Severe Foot Drop: the Clinical & MRI Findings of a Real Client with a Surprise Finding
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- Опубликовано: 21 апр 2018
- In this video Dr. Gillard presents (with permission) all pertinent clinical and MRI findings of a patient with severe foot drop, without any low back pain. You will certainly be surprised at what is found when Dr. Gillard goes over the MRI images, slice by slice. This is version 2 of the story which was edited because of new information learned.
If you're interested in speaking with Dr. Gillard about your own spine problems, feel free to shoot him an email: chirogeek@chirogeek.com
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Dr Gillard,
I wanted to let you know how much I appreciate all your kind and expert help in reading images. Your willingness to take time from your very busy schedule to explain things to us, people who suffer the pain. God has blessed you not only with your skill, but also with a kind and compassionate heart!
Keep up the excellent work!!!
Love your videos. I had your coaching service a few months ago. It helped me greatly. Thank you
Thank you very much Dr.Douglas
It affects my ability to drive it's so frustrating I cry cuz I lost my independence
Thank you very much God bless you
Thank you for this very educative video. Off note, it's not a client, it's a patient.
11/3/23 Good morning I just came across your channel unfortunately because I now have this condition & more. It is very hard to leave with thank you for the information.
I love to hear a heath care professional use words like 'funkiness' great video !! Thnx !!
I came down with "ACUTE" Drop Foot and what the VA here in Dallas id doing is,
(EMG LE
--Diagnostic studies: MRI Brain and neck wo contrast)
It's all Greek to me, but they seem to think its a nerve someplace around L-4
My chiro and other Docs explained to me basically what you have said in this video,
Right now until the MRI and the Nerve study is done, (2 weeks from now) is PT with a towel
My best hope is this can all be fixed HOPEFULLY in Chiro and without any surgery..
AND, the info you put out in this video, helped ease my mind some as you and the Docs at the VA are basically saying the same.. :-P
Mine was from nerve damage from a femur fracture so glad to learn of other reasons for foot drop! So far I have had 10 surgeries to make my legs the same length because my growth plate was damaged as well
Hi. How is your foot drop doing now? Has it gotten better?
@@justaguyherefortunes1661 no, it hasn’t
I too had femur fracture. There's a rod in femur now it's been 7 months and i am dealing with foot drop. Should i go for foot drop surgery?
I am not seeing any improvement from physiotherapy
I am 23 female with an identical foot drop and L4-L5 S1 disc herniation, and spondylitis lumbar spinal stenosis post fall out of bed. it is going on 2 month. Your video was so illuminating, because I feel very confused by all the doctors I have seen. I have had one Steroid epidural and in a wheelchair now. I also experience all my pain in my right leg and minor lower back pain, every doctor I have told looked shocked and said it’s not possible… they also mentioned severe arthritis. I have had pain for years but after the fall the foot drop has made it impossible to live normally (I don’t have minor bladder/ bowel issues where I do not know until I gotta go right then). I have had one MRI done so far, and referred to a neurosurgery place soon.
I saw your scale and I would rate myself an3 to 3- like this gentleman.
I wanted to share, and thank you because this is the only video I have found which has given me actual information I could follow and understand.
I'm sorry you're going through this :-( Remember, if the disc herniation is causing the foot drop, the sooner that herniation is removed, the better. Most surgeons I know like to get the pressure off within three or four months, so try not to let this drag on, in order to prevent permanent damage of the nerve. Good luck!
Hi
Since May 2019, I had a bad fall from a stroke with seizure. I developed foot drop/left sciatic mononeurpathy. Its hard to walk, work and stand. What would you advice me to do? I have done physical therapy and talk to multiple doctors about it. Lots of tests were done as well.
I so wish you were near me to look at my MRIs. Boy it is hard to find a quality specialist near me.
I do have an online consultation service that I offer to select clients. If you have a recent MRI and are interested in a zoom meeting with me where we can go over your MRI together, then please send me an email. Chirogeek@chirogeek.com
I had polio with left leg weakness when I was two. At age 60 I developed post polio syndrome and have severe foot drop. I also wore out my left hip and had it replaced. Over 45 years ago I had an l4-l5 laminectomy. Had EEG again recently and MRI of spine. From far east maybe patient had polio in youth.
I have foot drop and it goes the opposite way I want it to when getting dressed putting pants on its frustraing.I have 3 surgery's my back now is fused from my kneck to by butt and it's been 4 yrs and I'm still in pain never ends I have horrible muscle spasms upper back.
Nice amp! :-)
Dr.please reply me I have a foot drop after T12 L1 DISC DISCECTOMY, please give some information about me!!
hello doc goodday to you i am ken from singapore does this mean surgery is bettethan afos to rectify footdrop which i hve after mystroke 16 yrs ago but beforethat i was a very active sports person in golf and tennis and healthwise in good shape and stable though i can only walk short distanceswithawlkingstick before my left hip hurts i hve significant left paresis appreciate your comments
please guide how to cure it without surgery .by exercising
Hi from Australia, for years after my spinal surgeries I have had 9/10 pain after walking for only 10 to 15 minutes, it’s excruciating. I had L2 L3 L4 L5 S1 , cage, fusion, and planter fasciitis removal, both foot drop, burning, radiating pain. I always thought the foot problem was separate and only researched the foot but not coming from the spine surgeries. The spinal surgeries failed. What is your advice? Who should I go to to discover this drop 🦶 the spinal surgeon, the foot specialist wants me to wear a brace
I have foot drop due to Multiple Sclerosis. My hamstring has also weakened. Is the anything else I can along with physical therapy?
Foot drop sounds like what happens when my legs are asleep after sitting or sleeping in some position impairing circulation. For a few seconds my feet drag. Had this more when younger. Also why is it assumed when there’s a nerve problem it always would be in the location of the exiting nerve in the spine? Because they have progressive surgeries available all leading to spine fusion, that every doctor says they’d rather not do at any cost?
Peripheral neuropathy is a cause of foot drop.
15:19 that disc on the axial looks not to be herniated, you can see the nucleus being regular. Looks more like hypertrophy of the posterior longitudinal ligament
18:09 now it looks like a subdural hematoma
23:08 on the axial, whatever it is seems to be inside the dura mater, so probably hematoma.
He has quite a bit of what looks like cord impingement or wavy looking cord
Hi Dr Gillard
Hope you are well. Seems like they missed that on thier review. Still gold star though.
I have issues being investigated now. And all in the lumbar region
I have tibial muscular dystrophy, so-called Udd disease.
I have foot drop right now. I came down with it about a month ago. I have no movement at all in my right foot. I go for. Nerve conduction study on the 22nd.
Did you resolve the issue with your foot drop?
My right leg foot drop
Hi Dr Douglas ....Can you please help me out with some details as soon as possible..please please !! ...I have spinel cord tumor at lower back L1 L2 ..the tumor is about 4-5 cm long ..The MRI picture is shows That the tumor has pushed my spinel cord to left side really badly ..I can walk and clamp the stair and even carry heavy weight right now no problem ! . From 4months ago until 2 weeks ago I used to have very sharp pain at the lower back and I couldn’t sleep at night and I was really struggling a lot with toilet issue too .The pain was going away and coming back ,but now it is been nearly 2 weeks the pain started to decrease a lot only some muscle numbness .Does that gives me a good news about this tumor that is not that much dangerous to take it out by operation ...I didn’t loose any feeling in my legs or Urine control or sexual erection ...It is been about 2 weeks and I’m living under the stress,because the operation risks ...Can you please respond to my Writing ...big big regards to you with my big respect .. ...I have very clear picture of my MRI I can send it to you if you don’t mind ...Thank you
Hello Dr,thanks for your great videos,I am a 30yo with 2 bulging discs ,2 protrusion n 1 extrusion ,I have gotten way better with physical therapy,but I just can't walk on my toes,neuro surgeons say I should get a surgery but I really want to know your opinion if it's possible
My guess is you have had surgery. Hope your recovery is going well.
@@whatthe6532 I didn't! one of my discs totally healed and the extrusion one turned to protrusion :) I've only done phtsiotherapy since I knew if I do a surgery I might need to do it again in the near future
@@hourimk2082 that is fantastic news.
Prof Douglas Gillard, I'm coming back to you again as I am now 86 years old and my foot drop is still given me so much walking problem. So if you can't provide me with a copy of your transcript, just tell me so that I will understand and seek help elsewhere. Thank you and God bless.
Hello, I have no idea what you're asking of me. I don't provide transcripts of my RUclips videos. If you're having severe foot drop, then you need that checked out immediately by an orthopedic surgeon, so they can figure out what's causing it. I would also be able to help you through a Zoom coaching service I offer the general public. Just send me an email if you're interested. Chirogeek@chirogeek.com
Prof Gillard, a transcript of your talk so that I can read it as I am 86 years old and it is difficult for me to take it down as you talk.
Why do his thecal sac dots look so sporadic
Hey doctor, I hAve had for 30 years and I have a severe foot drop now where I cannot walk because I go directly up on my big toe and then down the hard because my other foot isn't even touching the ground. Does Botox help this? Thank you for your future reply.
Hello, sorry to hear about your chronic foot drop. No, Botox would actually make it worse. If you haven't done so, make sure you get checked out by neurologist to see what's going on.
Can you explain my MRI how many problems???
I have a serious problem (at least that's how it feels). Had a surgery, microdiscectomy, on L5-S1. For 5 months I was doing perfect. Now I have a muscle weakness (partial foot drop) from L4-L5. Could I contact you somehow to get your opinion?
hello, did you find the way to heal this defect ?
My MRI is almost identical to this man. My foot drop is left foot. I have severe 0/5 left foot drop. I had the surgery 3 weeks ago after waiting a month. L3/4 L4/5 Laminectomy, facetectomy, foraminotomy, with L3/4 diskectomy with Neurolysis of L3/4 nerve roots, and also have very little to none gastroc muscle push off, just like you, I can't calf raise on left at all. That would be the L5/S1. My surgeon did just as you recommended to this man, a good clean up. No fusion, no disk implant. Do you know if this man ever got movement back in his foot to dorsiflex? I'm hoping I get mine back, but so far nothing. Do you know how long the nerves take to heal? Also do you know if you need a functioning gastroc muscle to allow the muscles in front of leg to lift the foot. From what I read, when you dorsiflex the foot the gastroc muscle has to relax and vise-versa. If gastroc muscle is tight it will actually force foot to be pulled down in the front, further inhibiting dorsiflexion. I was planning on sending you my MRI's for other spine problems I have been having for many years before this happened to me. I had whole spine MRI's a year ago and when my foot dropped I had to get another MRI. All of the new stuff happened without any trauma. Was decorating the tree and got some pain in back, next day foot dropped. I had bad back surgery 28 years ago on L4/5 and was never the same. Sorry for the rant Doctor. I enjoy watching your channel. Thanks.
Pete, how’s your situation? Did you ever gain dorsiflexion post surgery? Hope all is well.
My situation sounds identical to yours. Neurosurgeon did a remarkable job in repairing the damaged discs, and my back feels great! Unfortunately the nerve didn’t grow all the way back to my big toe, hence foot drop. My leg is numb from my calf to my big toe, left leg. Went thru rehab, no help. It’s been 8 years with no improvement. Now permanent drop foot. I wear a brace from Ossur called toe/foot up. Got it from Amazon but Walmart also carries it.
If the thecal sac is total Black what does THAT MEAN?
I have arachnoiditis . My pain so bad.
I'm so sorry to hear that. It is a terrible diagnosis; however, it is very commonly misdiagnosed- especially by internet doctors :-(.
Need to update yourself with arachnoiditis especially Adhesive Arachnoiditis, it is right in front of your face. I won't say anymore but go back after a little studying on Adhesive Arachnoiditis and take another look. I thought you saw it above when you said what is that the nerve going horizontal why does it look like that, but you moved on down. I just knew you had it but NOPE. Oh the comment on Arachnoiditis don't really cause much????? Checkout Heard of Microglial Cell?
Cool down geez! When there’s intense pressure thecal sac and stenosis on nerve roots for decades there’s gotta be some adhesions. But how can you be sure whether it’s the stenosis or the AA is giving his symptoms? There’s no freaking way. AA is only suspecting to be causing symptoms when there’s no other pathologies are involved. And for FYI the main and major symptom of AA is unbearable pain in lower back/feet/legs which varies from patient to patient. And he has none of those. So please don’t be a smartass everywhere!
Ps. I have AA and disabled. Got it from a botched fusion and I’m only 27. I may have to take my life someday! There’s no way out of this hell…..
@@HypotheticalZ please don’t do that my brother.. I know how you feel. Chronic pain is awful. I deal with severe back issues myself. Going to see a neurosurgeon soon. Please don’t give up. See as many doctors as you can.
I’ll assume this fella has done some labor type work in his lifetime?
Did this person have lumberization of S1?
I have foot drop on my right leg. Toes on this foot are always numb. Foot is swollen during the day, but the swelling always goes down at night. This foot hurts with and without pressure or load.
On my left leg, I don't have a knee jerk reflex. This knee is also "a trick knee", it can give away at any time.
Also, I can not do a leg lift on left leg. Getting around is a nightmare. X-ray and the MRI of the spine are normal. Blood work too. All the doctors and specialist are at a loss. I think I have some form of neuropathy. My body is attacking itself. Sad commentary for a country with supposedly the most advanced healthcare in the world.
Stenosis?
#kenmore service manuals
Sir I want to contact with you. How can I meet with you
hello can u also read my mri on here too i know its for medical reasons only
Sparring?
I had spinal stenosis and had surgery in L3,4,5 and because of surgery it left me with foot drop.
Me too
How are you dealing with the foot drop now? What surgery did you get
I have foot drop,right leg weakness, weakness in right hand and droop eyelid right eye. I had fusion surgery of L3 and L4. Can not walk unassisted. Balance issues as well as fecal incontinence.
I'm 46yrs old and have been begging every doctors here in the uk to help me, after a traumatic accident at work in 2000, I have never had any relief from all the different methods used by the NHS, now I am begging for death, the only thing stopping me is my children because of the world and the society in which we're forced to live 😢 💔 🇬🇧💔😭😭😭😭😭😭
I am very sorry for that. I hope you found someone that can help you.
Massive herniation travels upward
Maybe the patient doesn’t know his left from the right 😅😊
💯❌👍
Hey, Team. I just had an updated Full Spinal MRI completed last week,. It's been a couple years since the last scan of the Cervical Spine which revealed Bilateral Neural Foraminal Stenosis; previous years ago I been diagnosed with Scheuermann's Disease, which is a curved spine wedged vertebrae; Osteophytes; Disc Bulging; Disc Degeneration. Basically, life is endless hell with 24/7 severe back and neck pain; headaches; shoulder pain; leg pain; numb fingers and toes and twitching in feet. The doctors and surgeons here are complete morons. Do you know a place where I can send a copy of my MRI Images, and get a proper diagnosis and a recommended treatment. I am beyond fed up with the lack of treatment here and the major breaches of the Canadian Health Act that is constantly violated. Any advice would be great. Thank you.
I have the same problem and life is hell. Don't feel lik living life