American Medicine Today Live Stream

the benattia Spine Institute treats a wide variety of spine disorders including pinched nerves bone spurs bulging herniated disks sciatica and more board-certified benattia orthopedic surgeon dr. Peter galitsky joins us to discuss the case of a patient Wilson Rodriguez former Orlando Florida mr. Rodriguez had back pain going on for several years and it worsened over the past year or two he came to us for evaluation and examination to see if there's anything we could do to help him he had already had considerable amount of treatment including chiropractic care physical therapy epidural injections medications he had back pain and pain radiating down the leg on the right side the x-rays showed some wiring to wear and tear at several spaces at these lower spaces there's some bone spurs coming at the front here which you can see on each level that's actually Nature's Way of trying to fuse these areas over to because it senses that there's injury there your body senses that there's injury and the tries to actually bridge and fuse these over so he had some of these Spurs indicating there were some long-standing changes or problems in his back that doesn't happen overnight patients have a lot of pain Wilson sat down with us the day of his initial consultation to tell us about the pain he was experiencing and the particular incident which made him seek out a more permanent treatment when this happened to me last week it felt like somebody opened up a bottle of pain inside me I froze like ten minutes so much pain I was actually in tears you know so I was too scared to move so I just stood there and just waited it out the whole day was messed up for me and until now it's still messed up but uh it just I just have a lot of pain it's I don't consider it by numbers I consider it chronic agonizing I woke up three nights I probably woke up my neighbors I woke up screaming to better understand the severity of Wilson's condition dr. Godlewski goes on to provide a thorough explanation of his x-rays and MRIs we're also looking to see is there any tumor or infection or any other spinous problem that would now for symptoms we don't see that in this situation MRI scan is done next to determine if there's some pathology and what we can do about it in this case we can see from a side view MRI if we're taken if the patient staying inside we're and we're slicing into him so these two up here are pretty much exactly normal they say well we all wish we had in every level they're just perfectly normal this look real good down to the next level also pretty good when I was little piece sticking out down here to the bone that's a normal anomaly but nothing is sticking into the back now if you look at what's wrong with this picture you can see so there's a straight line coming down here and that is a dimple coming here so the disc is pushing out here pushing out here pushing out here they're actually called herniation when it's when it goes out and extends past the borders of where it was before we see that also on here a little bit more which is a side angle you can see a real good one right here there's a large chunk of stuff in the back here there's a little bit here there's a large chunk here where there's none of the other levels up above so in this case we were quite certain that there was at least changes at the at the numbers of the vertebrae are numbered so these are numbered of the lumbar spine 1 2 3 4 and 5 that's the lumbar spine that's the part where you bend in the lower your low back where your being then move the sacrum is down here that's your pelvis which is stable and which doesn't move there was protrusion of disc material sticking out the back now you can say from this view is it out to the left or the right well I don't know because I can't see this is a cross-section view so we take these what are called axial cuts which are now it's taken straight through the person looking down we're not cutting them of course we're just that's the reformat of the MRI machine so that so here's a representative sample of probably this was the worst level of the herniation in this case simply by looking at mr. Rodriguez's MRIs bonanni spine surgeons were able to pinpoint exactly the source of the problem causing his symptoms each nerve goes to a specific area in the leg so we're that that's all been worked out by years and years of research we know that as in this case the lumbar 5 nerve goes to a specific area on the lake in general it overlaps a little bit but generally close to one area so we know if we free up that nerve completely we can hopefully relieve pain to that nerve back pain is a different thing there are several things can cause back pain what we do at surgery if the patient has had trial of all these conservative measures and there's still persistently painful we address all of that at that level by that the benattia Spine Institute treats a wide variety of spine disorders including pinched nerves bone spurs bulging herniated disks sciatica and more board-certified benattia orthopedic surgeon dr. Peter galitskiy joins us to discuss the case of a patient Wilson Rodriguez from Orlando Florida mr. Rodriguez had back pain going on for several years and it worsened over the past year or two he came to us for evaluation and examination to see if there's anything we could do to help him he had already had considerable amount of treatment including chiropractic care physical therapy epidural injections medications he had back pain and pain radiating down the leg on the right side the x-rays showed some wiring to wear and tear at several spaces at these lower spaces there's some bone spurs coming at the front here which you can see on each level that's actually Nature's Way of trying to fuse these areas over to because if sense is that there's injury there your body senses that there's injury and the tries to actually bridge and fuse these over so he had some of these Spurs indicating there were some long-standing changes or problems in his back that doesn't happen overnight patients have a lot of pain Wilson sat down with us the day of his initial consultation to tell us about the pain he was experiencing and the particular incident which made him seek out a more permanent treatment when this happened to me last week it felt like somebody opened up a bottle of pain inside me I froze like for ten minutes so much pain I was actually in tears you know so I was too scared to move so I just stood there and just waited it out the whole day was messed up for me and until now it's still messed up but uh it just I just have a lot of pain it's I don't consider it by numbers I consider it chronic agonizing I woke up three nights I probably woke up my neighbors I woke up screaming to better understand the severity of Wilson's condition dr. Godlewski goes on to provide a thorough explanation of his x-rays and MRIs we're also looking to see is there any tumor or infection or any other spinous problem that went now for symptoms we don't see that in this situation MRI scan is done next to determine if there's some pathology and what we can do about it in this case we can see from a side view MRI if this we're taken if the patient staying inside we're and we're slicing into them so these two up here are pretty much exactly normal they say well we all wish we had in every level they're just perfectly normal this look real good down to the next level also pretty good with a little piece sticking out down here to the bone that's a normal anomaly but nothing is sticking into the back now if you look at what's wrong with this picture you can see so there's a straight line coming down here and that is a dimple coming here so the disk is pushing out here pushing out here pushing out here they're actually called herniation when it's when it goes out and extends past the borders of where it was before we see that also on here a little bit more which is a side angle you can see real good one right here there's a large chunk of stuff in the back here there's a little bit here there's a large chunk here where there's none of the other levels up above so in this case we were quite certain that there was at least changes at the at the numbers of the vertebra are numbered so these are numbered of the lumbar spine one two three four and five that's the lumbar spine that's the part where you bend in the low your low back where you've been the move the sacrum is down here that's your pelvis which is stable and which doesn't move there was protrusion of disc material sticking out the back now you can say from this view is it out to the left or the right well I don't know because I can't see this is a cross-section view so we take these at what are called axial cuts which are now it's taken straight through the person looking down we're not cutting them of course we're just that's the reformat of the MRI machine so that so there's a representative sample of probably this was the worst level of the herniation in this case simply by looking at mr. Rodriguez's MRIs Benanti spine surgeons were able to pinpoint exactly the source of the problem causing his symptoms each nerve goes to a specific area in the leg so we're that that's all been worked out by years and years of research we know that as in this case the lumbar 5 nerve goes to a specific area on the lake in general and over a little bit but generally those to one area so we know if we free up that nerve completely we can hopefully relieve pain to that nerve back pain is a different thing there are several things can cause back pain what we do at surgery if the patient has had trial of all these conservative measures and there's still persistently painful we address all of that at that level by that what I mean is we want to decompress and free the nerve that's going out here free and put a space outside that this does not be pressuring on to the spinal canal or onto that nerve and free the nerve above the nerve below the floor below and the roof above so that there's all plenty of room for the nerve and an institute treats a wide variety of spine disorders including pinched nerves bone spurs bulging herniated discs sciatica and more board-certified Benari orthopedic surgeon dr. peter goblet ski joins us to discuss the case of a patient Wilson Rodriguez from Orlando Florida mr. Rodriguez had back pain going on for several years and it worsened over the past year or two he came to us for evaluation and examination of the see if there's anything we could do to help him he had already had considerable amount of treatment including chiropractic care physical therapy epidural injections medications he had back pain and pain radiating down the leg on the right side and the x-rays showed some wearin wear and tear at several spaces at these lower spaces there's some bone spurs coming at the front here which you can see on each level that's actually Nature's Way of trying to fuse these areas over to because it senses that there's injury there your body senses that there's injury and the tries to actually bridge and fuse these over so you had some of these Spurs indicating there were some long-standing changes or problems in his back that doesn't happen overnight patients have a lot of pain Wilson sat down with us the day of his initial consultation to tell us about the pain he was experiencing and the particular incident which made him seek out a more permanent treatment when this happened to me last week it felt like somebody opened up a bottle of pain inside me I froze like for ten minutes so much pain I was actually in tears you know so I was too scared to move so I just stood there and just waited it out the whole day was messed up for me until now it's still messed up but uh it just I just have a lot of pain it's I don't consider it my numbers I consider it chronic agonizing I woke up three nights I probably woke up my neighbors I woke up screaming to better understand the severity of Wilson's condition dr. Godlewski goes on to provide a thorough explanation of his x-rays and MRIs we're also looking to see is there any tumor or infection or any other spinous problem that would account for his symptoms we don't see that in this situation MRI scan is done next to determine if there's some pathology and what we can do about it in this case we can see from a side view MRI if this were taken of the patient staying inside we're and we're slicing into them so these two up here are pretty much exactly normal these are what we all wish we had in every level they're just perfectly normal discs look real good down to the next level also pretty good when I was little piece sticking out down here to the bone that's a normal anomaly but nothing is sticking into the back now if you look at what's wrong with this picture you can see so there's a straight line coming down here and that is a dimple coming here so the disk is pushing out here pushing out here