How to Read a MRI of a Lumbar Herniated Disc Lower Back Pain Colorado Spine Surgeon
We're going to look now at a lumbar spine mri of a patient that has a disc herniation and again we see the side view spinal cord ending here nerve roots coming out and the white being cerebral spinal fluid the water these are the vertebra these are the discs the l one two two three and three four discs are normal the white on the inside the jelly is full of water the dark plies in the tire normal here at the four five level there is a degenerative disk you don't see the.
Normal white of a normal disc and you see a small tear in the back of the disc right there at the five one level it looks somewhat like the four five level as it's dark in the disc but you can see a complete rupture at the back of the disc and a disc herniation here which is filling up the spinal canal this is a typical disc herniation you can look at it now from the topdown view and will come down to the five one level no better yet.
We will start at three four here and here is that jelly filled donut the normal jelly on the inside the donut on the outside the sack of nerves here all of these black dots are the nerve roots the back of the disc is flat to concave this is normal we come down from that level to the four five level and here is a small tear in the back of the disc this is called an annular tear but the nerves behind that tear are not compressed therefore this patient shouldn't have any nerve pain from this tear.
Sciatica Leg Pain Relief
Rtf1ansiansicpg1252deff0deflang2057fonttblf0fnilfcharset0 arialf1fnilfcharset0 calibri generator msftedit 22.214.171.1249viewkind4uc1pardsa200sl276slmult1qjlang9fs36 hi, i'm paula moore the chiropractor and i'm going to show you a sciatica leg pain relief exercise.It should be know that the majority of people who come to see me as patients who have been diagnosed with sciatica, don't have true sciatica.They do have leg pain that is mimicking sciatica.In other words, it is running through the buttocks and down the thight, right down to the ankle but it stems from a different place.It's not the sciatic nerve.It is from a tight muscle in the buttocks,.
Known as the piriformis muscle.It clamps down over the sciatic nerve giving you sciaticlike symtoms.Par you chiropractor can tell the difference between these two.True sciatica and a piriformis muscle problem.I'm going to show you a stretch to get rid of the piriformis muscle problem and the resultant leg pain.If you do this stretch and notice your leg pain starting to decrease, you probably didn't have true sciatica and that's great, because sciatica is harder to treat.Par so you want to sit fairly close to the wall and swing your legs up so your heels touch.
The wall.If you leg pain is on the left, then take your left ankle and place it over your left knee.Now some of you might find that this position is already very difficult to get into because your piriformis muscle has become very tight.If you want to increase the stretch, shuffle up closer to the wall with your buttocks.If you want to deepen the stretch yet again, slide your right foot down the wall so that your knee is bent.You can increase the stretch by gently bringing the left knee toward your opposite shoulder.That is the.
Neck situps NeckStrengthening Exercises Physical Therapy for the Neck Spine Surgeon in Vail
We're going to be talking about a set of exercises called neck situps these are muscles that are very commonly ignored in a good physical therapy rehab program but they need to be strengthened to rehabilitate these should not be done on postsurgical patients and should not be done on patients who have a large herniated disc or narrowing of the spinal canal and cord compression these are done for patients with neck pain that we're trying to strengthen the muscles very simply neck setups are you're using the weight of your head.
Be the ballast or the counterweight to the strength of the muscle contraction so if you watch sherrie here she is actually using her head as the counterweight and her neck muscles are contracting to lift her head up and she's doing a very slow very easy maneuver your neck muscles will get fatigued quite quickly with this and if you do too many of these such as ten on the first day you almost have the feeling of a neck whiplash because the muscles will be so sore so these should be done.
Very slowly and increase maybe every two days for a short period of time until the neck muscles get strong enough you can tolerate two or three sets of ten sherrie's now demonstrating the anterior strengthening and then we'll go ahead and demonstrate the posterior strengthening we've already discussed the anterior neck situps or the front neck situps now we're going to the reverse neck situps where we do the posterior muscles and lift the head using the posterior cervical muscles this will allow strengthening of the extension portion of the neck and we do the same way as we do the flexion.
Shiatsu Treatment For Sciatica 1
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