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Dr. Gillard lectures on How to Read Your Lumbar MRI

  • Жарияланды 2023 ж. 24 Нау.

Пікірлер • 421

  • Douglas Gillard, DC, Professor of Clinical Science

    How to Read Your Cervical MRI was just posted on my channel. So head over there if you have a cervical MRI. Here's the link: kzclip.org/video/35ZleHqjuaI/бейне.html

    • jose sanchez
      jose sanchez 5 ай бұрын

      I really really appreciate all the information you give us and for taking the time to explaing detail by detail but I just can’t understand mine can u help me please

      HONEY BADGER 9 ай бұрын +1

      I'm type 1 diabetic 46 years old 15 years have neuropathy. I broken my tibia bone 4 screws and rod in my leg now. my question diabetic people's fracture healing? also neuropathy can made problem for healing process?

    • Original Ghoul
      Original Ghoul 11 ай бұрын

      Is it normal for a kidney doctor to read and write a report on a lumbar MRI w/wo contrast?

    • Kamryn Damian
      Kamryn Damian  Жыл бұрын

      @Walter Marcel happy to help :D

    • Walter Marcel
      Walter Marcel  Жыл бұрын

      @Kamryn Damian It did the trick and I finally got access to my account again. Im so happy:D
      Thanks so much you really help me out :D

  • Greg william Rice
    Greg william Rice 2 ай бұрын +2

    This is great for me.. I passed 2 boards in radiology but before MRI. After 40 years and 1000s of patients. It's time to get this down.. Thank you very much Bless you Doctor🙏

  • Umesh Dwivedi
    Umesh Dwivedi 4 жыл бұрын +8

    Dear Dr. Gillard ,This is the best and simplest presentation I have ever seen of complex science.Thanks a lot for making such wonderful video. what I like about your video is you always talk simple and to the point.

  • Chris
    Chris 5 жыл бұрын +10

    Hey Doc! I am a MRI student, loved your presentation, well presented, easily understood and personable. Keep it up!

  • QuantumRift
    QuantumRift 4 жыл бұрын +2

    I am not a doctor, or in the health field. I just had an MRI for my lumbar pain and I saw on my MRI that I have some degeneration of the L5-S1 disc. Your info here is awesome for making it much clearer for me to understand. Thank you!

  • Sara Pasquariello
    Sara Pasquariello 5 жыл бұрын +7

    Thank you so much. I never watch a video that explains so much in such a short period of time. After watching over 1000 videos I don't think any has explained this so simply and eloquently. You have made the complicated simple. Your comment about the traversing roots budding out of the thecal sac at the L5 level and that a study should be done is brilliant.

    • Swati Joshi
      Swati Joshi 2 жыл бұрын

      Thank you so much..you explain so well and easy to understand..I really wanted to learn this..🙏

  • Vince Tyy
    Vince Tyy 2 жыл бұрын +2

    love your presentation. your explanation is easy and accurate. its like a live discussion. thanks a lot, cleared up lot of confusion as im learninig as well

  • rsh rsh
    rsh rsh 3 ай бұрын +1

    After countless googles on how to read an MRI of the lumbar, your page came up on my homepage randomly. This is by far the simplest and most informative description ( to a layman ) of how to read an MRI. Great video!

  • Basil AL
    Basil AL 6 жыл бұрын +3

    This is such an excellent presentation, thanks a lot Dr. Gillard.

  • Kim G
    Kim G 2 жыл бұрын +5

    Thank you for this. My MRI report has NINE THINGS on it. Watching this video on my phone in one hand, and my report in the other has helped me to understand my back pain immensely. If only mere knowledge could be the cure!

    • R M BLAKE
      R M BLAKE 2 жыл бұрын

      As a fellow sufferer, I hope you are finding relief...

  • Dr. Ubeta Adikusnadi
    Dr. Ubeta Adikusnadi 3 ай бұрын

    Thank you for the lesson Prof. Dr. Douglas Gillard🙏🙏🙏. This gives me broader insight of MRI as I am not a radiologist.

  • 수하긴
    수하긴 2 жыл бұрын

    Extremely useful video that anyone who suffers back pain must watch at least 3 times.

  • Frank Brooks
    Frank Brooks 4 жыл бұрын +2

    Thank you for the lesson. This is by far the most articulated lesson that I have Come across. Very helpful to understand your own images so that you have good questions for your follow up visit. It sure helped me, thank you.

  • Carl Litzkow
    Carl Litzkow 5 жыл бұрын

    What a wonderful video. I learned so much valuable info. I am college grad so consider myself "marginally trainable". You lecture was perfect for level of comprehension. I wish you were here in person so I could thank you.

  • Esther Centineo
    Esther Centineo 3 жыл бұрын +3

    Dr. Gillard, thank you so very much for this video and taking time to explain everything...I am learning alot. I am 58 and fell from a 6' ladder at work. I have wonderful doctors working with me, who each, have ordered MRI's and X-Rays of my spine and shoulder. I have been told that there is alot of damage, and although they have "explained" the injuries, their description still left me with a lack of understanding. After seeing your video, I became very excited because I am now beginning to understand what they are talking about. I have subscribed, and will be viewing all of your video's. Again, thank you so much.

  • Zöe Reinhardt
    Zöe Reinhardt  Жыл бұрын +1

    Very good lecture! Thank you, Dr. Gillard

  • Jamie Venezia
    Jamie Venezia 3 жыл бұрын +5

    this was very helpful, Physical therapy student, i genuinely appreciated how you asked questions that forced me to think and that was very helpful, please keep doing what you do.

  • Urmil Patel
    Urmil Patel 2 жыл бұрын +1

    Found this video by accident. I finally understand how to look at a lumbar spine MRI. Thank you so much . You are a great teacher. (ER Physician)

  • Kitana Corvidae
    Kitana Corvidae 4 жыл бұрын +6

    Thank you for explaining this in detail. It's made reading my MRI and most of my CTs easier.
    There's plenty wrong from L2 - S1 and stenosis included in my scans, and I'm dealing with Drs whose response is "I can't help you" for the last six months.
    Now I can point out myself what they're missing.

    • Rendezvous Europe
      Rendezvous Europe 2 жыл бұрын +2

      There’s nothing wrong with second and third opinions. Even more. There are plenty of places that will do free MRI reviews including facilities in Germany that are regarded as the most advanced in the world. Keep researching. It’s your life.

    • Kim G
      Kim G 2 жыл бұрын

      @Craken Flux exactly!

    • Craken Flux
      Craken Flux 3 жыл бұрын +1

      If you have to serve as instructor for your Drs, do you really think they are good enough?

  • Maria Jaramillo
    Maria Jaramillo 5 ай бұрын

    Dr you talk so clear and perfect that it sound like your eating the most expensive meal and you are enjoying every single bite.
    thank you so much I am not a doctor but I love and enjoy learning new things.

  • Simon R. Downes - Med School Radio - USICO Care

    Wow - this is amazing! My radiology rotation just became 10x more understandable!! Thank you so much!

  • Brandon Kachmar
    Brandon Kachmar 4 жыл бұрын

    Had seizures right after university and lost my airmen medical certificate over it. The seizures were quickly labeled idiopathic at the time and I was left to search for an explanation myself. Since then I suffered multiple traumatic injuries including a 60 (Six-Zero) feet fall and hit the ground back in 2005 and my spine has deteriorated exponentially since then. It was painful to begin with but now it is becoming unlivable with. Your video helped me to read my own MRI after my surgeon went over it with me and I had ACDF C4,5,6 last week and am recovering now. I went to look at an updated look of my Lumbar Spine from a new MRI the day before my thoracic surgery. But I noticed that the person who burned the study to cd left off all of the axial views and there are only three sagittal studies on the disc without enough information to compare it to previous studies at least from my novice point of view. Anyway, I'd like to catch some researcher's eye who want's to take interest in my case and study it as it is extensive, unique and not finished being written yet. I do want to learn to read these MRI's with expertise myself but that is a long long way off from here.

  • Gunalan Ramadoss
    Gunalan Ramadoss 4 жыл бұрын +12

    I am a family physician.This video is helped me to understand basics of lumbar MRI .
    Thank you,

  • Daniel Pearson
    Daniel Pearson 2 жыл бұрын +2

    ChiroGeek does a great job of conveying lumbar spinal anatomy and image interpretations for interested laypersons. And as others have posted, his questions to us force us to think which is very helpful.

  • SEC
    SEC 4 жыл бұрын

    Love your videos Dr. I have Transverse Militias in the t5-7 and herniation in c4,c6 and would like to better understand and recognise these issues in my MRI's and X-rays so that I can be a better advocate and a informed patient for my self when speaking with the MD's, since I am an U.S. citizen living in another country. My question is how can I tell the difference between a hernia, ms or other spots related to my nervous/skeletal system ?
    Thank you for the wonderful videos. S

  • Tommy Spice
    Tommy Spice  Жыл бұрын

    Great tutorial . Just what I've been looking for . Thank you.

  • VideoNash
    VideoNash 4 жыл бұрын

    Thank you for sharing. Very concise, direct to the point.

  • The Editor
    The Editor 4 жыл бұрын

    Great educational resource! I'm so happy to have found you! Thank you so much for sharing this and all that's on your web page!

  • Urban Hawk
    Urban Hawk 3 жыл бұрын

    When getting my MRI results today the guy said the reason my neck disks were completely blacked out was due to arthritis. When I was actually diagnosed with DDD in my previously scan. So glad I looked into this and found this video now.

  • Colin allen
    Colin allen  Жыл бұрын +1

    Thank You for your clear and detailed information at a relaxed pace ,so nice to see normal and natural communication And not the usual KZclip/ Hollywood star wannabe performance

  • Kavya Mirchia
    Kavya Mirchia 4 жыл бұрын

    Thank you! very fundamental and amazingly explained. Cleared a lot of my concepts.

  • Gold Hunter
    Gold Hunter  Жыл бұрын

    I have spinal stenosis and find your information very valuable. Trying to decide between a versiflex or PRP. Thanks.

  • David Wills
    David Wills 2 жыл бұрын

    Very good information and explanation, much more than I got out of two surgeons I have seen and have carried out tests on me.

  • Jeremy J
    Jeremy J 5 жыл бұрын

    Very good video! Thank you - I learned some things and I've been reading my own MRI's for several years now.

  • Robert Spector
    Robert Spector 6 жыл бұрын +5

    I am a neurologist, more specifically a near-ophthalmologist, and your presentation was excellent. The explanations of anatomy, T1, T2 and coronal, axial and sagittal cuts were simple and beautifully illustrated. Thanks

  • john henry
    john henry 6 жыл бұрын +1

    Great educational video. Got MRI disc 2 days ago and have listened to your video several times. Just got report of MRI today .. no surprises as I ascertained the problems because of your video. 1. 25 % Spondy L5 ON S1 associated with bilateral pars defect severe foraminal narrowing potential compression of exiting L5 nerve roots. 2. large broad based central disc protrusion at L2/3 which migrates inferiorly, severe compression of the thecal sac. Thanks and keep up the great work!

  • Dr James Brown
    Dr James Brown 6 жыл бұрын +10

    Douglas very good clear and easy to understand. I have used Chiro Geek for a long time to show patients whats happening to thier disc herniation and which nerves are affected prior to transforaminal ESI. Great work

  • William Sawka
    William Sawka 4 жыл бұрын +1

    Thanks. I am successfully recovering from L5/L4 replacement. I studied a lot going in. However, this one video gave me more insight than days of research.

    • the Gladiator
      the Gladiator 4 жыл бұрын

      Hello, I am so happy for you!
      I have the same thing like you!
      Can you please tell what you did?

  • Joseph Porter
    Joseph Porter  Жыл бұрын +1

    Awesome!!!!!! It all makes sense now. I see a lot of the stuff that you pointed out on my MRI imaging.. Thank you!

  • kazimushtaq
    kazimushtaq 3 жыл бұрын

    Excellent explanation. The best that I have ever seen. Thank you so much.

  • calderamanjula
    calderamanjula 4 жыл бұрын

    You are a wonderful teacher!

  • Tina Collins
    Tina Collins 2 жыл бұрын +1

    You explained this so well

  • Nyi Nyi Zaw
    Nyi Nyi Zaw 2 жыл бұрын +1

    Thanks. This video is completely helpful for the beginners

  • WY Levitra
    WY Levitra 5 ай бұрын

    🌹1:37 當橫切在小面關節水平高度也恰是椎盤位置disc level cut
    🌹2:24 定格文字 在椎盤邊緣有痛覺神經纖維接收器分佈,60-70%慢性下背痛是因爲annular tear環狀纖維環破裂造成痛覺接收器刺激所致。
    🌹2:47 所謂#L4椎盤指的是在L4椎體下層的椎盤。
    ❇️T2 硬膜腔呈白亮MRI 解讀
    1.🔯3:23 正中矢狀切面
    後方posterior arch是棘突
    2.🔯5:21 Parasagittal 切面則可清楚看5:34 IVF
    3.🔯5:59 橫切面Axial view
    6:14 Neural foramen神經孔道
    呈白色的Epidural fat
    4.🔯7:56 非disc level cut的 Axial view
    🌹8:57 爲L5 椎盤切面
    9:41 米老鼠
    頭爲thecal sac
    雙耳則爲已離開thecal sac而準備分支出去的nerve root
    ❇️10:54 #T1與T2 MRI
    在T1中 富含水的組織呈黑(the cal sac),正方便與緊貼著的T1呈白亮的脂肪組織作區辨。
    🌹13:21 Axial view
    14:41 在神經孔內呈黑的神經根及白色包繞外圈的perineural fat椎孔神經脂肪。
    14:50 小面關節
    14:58 比較 S1 disc-level cut 與15:22 L5 disc-level cut 不同
    在L5 divs-level cut兩側可見神經孔和已離開thecal sac硬膜囊的L5 Nerve root
    第X節椎體椎弓根pedicle是在椎體接近頂端1/3處的位置自椎體延伸向外,通常是在該節disc-level cut的往上再兩個切面可出現。而在椎弓根切面出現的小面關節則是第X節椎體的上關節突(在腹側些) 與其上節椎體的下關節突所構成。
    🔯17:49 光從僅一張矢狀縱切面無法判斷整節椎盤究竟僅有椎盤膨出bulging disc還是herniated Disc, 必須檢視Axial view才能看清整個椎盤!
    🌹18:17 在該椎體終板end plate有受壓下陷表該處有過負荷受損徵。
    🌹18:31 在椎盤外緣黑色纖維環中出現的白色小點代表環狀纖維破裂annular tear。
    🌹18:54 Axial T2 disc-level cut
    🌹20:01 STIR可看作是一種特殊的T2形式,特別為檢視發炎或感染而將脂肪組織訊號抑制。
    21:54 Disc #Extrusion

  • kiomn
    kiomn  Жыл бұрын +1

    Very well presented!

  • Qamrul Hoda
    Qamrul Hoda 2 жыл бұрын

    Very clear and informative
    Thank you sir

  • Felicity Fung
    Felicity Fung 7 жыл бұрын +6

    Oh my god you're amazing! Thank you for taking the time to explain it!

  • Nick Rudd
    Nick Rudd 4 жыл бұрын +6

    All i can say, I hope my doctor knows as much as you. Im waiting on results from a scan two days ago. Im hurting. Thanks for the professional explanation.

    • Quentin Curry
      Quentin Curry 3 жыл бұрын

      Hi nick is everything well with u? What was it

  • Malay Chaudhary
    Malay Chaudhary 6 ай бұрын +1

    Awesome lecture Sir..

  • jose manuel Gonzalezmesa
    jose manuel Gonzalezmesa 7 жыл бұрын +11

    Congratulations Dr Gillard, simply the best.

  • panman1224
    panman1224  Жыл бұрын +1

    FANTASTIC! Thank you so much. I really learned a lot.

  • Brian C
    Brian C  Жыл бұрын +1

    Great video! Thanks show much for the informative videos, they are priceless.

  • Tessa Croall
    Tessa Croall 2 жыл бұрын

    MRI technologist student about to sit my final. Your lessons have been great!! Tessa from New Zealand

  • Don Drone
    Don Drone 4 жыл бұрын +2

    Thank you so much for this video I am a 62-year-old male who has had seven lower back surgeries at L5 S1 and three cervical surgeries recent suffer in a tremendous amount of pain in my lower back. your video is helping me understand my condition thank you so much.
    Very truly Yours in pain

  • iAncientOne
    iAncientOne 2 жыл бұрын +1

    Love this Doc,I’m an OR Nurse and have seen a ton of these but never got a good explanation. Definitely going to check out your website.

  • Martina Skaloud
    Martina Skaloud 2 жыл бұрын

    Vielen Dank für die vorzügliche Erklärung. Sehr anschaulich und genauestens erklärt.

  • issis666
    issis666 3 жыл бұрын +1

    Fantastic ... if only our personal physicians and MRI techs could/would take the time to explain our scans to us and help us understand the implications ... Ironically, when we finally find a site like yours to help educate us and then wish to speak in more specific, scientific terms with our surgeons, pain specialists, etc. they nearly always take offense ... Only my chiropractor is as open as you are in explaining information ... How ironic. I hope you will address arachnoiditis and patchy bone marrow indications in MRI's in a future video.

  • r g
    r g 5 жыл бұрын

    Well done! Understandable. Thank you.

  • Eduardo Lazaga
    Eduardo Lazaga 3 жыл бұрын

    Very clear and simple explanation.thanks

  • Trancefreak64
    Trancefreak64 2 жыл бұрын

    Thank you Dr. Gillard, for the amazingly informative educational video. I had serious spinal problems in 2010, 2011 and ended having surgery January 2012. I was pre-admitted for surgery on a cancellation at “Kaiser Hospital Sunset” in Los Angeles to have spinal neurosurgery. Prior to all this, I was really just in great physical shape prior to my back starting to fall apart.
    When I got progressively worse as time went by, I couldn’t walk, I couldn’t drive, my legs were in so much pain they were heavy, and they would burn . That time in my life was absolutely brutal. I had surgery from S1 to L3, with complete biomedical screws, rods, and full bone fusion grafting from cadaver bones. My spinal surgeon saved my life and prevented me from being completely wheelchair bound.
    Fast forward to 2020 and I started having some serious problems sense 2019, and I could barely walk. The Muscles and nerves going across my groin and through my thighs hurt so bad. The feeling & sensation I got was such as if you were pressing very very hard on the thighbone were sensitive across the groin section due to the severe spinal compression.
    The situation for me was getting really desperate, so I Requested a MRI To be performed. My spinal doctor via the radiologist found out that there was a complication above my prior surgery at (L2&L1) I had to have emergency surgery immediately According to my spinal doctor to prevent permanent damage. On March 23, 2020 I had surgery at “Kaiser hospital Sunset” in Los Angeles.
    All of my existing hardware from S1 to L3 was removed and replaced. AThank you Dr. Gillard, for the amazingly informative educational video. I had serious spinal problems in 2010, 2011 and ended having surgery January 2012. I was pre-admitted for surgery on a cancellation at “Kaiser Hospital Sunset” in Los Angeles to have spinal neurosurgery. Prior to all this, I was really just in great physical shape prior to my back starting to fall apart.
    When I got progressively worse as time went by, I couldn’t walk, I couldn’t drive, my legs were in so much pain they were heavy, and they would burn . That time in my life was absolutely brutal. I had surgery from S1 to L3, with complete biomedical screws, rods, and full bone fusion grafting from cadaver bones. My spinal surgeon saved my life and prevented me from being completely wheelchair bound.
    Fast forward to 2020 and I started having some serious problems sense 2019, and I could barely walk. The Muscles and nerves going across my groin and through my thighs hurt so bad. The feeling & sensation I got was such as if you were pressing very very hard on the thighbone were sensitive across the groin section due to the severe spinal compression.
    The situation for me was getting really desperate, so I Requested a MRI To be performed. My spinal doctor and radiologists found out that there was a complication above my prior surgery at (L2&L1) I had to have emergency surgery immediately According to my spinal doctor.
    Within a three weeks time of my spinal doctor viewing the MRI results, I had surgery admits The current infective pandemic, When almost all elective surgeries were being canceled. I was truly blessed to be able to have surgery performed. I was in really bad shape I was getting worse and who knows how long it would’ve been if I didn’t get in as a tier 3 emergency case. I feel bad for the people whom had their surgeries canceled.
    So on March 23, 2020 at Kaiser hospital in Los Angeles, I was able to get into the OR and be surgically corrected . I had a stronger construct fabricated and installed it’s my back. All of the hardware from my previous surgery was replaced to accommodate the brand new hardware where my current injury is. The new spinal hardware will improve the overall construct. The Newly installed hardware Will create a stronger construct. This should Prevent the longer construct and spinal fusions from bending.
    My spine is now fused from S1 to The thoracic spine, & I couldn’t be happier now being on the side of recovery, but this ordeal was probably one Of the most brutally wicked times of my life. I Have been living alone for the past three years since my divorce, and this has been tough without the live-in help that I had last time from my wife. I am blessed that I have my dad to take me to and from the hospital my daughter and one of my neighbors that stop in to help otherwise I would not be able to do it, no way. The last time I had surgery my ex wife really, really helped me eight years ago.
    I would like to link my MRI scans so they can be viewed and that people can get a better idea of what exactly I want through. If you are going through something similar or the same thing are you could reach out to me and I would be glad to be able to talk to you. If you read all of this message I really appreciate that you took the time to do so you take care.

    • Selena'sB4ach
      Selena'sB4ach  Жыл бұрын +1

      @treborhi how are you feeling are you fully recovered and your leg pain is it gone? Can you walk miles? Please if you see this kindly reply i will need updates to help me I'm going thru a lot too.

    • Trancefreak64
      Trancefreak64 2 жыл бұрын

      treborhi Thank you so much for responding and for your kind words.
      I am progressing for sure and I do realize that I have a long way to go. One thing that has me very excited is how straight up that I stand now. Just recently I could not stand up straight whatsoever and this is just amazing to me. Modern medicine and science have done me wonders along with the very skillful surgeons and staff. I am very grateful for sure. One thing that is bothering me since all of my steri strips fell out about a week ago, is my surgical scar is a is somewhat itchy and irritating. I have a telephone appointment with my doctor coming up this week, and an itchy scar is on my mentioning list. I am curious if my Doctor would recommend any type of Gel or cream that I could apply to my scarring. Anyways thank you so much for your time.

    • treborhi
      treborhi 2 жыл бұрын +1

      I did read through your message. Needs to be edited as a full paragraph is repeated. Nonetheless, I'm absolutely flabbergasted by what you have been through. I would not have had the strength of mind. I'm also amazed that your entire lumbar spine is fused and equipped with hardware to assure it doesn't flex. I had no idea that such extremes are taken in cases such as yours.
      Based on a March 23 surgery, you are now in your 5th week of recovery. I hope its progressing well. I'm not much of a church goer, but I'll say a few prayers for you. Hope you keep us posted as your recovery progresses.

  • Nico L
    Nico L 5 жыл бұрын

    Very good explanation ,I love it.Thank you :)

  • Rahul Singh
    Rahul Singh 4 жыл бұрын +2

    Thanks for clear and to the point explanation. Much Appreciated. Thank You so much.

  • Dhiraj Manandhar
    Dhiraj Manandhar 4 жыл бұрын

    Hi Dr Gillard, I have a significant amount of pain today. I had my MRI done and it shows that there is a disc bulge between L4-L5 and S1. It’s been a month that it has not been recovered. I went to physio and followed up with some exercises but I found that the exercise was not quite effective cause I was still bending forward. I did a lot of research and came to know that forward bending makes pain worst. I am following up with some basic exercise . However sometimes I have a severe pain on my right and some other day I don’t have pain at all. What do you suggest ? Could you please send me ur email so that I can send u my MRI scan? I have more pain on my right buttock and down towards the caff and feet

    • Rachin
      Rachin 4 жыл бұрын


  • nanallen1
    nanallen1  Жыл бұрын

    Thank you ! We can never fully appreciate what is happening in the lumbar without looking carefully at sacral instability.

    • Douglas Gillard, DC, Professor of Clinical Science
      Douglas Gillard, DC, Professor of Clinical Science   Жыл бұрын

      Not sure what you mean by "sacral instability." If you mean instability of L5/S1, then if the signs are there, a flexion/extension radiographic study can rule out such instability. If you mean sacroiliac joint instability, I find that to be incredibly rare. Remember, the sacroiliac joint only has 2° of motion (Nutational motion) anyway as it is held together by the powerful interosseous sacroiliac ligament. Patients with Marfan's disease or other connective diseases, however, could be more at risk for this rare instability.

  • muhammad qasim
    muhammad qasim 2 жыл бұрын

    Thanks Alot Sir. It really cleared up many things for me.

  • Andrei Fortennis
    Andrei Fortennis 7 жыл бұрын

    I am an engineer but I found this presentation fascinating, and a great educational tool. My son is a 15 years old junior tennis player and he just got an MRI showing a mild bulging disc L4-L5. The pain happens when he swings to hit his one hand backhand. My understanding is that physical therapy which strengthens the muscles in the lumbar area will improve his condition. There is no other symptom and anything else was reported normal on the MRI. Based on your experience, is the disc usually getting back to normal by just doing PT? Also, how long is usually this recovering process and what activity level for tennis would be recommended in the meantime. Thank you very much.

    • Douglas Gillard, DC, Professor of Clinical Science
      Douglas Gillard, DC, Professor of Clinical Science  6 жыл бұрын

      You have to be very careful with "disc bulging." Most of the time this is just a normal finding unless it's associated with degenerative disc disease which increases the suspicion for symptomatic annular tear. If he does have an annular tear, healing time (believe it or not) can be anywhere from 12 to 36 months! It's one of the worst injuries to have.

  • J. Max Waddell
    J. Max Waddell  Жыл бұрын +2

    Thank you for the CE update information. I always love your teaching style. Thank you.

  • Dr.Bajrang Singh
    Dr.Bajrang Singh 5 жыл бұрын +1

    thank you sir...it was really very helpfull and awesome teaching technique.

  • Anish Rajan
    Anish Rajan 6 жыл бұрын +1

    Awesome stuff ! Thanks for your effort !

  • D J
    D J 3 жыл бұрын

    Watched this several times.. thanks so much for this educational video.

  • martianrocket1
    martianrocket1 2 жыл бұрын +1

    Great video. Thank you Doctor.

  • Leigh Terry
    Leigh Terry  Жыл бұрын

    Thank You, Dr. Gillard for your exemplary presentation. I was studying to be an orthopedist when spondylolisthesis, (x 4 fusions that failed), epidural abscess, and now chronic osteomyelitis took me out of my medical studies, but I will forever love to learn about medicine! Do you know of any doctors, you can recommend, that can help treat my chronic osteomyelitis? I’ve been on and off treatment, for five years, and I’m severely debilitated by the active osteomyelitis, and the pain is so excruciating, that it renders me sedentary, hopeless, and even suicidal. I don’t want to die, but I don’t want to live like this anymore. I truly hope you see this message, and you get back to me, if you know anyone that could help me. I’m just about ready to give up on life, Either way, I thank you for your extraordinary and thorough presentation, in this video, and I look forward to seeing you in future videos.

    • Douglas Gillard, DC, Professor of Clinical Science
      Douglas Gillard, DC, Professor of Clinical Science   Жыл бұрын

      Oh wow! I sure am sorry to hear about your story. Bone infection can be very difficult to snuff out sometimes. If you haven't done so already, might try contacting hospital for special surgeries in New York and/or UCSF in San Francisco. In my opinion, those are the best two spine centers in the world - hopefully they can help. Good luck and hang in there. Also the obvious: if you are having suicidal thoughts, you should go to the emergency room, so you can get help.

  • Subrata Duttachaudhuri
    Subrata Duttachaudhuri  Жыл бұрын

    Thanks for your lecture. I am a non-medical person but is forced to study about MRI of lumber spine as a dubious report of SL spine of my son created fatal problem in the family. I just want you to confirm that if an abnormal spine problem is there can it cause the inter vertebra space turned black, and if so why? Stay safe.

  • Louis Morong
    Louis Morong 7 жыл бұрын +5

    Simple and to the point. 5/5. The only question I have is, what about the curvature of the vertebral bone plates. It seems common that the L5 S1 disc surfaces have irregularities..they are not smoothly curved like the joints above. In my case this 'step' formation at L5 S1 is much more pronounced..and that disc is also herniated. I have degeneration at multiple levels, but this particular joint is always the most painful. Is this because of the uneven bone plate surfaces, or is that normal?

    • Tony Ogidigo
      Tony Ogidigo 3 жыл бұрын

      Many thanks sir for the video.
      Do one report the biomechanics,if its directed to the posterior part or reverse as explained in the video.

    • Louis Morong
      Louis Morong 7 жыл бұрын

      Thank you.

    • Douglas Gillard, DC, Professor of Clinical Science
      Douglas Gillard, DC, Professor of Clinical Science  7 жыл бұрын +4

      It's quite common for both the upper and lower vertebral endplates to be "indented." These indentations are usually in the form of what we call Schmorl's Nodes. Although they can be associated with chronic back pain, they are quite common and typically nothing more than incidental finding as long as they are too big. If there are multiple Schmorl's Nodes throughout your lumbar spine, then you may just have been dealt a "bad hand" with regard to the genes that signaled the building of bone and type I collagen.

  • sumant sinha
    sumant sinha 4 жыл бұрын

    nicely explained in simple way. good one

  • Rahul Khamamkar
    Rahul Khamamkar 4 жыл бұрын

    That was extremely informative.

  • Karimova Fargana
    Karimova Fargana 2 жыл бұрын +1

    Thank you very much. Very informative.

  • Omar Magana
    Omar Magana  Жыл бұрын

    As an MRI Tech AWSOME Video.. NOW I have a better understanding of SPINE exams

  • AmericanOne
    AmericanOne 7 жыл бұрын

    Thanks for all this information, it's a lot more then what you get at a doctors office. I'm not complaining as I know they have more patients to tend to.....

  • Michelle Brown
    Michelle Brown 6 жыл бұрын +1

    This was very helpful. Thank you for posting.

  • Binet marie-pierre
    Binet marie-pierre 8 жыл бұрын

    I really loved your video! learning everyday! Thanks!

  • Andrew Larsen
    Andrew Larsen 3 жыл бұрын

    At about 5:48 you mention T1, but the slide shows T2 as a label. I'm thinking it ahould be T1 like you say, since it is showing fatty tissue. Thanks for these super informative videos and pages!

  • 5shinjo5
    5shinjo5 7 жыл бұрын +1

    I watched your video, and it was very very interesting! I'm Japanese but it was very easy to understand! Thank you very much!

  • gireesh gurram
    gireesh gurram  Жыл бұрын

    Thank you for this valuable knowledge.

  • Saif Azar
    Saif Azar 7 жыл бұрын

    well informative video Doc.
    thank you very much

  • Dr. Muhammad Bilal
    Dr. Muhammad Bilal 4 жыл бұрын

    Excellent flawless, i am internal medicine specialist now I will teach my students MRI too, that samurai sword thing made me laugh for a min was simply hilarious

  • Skandalos
    Skandalos 6 жыл бұрын

    Ive known your web page since my own disk herniation a couple of months ago and it has been my first source of trustworthy indepth information since. The web is full of sponsored stuff littered with ads which doesnt always mean a bad thing but your page is truely a gold nugget. Im amazed now to find this video of yours which hopefully enables me to read my own MRI. Thank you for your invaluable service!

  • OliverWorks
    OliverWorks 29 күн бұрын

    Thanks. Amazing at how many shade tree radiologists we have out there!

  • maximumnoise78
    maximumnoise78 4 жыл бұрын +1

    Amazing and informative - thankyou!

  • Nicandro Amores
    Nicandro Amores Ай бұрын

    Thanks it really helped me understand viewing MRI. 👍😊

  • Menno
    Menno 8 жыл бұрын +5

    Thank you.
    At 7:46 in figure 7 you changed the articular processes of L4 - L5.

  • venkat Raman S.
    venkat Raman S. 7 жыл бұрын

    Wow ! Dr. Gillard, very very , detailed analysis indeed, I have picked up a lot of points, which nobody teaches us. I am an orthopaedic surgeon, perhaps these points are privy to radiologists, but not to us surgeons, thanks, I appreciate this very much.

    • Reece Partner
      Reece Partner 6 жыл бұрын

      Douglas Gillard, BS, DC, Spine Researcher

    • Carol Wilbur
      Carol Wilbur 7 жыл бұрын

      +venkat Raman S. I am an orthopedic patient, and over several decades, have had a long history of orthopedic issues, having had five inpatient surgeries and one outpatient. The most recent was back surgery and involved fusing and decompression of S1 through T10. It is amazingly terrifying to me to hear an orthopedic surgeon make the above admission, while being impressed with the honesty of your admission. Why then, should I even consider a surgeons prepossessed operation WITHOUT consulting with a radiologist, first?

    • Douglas Gillard, DC, Professor of Clinical Science
      Douglas Gillard, DC, Professor of Clinical Science  7 жыл бұрын +1

      It was my pleasure. Just happy to be of service. My eighth quarter students at Palmer are getting a really good education when it comes to the lumbar spine. They are learning all these tricks which will help them better manage patients - at least that my hope.

  • Noaman Ali
    Noaman Ali 7 жыл бұрын

    very helpful to me Dr Gillard thanks sir

  • Kermit Flores
    Kermit Flores 6 жыл бұрын

    Excellent video. Many thanks!

  • candypants19761
    candypants19761 3 жыл бұрын

    you made learning fun!! Thank you

  • Mariam Tina
    Mariam Tina 3 жыл бұрын

    Thanks for this information, it was very helpful

  • Doctor no-1
    Doctor no-1 7 ай бұрын

    please we want your clear conception lectures on thoracic and especially cervical spine which is very difficult to interpreto

  • Disha Raut
    Disha Raut  Жыл бұрын

    Very nice explained sir