What I Wish Everyone Knew About Low Back Pain скачать в хорошем качестве

What I Wish Everyone Knew About Low Back Pain

In this medical education video, double-boarded pain specialist and neurologist Dr Sader discusses the 3 main categories of chronic low back pain: disc pain, facet pain, and SI joint pain. For each one, he explains the symptoms, diagnosis, and treatment options. Disc-related pain, which is the culprit in 40% of all cases of chronic low back pain, is in the back itself however it can also go down the leg (radicular pain) if the disc herniation worsens and irritates the nerve root. This kind of pain worsens upon flexion of the spine (sitting, bending over) and improves upon extension (walking, standing). Facet-related pain accounts for 30% of all cases, and is usually described by patients as a dull aching bony pain and stiffness in their low back, however facets can also have a referral pattern in the thighs. If the facet arthritis worsens it can start compressing the exiting nerve root or the spinal canal, leading to spinal stenosis (which can manifest as pain, numbness, or weakness/heaviness in the legs). This kind of pain improves upon flexion of the spine (sitting, bending over) and worsens upon extension (walking, standing). SI-joint (sacroiliac joint) related pain, accounts for 20% of cases, and the most common risk factors for it are a history of lumbar fusion, certain rheumatologic conditions, and ergonomics (sitting for long periods of time). When a patient comes to my clinic, I use a combination of very specific questions on history, physical exam maneuvers, diagnostic testing (nerve conduction studies, MRI), to get to the right pain generator. A common issue we see with back pain patients is that they tend to be misdiagnosed and receive medications or even invasive procedures for the wrong pain generator unfortunately. That is why I like to take a step back and examine the facts before individualizing the treatment approach. The general approach to back pain treatment is a spectrum, starting with more conservative measures (physical therapy for example), progressing to non-opioid medications (usually nerve medications and muscle relaxants), and if that fails, injection therapy (epidural steroid injections, facet injections, SI joint injections). The last resort is a referral to spine surgery for micro-discetomy, laminectomy, fusion or other surgery. Footage from Storyblocks (licensed). Let's Connect: IG:   / doctor.painkiller   TikTok:   / doctor.painkiller   LinkedIn:   / elie-sader-a21573217   Website: http://www.eliesadermd.com Disclaimer: The information in this video is provided for general informational and educational purposes only and is not a substitute for medical advice. Before taking any actions based upon such information, we encourage you to consult with your own doctor. Sader Consulting, LLC #backpain #backpainrelief #medicaleducation #doctor #chronicpain