Lumbar Spinal Stenosis, Cauda Equina Syndrome, Sciatica, & Disc Herniation: An Advanced Lecture.

Published 2017-03-18
In this advanced lecture, Dr. Gillard covers the topics of lumbar spinal stenosis, cauda equina syndrome, sciatic, and disc herniation at an advanced level. This is not for the beginner! This is a makeup lecture from winter 2017, week #10, and this material will be on the final. The doctor also puts forth some interesting real cases which you should find fascinating (especially the reabsorbing disc herniation).

If you are a layperson, Dr. Gillard has more beginning level lectures on all of these topics. Just check out his YouTube page for your area of interest. And remember, this information is for educational purposes only and is not medical advice. Please consult your primary treating physician with any information or ideas you may glean from this video.

If you want to talk about your own personal spine problems and have your MRI images/CT images reviewed, please visit my website (www.chirogeek.com) and look at my coaching service page for information on how to set this up. Or email the doctor: [email protected]

All Comments (21)
  • @DocSeville
    Thank you for this information. At 63 I have severe, debilitating stenosis. The "shopping cart" thing was classic! I have to grab a cart immediately and hunch over it. I am trying different surgeries to relieve pain.
  • @cherylrock3612
    This video is helpful as I have an extensive diagnosis that I didn’t fully understand before watching. Thank you!
  • I had severe pain in my lower lumbar. sciatica, groin down leg to knee all on my right side. Orthopedic surgeon said it was L4 and L5. I started physical therapy for 8 weeks 2 times a week and go to pain management doctor for spinal injections about every 4 months. I take Tramadal on days when pain kicks up but it definitely is about 90% better without surgery. I had all symptoms people are exhibiting. Laying in bed at night was torture I am so lucky to have found relief.
  • Thank you so much. This eased my fears and may save me money on surgery. Now I know to be patient and keep moving.
  • @theMDMentor
    Excellent, comprehensive and easy to understand if you have a basic understanding of spinal anatomy. The Chiro Geek is a born teacher, as well as a patient, and everything he says makes sense to me as an Emergency physician and interventional pain specialist (retired).
  • @chogokin666
    Had a Laminectomy about 10 years ago. Successful. Dr. Hartl NY Presbyterian. Loved the direction against flexive physical therapy, lol. Exactly what several docs rx'd. And of course made it worse. Very interesting lecture. Should add the diagnosis was Caude Equina, severe stenosis.
  • As I weigh-up the prospect of back surgery, with symptoms of right low back, groin and pain to knee level, with the inability to stand upright or walk even a few steps before excruciating pain fires up, I thank you SO much for this information. This has empowered me to speak with my neurosurgeon with a level of clarity and understanding of the situation and options. All the very best for you.
  • @user-uu5vb5lz4r
    The most beneficial lecture about disc prolapse great thanks for you DR Douglas
  • @Hellraizorr
    Bravo! Excellent content, either for the educated patient or interested professional .
  • About 20 years ago I awoke with horrific back pain. I could barely leave my bed. My right foot wouldn't lay flat. I was walking on my toes. I went to my regular doctor and was referred to a spine surgeon. I went through all the conservative treatments. My wife was a Physical Therapist(PT) and she puzzled about some of the exercises and treatments I was getting. Regardless, nothing worked and a Laminectomy was scheduled. I was sent to a pain clinic for a steroid shot. I had the strange sensation of cold water being poured down my leg.. A week before the surgery the pain became more intense. The pain came in spasms which at their peaks left me unable to do anything except lie on the floor as they passed through me. I went to the ER and I was given a course of four drugs twice by IV. I fell asleep for an hour. My wife said I was going through the spasms in my sleep which was why I was run through the second time. At last it all stopped but my foot was worse. It was completely uncooperative. The steroid shot had pushed disc fragments down into the nerve bundle. The surgeon spent nearly an extra hour removing them. The pain diminished a great deal after the surgery. I walked with a limp and my leg and foot hurt. Regardless I went back to work. I owned a company installing voice and data cabling systems. My right leg was week so I used the let on to lift me up the ladder with the right one following. I was slow but I got it done. I passed more of the climbing work onto the employees and I did the equipment ends. Two years later the same thing occurred on my left leg and foot. I had another laminectomy and there was improvement. Three years later the pain had increased greatly and I had a third laminectomy. The results were minimal and I resolved not to have another ever. I'm now retired. I work in my yard raking and sweeping. I have 10 birds feeders I take care of daily. I also put out corn for the 20 or so deer that come every day. When the pain becomes too severe I stop and rest. I take a 30 mg Morphine ER tablet three times a day. I guess it helps. I've never stopped it to see the difference. A few years ago I developed Type 2 Diabetes. That has caused much swelling in my legs and feet. I also have three kinds of arthritis. Every joint hurts but I keep going. I've accepted the fact that this is my lot in life and I refuse to give in or up.
  • I’m 80 year old woman who has had stenosis for many years. The past 4 or 5 have been the worse. I saw 5 or 6 doctors, over the last 3 years, all said I needed fusion. Laminectomy would not help me. I have beginnings of osteoporosis, and at the last minute my planned surgery was cancelled due to a bone density. I was told I need a hyperbolic doctor for shots. I went to a doctor who said at my age, it wouldn’t work. Back to square one and pain. I tried injections, after a year or two, didn’t work anywhere. I went to another back surgeon, he suggested a laminectomy; I had pain in. Uttocks, thigh, calf and outside foot. Numbness, I stability, shooting electric shocks an low back pain. He said in 85% of patients will be helped with the remainder a mixed bag. I had no other choice, so I took the chance one month ago. I find that my thigh, and calf has regained feeling; no more numbness. Y foot is the same. It gives. E hope. The doctor said that if I’ve had this pain a long time, it will take me longer to heal. I heard you say that if you’ve had sciatica more than one year, nothing will work.what are my chances for healing? I’m such an active person, but I can’t walk 1/2 block that I have to stop. I’m at my wits end. Please help with guidance.😊
  • @petermellios84
    Needless to say, I'll watch this video a few more times. Excellent, thank you
  • @Quantum_GirlE
    Awesome of you to keep on going with the illness you have! Hope you feel better!
  • Awesome I have some of these and its amazing that you have more info then some of the docs I have seen.
  • @foodsearcherCEO
    I'm data scienist researching about MRI reading. Lecture are so good