laymen (myself).. truly world class. thank you

[bancywilliander]

You explain the steps very clearly. I have lost muscle strength in my left arm, hand fingers, left leg, foot and toes. Neurologist diagnosed my symptoms as parkinson's.

[jimfesta]

I have lumbar spinal stenosis in L4-5 and S 1. which seems to be classic. In my late 60s, I woke up one morning and both my feet were numb. That was the beginning.

[kenpirr]

I just had a minimal tubular laminectomy l2/3....kept all the bones intact to keep structure integrity. Doc just removed some bone to create a window to decompress the nerve...start with the most minimal procedure first !

[TheGobblersGetback]

Very good explanation of our alternative’s.

[wongms]

Thank you doctor for your detailed descriptions of surgery and other alternative treatment. I now fully understand how the process will be. I fear to get surgery even though I'm suffering nerve neuropathy. Thanks a lot.

[jonettestewart]

Excellent! Great, easy to understand discussion of all the things. The more we know helps patients make important decisions. And play with the kids.. 👏👏👏

[ianroberts]

Ive had stenosis lumbar for 5 years which has caused weakness and foot drop, difficulty in walking as a result. Gabapentin for a year after lbuprofin and daily exercises no relief. In GB covid halted all treatment but suddenly ive been told i definitely need decompression and instrumental fusion. L4 L5 and lower disc, s1 i think . Your presentation is very thorough and i can tell you are extremely careful about options . Ive just had new x rays mri and ct scans for up to date info and if these ar e good enough its crunch time . Im 73 and people have alerted me of problems . Im attending the famous walton centre in liverpool so im lucky really, hey its no good worrying

[michaelbackovski]

Thanks for a very comprehensive explanation of spinal surgery.

[lymannewton]

Wow. Thank you for such a clear and precise explanation. I sure L5/S1 and are having surgery in 2 weeks. Now I can ask more pointed questions

[JR-mrdm]

Thank you for the video Doctor. You mentioned pros and cons to artificial disc replacement. Could you please be more descriptive in terms of ADR, specifically in the L5-S1?