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I'm confused! Laminectomy? Coflex? Fusion? Every doctor says something else | spinal stenosis.

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Best Practice Health

0:00 I've seen several doctors, and everyone recommends something else: Laminectomy, Coflex, scoliosis, fusion, etc. Which one is right?
00:37 Coflex is a device that can be placed between the spinous processes to open up the spine.
00:57 Fusion is not generally needed for decompression of spinal stenosis.
01:35 Think of spine problems as having options not single solutions. Your job is to select the best options.
02:00 Spinal stenosis results from ligament thickening and joint enlargement, not exercise.
02:30 What is spinal stenosis? Spinal stenosis is narrowing of the spinal canal which can be seen well on MRI.
02:30 What is scoliosis? A deformity in the coronal (middle) plane of the body
03:22 Severe scoliosis should be fused when you are a teenager as it much harder to recover and riskier as an adult.
04:01 Will spinal stenosis get worse? Always. Spinal stenosis only get worse as time goes by. The only issue is how fast it progresses.
04:58 Spinal stenosis is narrowing of the spinal canal that can be seen on MRI as the loss of fluid in the spinal canal.
05:47 In cases of spinal stenosis the spinal canal shows up on MRI as a triangle instead of an almond.
06:27 Stenosis goes from mild to moderate to severe to marked.
06:50 Arthritis of the spine affects the FACET joints and causes a specific pattern of low back pain.
07:24 Diagnostic medial branch block and radiofrequency ablation are the preferred treatment for low back pain due to injured of arthritic facet joints.
07:50 Low back pain due to facet joints is treated by pain management doctors who do diagnostic medial branch blocks.
08:13 Spinal stenosis is treated by orthopedic spine surgeons or neurosurgeons, not pain management doctors.
08:47 Minimally invasive spinal orthopedic and neurosurgeons perform laminectomy using the METRX retraction tube.
09:16 Pain management doctors do epidural injection for nerve root pain or radiofrequency ablation for low back pain, but they don't have any treatment for stenosis.
09:55 Scoliosis makes laminectomy surgery higher risk, but the risk still favors the surgery and not avoiding it.
10:17 Spine surgeon or neurosurgeons who perform minimally invasive laminectomy use tubular retractors.
10:40 how to find a minimally invasive spine surgeon or neurosurgeon in your area.
11:22 Spinal stenosis can be cured by laminectomy surgery which opens up the spinal canal.
11:59 Nerve problems (neuropathy) are not related to spinal stenosis.
12:38 Spinal stenosis reduces the "innervation" of the muscles and leads to muscle atrophy.
12:59 Atrophy caused by spinal stenosis can be reversed by exercise. Find one which has no impact.
13:41 Pian management doctors perform radiofrequency ablation for low back pain.

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