Understanding Spondylolisthesis I Causes, Symptoms & Treatments Presented by Dr. Christopher Good

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  • Опубликовано: 25 ноя 2024

Комментарии • 120

  • @dougpeters1625
    @dougpeters1625 4 года назад +48

    This is absolutely the best video I have ever seen on spondylolisthesis. Thank you very much for posting.

  • @douglaswhite2382
    @douglaswhite2382 3 года назад +18

    Finally! ... a surgeon who understands how to communicate with people. Thank you soooo much! I wish I lived near this company's practice.

  • @maureenseel118
    @maureenseel118 3 года назад +17

    Scheduled for L4-S1 discectomy and fusion first part of next year. I'm freaking out. You did a good job at explaining it. I have done PT, injections in my spine...nothing is working and on a good day I'm like level 3-4 pain...a bad day I'm in tears with 8-9 level pain. I'm over it.

    • @azajewel
      @azajewel 2 года назад +1

      Hi would you mind sharing how your surgery went?

    • @gosman949
      @gosman949 2 года назад +2

      @@azajewel I guess he didn't make it!

    • @Brightestlightt
      @Brightestlightt 15 дней назад

      Pray 🙏

  • @sharonelrod5390
    @sharonelrod5390 2 года назад +6

    Excellent ! I have been trying to get an explanation of this from my surgeon. He doesn't have good communication skills. Now that I understand ,it helps me to better care for myself and make better decisions. Thank you for your time and help.

  • @Velez8669
    @Velez8669 2 года назад +3

    I'm scared to get this surgery but really helps to understand what's going on as doctor in the office do not have the time to explain in great detail. Thanks!

  • @TomOsgood
    @TomOsgood 5 месяцев назад +1

    I can’t thank you enough for this. I’ve had one at L5 for years. Medrol Pak and 5 days of pain meds 2-3 times per year. What really helped me feel better was your description of the pain. It’s like a lightning bolt and I’m instantly debilitated. FYI. All orthos I’ve ever seen demand to see me before prescribing. The problem is: I CANNOT move for a day and cannot drive for 3-4. Just leaving that as an input. This was a terrific video. Thank you.

  • @bricewilliamson1124
    @bricewilliamson1124 2 года назад +5

    Very dumbed down explanation. I love it. Just had fusion done 5 weeks ago and the pain is gone. Now it's time for PT to strengthen the core.

    • @gosman949
      @gosman949 2 года назад +3

      Did they go through the front to do the fusion? How are you doing?

    • @deepalipimpale309
      @deepalipimpale309 Год назад +1

      How are you now ?

  • @chavokitty
    @chavokitty 2 года назад +1

    I had L-3 to L5 fused when I was 13yrs old. I’m now about to turn 50. I’ve never had anyone explain it quite this well! Thanks.

  • @lexievg2594
    @lexievg2594 3 года назад +1

    Best video I've seen! Can I come see you? Finally, someone who communicates well.

  • @modmodeliani8774
    @modmodeliani8774 3 месяца назад +1

    Best expln ever till now ! Very Helpful Doc.Thks + Regards🙏🏻🎩🌷

  • @anieisrael8348
    @anieisrael8348 3 года назад +2

    This Doctor is excellent in explaining this condition.🙌

  • @cassiewinters331
    @cassiewinters331 2 года назад +2

    I was diagnosed at 11 and had my first surgery at that age. 20 years later my fusion is still stable. I wish I had all this info growing up

    • @lauraosanitch6088
      @lauraosanitch6088 11 месяцев назад

      Have you ever had more back problems because of it?

  • @deacdog
    @deacdog 2 года назад +1

    What a thoroughly prepared presentation.👌 Great use of the spine model and X-rays to add to your crystal clear explanations. If your surgical skills come close to matching your teaching ability, then your patients are in the safest of hands. Just had that surgery and you’ve greatly improved my understanding of what’s been done, and why. Thank you Dr Chris

  • @elisewatson5728
    @elisewatson5728 3 года назад +5

    Thank you for this video very helpful. Would like to hear about recovery and lifestyle/activities you can do after surgery.

  • @mshallali
    @mshallali 4 года назад +3

    Thank you Dr. Christophe , clear explanation of spondylolisthesis.

  • @mariastohr3491
    @mariastohr3491 3 года назад +4

    I have spondylolisthesis L4 over L5 grade 1. But I feel so much better since I started doing floor exercises to strengthen my core and hamstrings. The difference is night & day. However, I still want to stay well-informed about my condition and I happened to bump into this video and it was very informative. It really helped to remind me to take good care of my spine and do everything to not worsen it. Thank you for this wonderful video, Dr. Good.

    • @mesopotamialover905
      @mesopotamialover905 Год назад +1

      can you suggest me a good channel about these exercises?

    • @breezybird403
      @breezybird403 Год назад

      ​@@mesopotamialover905 it is best to see the spine specialist and get a referral to good Physical therapists. However Bob and Brad have general information for exercises.

    • @JM00-v9c
      @JM00-v9c 7 месяцев назад +1

      well done ! I wish all my patients would be as diligent as you ! 👍

  • @The_Creative_1983
    @The_Creative_1983 6 месяцев назад +2

    Wow.
    Great and very informative video.

  • @kevinwatkins9027
    @kevinwatkins9027 2 года назад +1

    Good video to view about this disorder

  • @jill8777
    @jill8777 7 месяцев назад +1

    My doctor want to do surgery as right away. Even before my bone density test. His assistant listened when I asked about alternatives. I started consistent core exercises and plan to start using a mini trampoline. I’ll be getting the injection in a few weeks for immediate relief, I hope…

    • @VSI_Spine
      @VSI_Spine  6 месяцев назад +1

      If you'd like a second opinion, please don't hesitate to schedule a consult with one of our specialists. They can discuss the range of non-surgical and surgical options available to you.

  • @sachinchawala4223
    @sachinchawala4223 2 года назад

    Proper and accurate explanation more than expection😍

  • @patriciaorlando789
    @patriciaorlando789 7 месяцев назад

    Excellent presentation. Thank you!

    • @VSI_Spine
      @VSI_Spine  7 месяцев назад

      Glad it was helpful!

  • @NicholeMinus
    @NicholeMinus 4 года назад +5

    I have that problem right now and trying to figure out which surgery is best suits me without having to have revision surgery

  • @lauraosanitch6088
    @lauraosanitch6088 11 месяцев назад +1

    Thank you. How was the patient doing months or years later? I fear surgeries because one often leads to more down the road, or so they say.

    • @VSI_Spine
      @VSI_Spine  10 месяцев назад +1

      Great question! Dr. Good actually addresses your same concern in one of our recent podcast episodes. Check out Episode 32 of Get Back to Your Life podcast - "Does Back Surgery Lead to a Lifetime of Problems?".
      (To listen via Apple Podcasts: podcasts.apple.com/us/podcast/does-back-surgery-lead-to-a-lifetime-of-problems-episode-32/id1621538885?i=1000608461025)

  • @Ovp609
    @Ovp609 2 года назад

    Most informative and excellent presentation... Thank You!!!

  • @lojoinpoho
    @lojoinpoho 2 года назад

    Great explanation! I'll be having a fusion soon. The pain is tremendous.

  • @cassandrastenner3746
    @cassandrastenner3746 Год назад +1

    Wow thanks

  • @Chiroman527
    @Chiroman527 3 года назад

    Dr Good, The best video of this condition I've seen or heard. I have been to 6 Neuro and Spine surgeons in the NY area: Primo ones ) Mt. Sinai, Columbia Presb are 2 ). I do have significant DDD and facet arthritis and since these conditions are present, the success ratio was low. You describe a very pragmatic and common sense approach. I've been to Chiros, PTs, Acupuncturists, etc... Chronic Pain (varies from 4- 7.5 , never a 10 Thank God) but terrible Stiffness and Muscle tension. Oh Yeah, from my 1 inch shorter right leg sustained as a result of a fractured femur at age 15 (Thank You HS Football), I'm 69 now, and the Trauma has resulted in Dextroscoliosis , at 25 degrees , hip arthritis and the spinal maladies has gravitated to the Neck / Thoracic spines too. In fact the Neck is terribly stiff causing ear, teeth, and jaw pain with temporal headaches and TMJ issues. Many parts of my spine - you van hear the loud cricks and cracks - the neck is so loud, my wife asks me to leave the room. But with all these maladies, my PM doctor just told me that teh Lumbar MRI in 2011 showed this spondy condition at L5-S1. I take every Anti Inflammatory supplement known to mankind: Turmeric, Boswellia, Bromelian, Ginger, Proelytic enzymes, MSM, Collagen, Flaxseed and Fish Oil, etc., etc., I wish there was This Magic Wand available, but clearly there is not. Your opinion would be a big help. THX

    • @nurypatel7625
      @nurypatel7625 2 года назад

      You really should see upper cervical chiropractor like NUCCA. They will help you. Your symptoms are very similar to Atlas/Axis miss alignment.

    • @lauraosanitch6088
      @lauraosanitch6088 11 месяцев назад

      @@nurypatel7625 HE said he's seen chiros. IT sounds like he's done everything. And it was a good comment because by the time people get Spondy due to degeneration, odds are they have other degenerative issues too. People speak about this condition like it's an isolated issue with two vertebrae and things are often far more complex than that.

    • @lauraosanitch6088
      @lauraosanitch6088 11 месяцев назад

      Were there no other options for fusion of these areas as well? My heart goes out to you. I have a - 2.1 DEXA Scan on my spine and I'm terrified of hte idea of anyone putting screws anywhere in the bones. I'm also in the NY area

  • @coralgurney9760
    @coralgurney9760 2 года назад

    Thank you!! That really is a great explanation!!

  • @JG-ip7vp
    @JG-ip7vp 3 года назад +1

    Thank you doctor for this information

  • @codylee7933
    @codylee7933 Год назад +1

    I just went through surgery for this

  • @julierodriguez4539
    @julierodriguez4539 3 года назад

    This is very informative. Thank you. I have alot of problems with spine. Buldging herniated and cervicle

  • @vortex21rainz26
    @vortex21rainz26 2 года назад

    Wowww so well explained

  • @alamkitchen
    @alamkitchen 3 года назад

    Best video and superbly explained 👌 👏 🙌 👍 .......hat's offfffff...

  • @southernFlow-bh9mt
    @southernFlow-bh9mt 15 дней назад

    Thank you for this knowledge and information! What would you advise for the patient in this type surgery re activity limitations post fully healing for surgery? Can you still play basketball with 1 level fusion? Skateboard?

  • @gosman949
    @gosman949 2 года назад +1

    How many people reading this have done the ALIF that the doc describes here? How did it go?

  • @kuldeepsahoo1717
    @kuldeepsahoo1717 3 года назад

    Really nice explanation 👌

  • @marcelamatosmatos6171
    @marcelamatosmatos6171 Год назад +1

    Bravo 👏

  • @foxracer1703
    @foxracer1703 3 года назад +2

    Thank you for your video. On a lighter note, you look like Fred Durst to me...

  • @Zen_Viniti
    @Zen_Viniti Год назад

    Congenital Spondylolisthesis is extremely painful 💔 its a pain ive learned was normal to feel my whole life until my first x-ray in my late 20's. Now mid 30's and new mattress shopping and ouch i almost feel nothing will change 😢

    • @VSI_Spine
      @VSI_Spine  Год назад

      Please know that you're not alone. We see many patients with this condition, and we're able to provide them with solutions that will give them a better quality of life. Please reach out if we can be of assistance. 703-709-1114

  • @carolpeck6872
    @carolpeck6872 3 года назад +2

    I was diagnosed with High grade 2 L5 S-1 Spondylolisthesis in 2015. I had not pain or problems until I had a slip and fall in 2010. Im not having numbness in my legs, but the pain in the back is getting worse. Not one Dr has ever mentioned special exercises for this condition. I'm afraid of becoming paralized by this condition.

    • @lindakelsch6196
      @lindakelsch6196 3 года назад

      Carol are you getting PT? You can also get injection into the back that really worked well for me for about 17 years..achy but not excruciating pain...

  • @jagjibandey6523
    @jagjibandey6523 7 месяцев назад

    Excellent...I am suffering...L4 & L5 bulging....is it treatable by exercise ...??

  • @gerrymurphy9524
    @gerrymurphy9524 7 месяцев назад

    You have explained my situation to a tee and the best explanation I have heard yet. I keep putting this procedure off though. I am 62M. Is there an age where they would not do this sugery?

    • @VSI_Spine
      @VSI_Spine  6 месяцев назад

      For any patient, we always take into account their age along with the various other health factors that, combined, determine the suitability for a procedure. It's important to find a spine specialist who will discuss these details with you during your consultation. Feel free to reach out to our team with any questions: 703-709-1114.

  • @larryc1964
    @larryc1964 4 года назад +5

    Can this condition, which I have seen on my mri at L5 SI , cause pain in the groin and front of the hips? Pain is not really in my back. Has anyone heard of this? Thanks

    • @roseleaden4596
      @roseleaden4596 4 года назад +1

      I also have left groin pain. I am getting evaluated 12/17. I also experience a pulling sensation in the left groin area.
      X-Ray of October shows Spondyopathy.
      I am worried. 😥

    • @Sryously
      @Sryously 3 года назад +2

      Maybe more issues than you think? I had a left side inguinal hernia surgery years ago. Ended up with a lot of issues since then, cramping down the leg, left side groin pain, GI stuff. With all of the above getting worse since, ignoring as much as I can the leg and back pain for years, I recently went to the ER with upper abdominal pain one morning and while the CT didn't find gall bladder problems like I was hoping (tired of the pain and no results), just referring me to another GI, I just come to find when reading my report of grade 1 slip of L5 S1, they didn't mention this to me. Would explain why I can't stand long right now as pain starts building up in lower back, leg, and then pain starts around hip, groin, and then going up my side to abdomen.

    • @lindakelsch6196
      @lindakelsch6196 3 года назад

      @@Sryously Might want to research Femoral Acetabular Impingement...Having L medial knee pain for 1 1/2 years.... now up medial thigh, deep groin, across upper thigh and around the hip.

  • @Monmon657mom
    @Monmon657mom 3 года назад +3

    Thanks Dr Good for this wonderful video. Q is there a chance for spondylosis to heal by the conservative management and rest of 3-6 months or it eventually will lead to spondylithesis? Thanks

    • @vzeller
      @vzeller Год назад

      I think you meant spondylolysis.

  • @ItsJustHoney1784
    @ItsJustHoney1784 3 года назад +3

    i have this problem and its hard for me to walk and stand....

  • @leshaj1989
    @leshaj1989 2 года назад

    I was born with this and also have degenerative disc disease. This is a hell I wish on no one. My grandma, my mother and my daughter also have this. :( #Dontpunishpain

  • @theundertaker5963
    @theundertaker5963 3 года назад

    This was an excellent video thank you very much Doctor!
    I do feel sorry about the TV though, the good doctor went to town on them pixels. That screen is irreparably damaged due to all them pokes and pen points

  • @carolebitz3207
    @carolebitz3207 2 года назад

    I would come to your practice for your care

  • @morganophelia5963
    @morganophelia5963 7 месяцев назад +1

    I have L5 S1 bilateral pars defect with grade 3 degenerative spondylolisthesis in particular anterolisthesis with severe bilateral foraminal stenosis and a slight bulge at L4 disc it sucks i don't know what they will do but i wish they would help me :(

    • @VSI_Spine
      @VSI_Spine  6 месяцев назад +1

      It's crucial to find a trusted spine specialist who will listen and discuss your situation and possible treatments with you in detail. If you'd like to schedule a consultation with one of our experts, give us a call at 703-709-1114.

  • @10foxylady
    @10foxylady 4 года назад +7

    Wow!! I have that problem in my back!! 24/7 pain!! It’s drive me crazy!! Help 😓

    • @angelacoleman2673
      @angelacoleman2673 4 года назад +3

      I am also dealing with non stop pain.

    • @brandtitos
      @brandtitos 4 года назад +1

      Same here..it's driveing me crazy. I live in Estonia, where our healthcare is so miserable that ive been looking help from other countrys. Takes so much finance to understand ja deal with the problem. Our "family doctor" is keep trying to feed painkillers. Thats all they're good for..painkillers.

  • @carolebitz3207
    @carolebitz3207 2 года назад

    Can you give me a second opinion..I would come to your clinic

  • @ieatforks1
    @ieatforks1 7 месяцев назад

    Can you have spondyolisthesis with only leg pain and not back pain?

  • @luzvargas1063
    @luzvargas1063 5 месяцев назад

    Exactly caves are life saver, in 90% cases when all fails there is no other way unless we are willing to scream out 24/7

  • @brianbanks3044
    @brianbanks3044 3 года назад

    Hi Chris, great video...I have spondi L5-S1 with an "obliteration of the spinal disc and 21mm overhang".....it bothers me every so often with tight back and cannot straighten up...usually rest , massage, exercises help and it goes away for months at a time...my concern is 8 yrs ago it was at 11mm overhang and has moved 10 mm since....am I on my way to grade 3 or 4 if I don't fix it soon...I play softball, golf, hockey and workout and I will be 60 in a few months....any thoughts would help.....thanks

  • @anitamurkes9511
    @anitamurkes9511 Год назад

    That was a great presentation ! My dr suggested fusion on 4 levels, but I am hesitant. I have other issues also C5-7.
    IHeard so much about the problems people get in other areas that get stressed after fusion, so the lack of alignment might explain how that happens ?

    • @VSI_Spine
      @VSI_Spine  Год назад

      Glad it was helpful! Making a surgical decision like this can be daunting. If you would like to seek a second opinion on this matter, our scheduling experts would be happy assist you with setting up a consult. If interested, give us a call at 703.709.1114 or email us at mycare@spinemd.com.

  • @carolebitz3207
    @carolebitz3207 2 года назад

    Can't do it with Osteoporosis???

  • @melissatillery9831
    @melissatillery9831 2 года назад

    What is the difference between thesis and spondylitis?

  • @bengt_axle
    @bengt_axle 3 года назад

    Can the listhesis be reversed with excercises to strengthen the para spinal muscles (e.g. bd dogs to strengthen multifidus)?

  • @tenminutetokyo2643
    @tenminutetokyo2643 2 года назад

    Can you do one on spinal fusion from DISH?

  • @carolebitz3207
    @carolebitz3207 2 года назад

    I would love to co m e there for an evaluation?

  • @katherinewheeler2608
    @katherinewheeler2608 Год назад

    So what exactly is the surgery mentioned at 8:30 called? About inserting a cage to correctly align the spine? I think I need that with my L5S1!

    • @VSI_Spine
      @VSI_Spine  Год назад

      This is an Anterior Lumbar Interbody Fusion (ALIF). If you'd like to consult with one of our Physicians about treatment options for your situation, our scheduling experts will be happy to assist you with coordinating a consult. Contact our office at 703.709.1114 or email mycare@spinemd.com.

  • @allykitten2003
    @allykitten2003 4 года назад +1

    I had this surgery L5 S1 almost ten years ago I’ve started having trouble with sciatica pain again in the same leg and back pain has increased despite my exercise to strengthen my core. Could this mean my surgery has failed or I have new slippage going on ?

    • @staceypollack808
      @staceypollack808 4 года назад +3

      It’s called adjencent disorder. Meaning fusion will eventually cause problems in the vertebrae below.

    • @egzonkrasniqi8773
      @egzonkrasniqi8773 4 года назад +1

      @@staceypollack808 did you also
      Experience this? Did you also have surgery. Thats very disappointing to hear...😢

    • @anilambadekar
      @anilambadekar 4 года назад +1

      Have you consulted spinal surgeon again. What is his opinion.

    • @lorihite3521
      @lorihite3521 3 года назад

      And I hear it's only good for like ten years

  • @nikultayde8398
    @nikultayde8398 3 года назад

    I have disc degenerative decease
    Lead to spondylolisthesis
    And scitica 😑

  • @staceypollack808
    @staceypollack808 4 года назад

    I have this in my neck c6/7. Why is this never talked about in the cervical spine.

  • @user-nm7cf9bf1u
    @user-nm7cf9bf1u 3 года назад

    I have slippage 8mm forward, 4mm backward and 5mm in upright position. Grade 1 Spondylolisthesis. So I understand that is a slippage/displacement. The xray does not specifically state unstable. Does slippage mean unstable spondylolisthesis? I hope you can help me with this question unstable or stable. How close is this type of diagnosis to stage 2. TIA!!!

  • @timhutchins6358
    @timhutchins6358 3 года назад

    Hey doctor, thank you for ur explanations. I have a grade 2 spondy . I am an athlete , very active 56 year old. Long story short. I was a wrestler and wrestling coach . I have dealt with this since I was 17. I retire from teaching and coaching three years ago and started a custom cabinetry business and have gotten where I’m really struggling again. Pain has now settled in my hip and left leg. Would you be willing to do a zoom or FaceTime consultation? I have seen three surgeon s and all have a little different approach. From researching I think minimally invasive approach seems the way to go. He surgeon I saw yesterday at Duke says he would do mine with open surgery. My disc has completely collapsed now and he said he liked the open method so he had more room for realignment . He said he would be able to realign about 50percent. Two others said they probably would not try and realign because mi e has been at this position for so long. Not sure what to do. Please help. Thanks again

    • @gosman949
      @gosman949 2 года назад

      I guess he doesn't answer questions!

  • @marijagojcaj2279
    @marijagojcaj2279 4 года назад

    What can you do if the spondylitisthesis is in the neck area and not lower back. Is there a different name for that or same thing. I was justified told i have this recently.

  • @Slaughter327
    @Slaughter327 3 года назад

    Is it safe to squat and deadlift? Assuming correct form and a reasonable load?

    • @AwfulGamer
      @AwfulGamer 3 года назад +2

      When I had to go back to the gym my pt who was the rehab trainer at the gym said do controlled rack pulls from the knee to help build up strength before deadlifts . Hope this helps it helped me big time

    • @Slaughter327
      @Slaughter327 3 года назад +2

      @@AwfulGamer Thanks for the comment, going to have to leave my ego at the door and start light as hell.

    • @AwfulGamer
      @AwfulGamer 3 года назад +3

      Yeah it’s tough but we only have the one back 😂

    • @MovewithJenna
      @MovewithJenna 3 года назад +1

      I could never do that lift even as a young 18 year athlete due to spondylolisthesis

    • @AwfulGamer
      @AwfulGamer 3 года назад +1

      I have to use dumbbells for my legs with the assist of a bench the squat bar puts too much pressure on the lower back

  • @dennisdanso7669
    @dennisdanso7669 3 года назад

    Please how can I get you to talk to

    • @VSI_Spine
      @VSI_Spine  3 года назад +1

      Thank you for reaching out. Please call 703.709.1114 to schedule an appointment.

  • @titir3580
    @titir3580 3 года назад

    Hello Doctor .
    I'm 19 year's old and I've this problem(L5-S1 stage) for five years. I've taken Physiotherapy for last 2 years and My stable is not improving.can I recover properly without surgery ???? please reply to my comment ..

    • @user-The.TW283
      @user-The.TW283 Год назад

      Hi I’m also suffering with the same problem can you send me your any contact like fb, whatsapp or mail to communicate

  • @carolebitz3207
    @carolebitz3207 2 года назад

    Butt pain in the morning

  • @noctuaryfahy1509
    @noctuaryfahy1509 3 года назад

    Me and my slippery spine 😔

  • @WonkyWomanLife
    @WonkyWomanLife 9 месяцев назад

    Woo hoo grade 4 to 5