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
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
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?
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🙏
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.
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!
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.
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
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!
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!
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
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.
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
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
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!
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
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.
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.
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 Don
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.
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.
@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.
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.
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.
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
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.
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.
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.
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.
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.
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.
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?
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.
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.....
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!
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
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!
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.
+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?
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.
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
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
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?
Is it normal for a kidney doctor to read and write a report on a lumbar MRI w/wo contrast?
@Walter Marcel happy to help :D
@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
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🙏
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.
Hey Doc! I am a MRI student, loved your presentation, well presented, easily understood and personable. Keep it up!
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!
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.
Thank you so much..you explain so well and easy to understand..I really wanted to learn this..🙏
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
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!
This is such an excellent presentation, thanks a lot Dr. Gillard.
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!
As a fellow sufferer, I hope you are finding relief...
Thank you for the lesson Prof. Dr. Douglas Gillard🙏🙏🙏. This gives me broader insight of MRI as I am not a radiologist.
Extremely useful video that anyone who suffers back pain must watch at least 3 times.
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.
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.
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.
Very good lecture! Thank you, Dr. Gillard
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.
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)
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.
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.
@Craken Flux exactly!
If you have to serve as instructor for your Drs, do you really think they are good enough?
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.
Wow - this is amazing! My radiology rotation just became 10x more understandable!! Thank you so much!
I'm glad to be of service. Good luck with that rotation!
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.
I am a family physician.This video is helped me to understand basics of lumbar MRI .
Thank you,
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.
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
Great tutorial . Just what I've been looking for . Thank you.
Thank you for sharing. Very concise, direct to the point.
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!
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.
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
Thank you! very fundamental and amazingly explained. Cleared a lot of my concepts.
I have spinal stenosis and find your information very valuable. Trying to decide between a versiflex or PRP. Thanks.
Very good information and explanation, much more than I got out of two surgeons I have seen and have carried out tests on me.
Very good video! Thank you - I learned some things and I've been reading my own MRI's for several years now.
Love you sir
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
Is contrast necessary?
I do love it when doctors talk to each other
Thank you for the comments. That means a lot coming from a neurologist!
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!
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
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.
Hello, I am so happy for you!
I have the same thing like you!
Can you please tell what you did?
Awesome!!!!!! It all makes sense now. I see a lot of the stuff that you pointed out on my MRI imaging.. Thank you!
Excellent explanation. The best that I have ever seen. Thank you so much.
You are a wonderful teacher!
You explained this so well
Thanks. This video is completely helpful for the beginners
🌹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。
#在L4椎盤切面即L4L5椎體間的椎盤切面。離開L4L5椎體間椎孔的是L4NerveRoot
❇️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
中心椎管管徑正常爲20mm，13mm則視爲狹窄。
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
乃是切在比L4椎盤水平高度較上緣的L4椎體，而
此時可見8:19#Pedicle椎弓根
🌹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T2中富水組織呈白亮，因此可藉此區辨椎盤含水狀態，若是某節椎盤在T2呈較黑，則表該節椎盤退化較明顯，若是黑且扁，則意謂較嚴重脊椎關節退化疾患。
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
14:02
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
Very well presented!
Very clear and informative
Thank you sir
Oh my god you're amazing! Thank you for taking the time to explain it!
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.
Hi nick is everything well with u? What was it
Awesome lecture Sir..
Congratulations Dr Gillard, simply the best.
FANTASTIC! Thank you so much. I really learned a lot.
Great video! Thanks show much for the informative videos, they are priceless.
MRI technologist student about to sit my final. Your lessons have been great!! Tessa from New Zealand
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
Don
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.
Vielen Dank für die vorzügliche Erklärung. Sehr anschaulich und genauestens erklärt.
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.
Yup, my experience
Well done! Understandable. Thank you.
Very clear and simple explanation.thanks
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.
@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.
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.
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.
Very good explanation ,I love it.Thank you :)
Thanks for clear and to the point explanation. Much Appreciated. Thank You so much.
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
yoga
Thank you ! We can never fully appreciate what is happening in the lumbar without looking carefully at sacral instability.
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.
Thanks Alot Sir. It really cleared up many things for me.
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.
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.
Thank you for the CE update information. I always love your teaching style. Thank you.
thank you sir...it was really very helpfull and awesome teaching technique.
Awesome stuff ! Thanks for your effort !
Watched this several times.. thanks so much for this educational video.
Great video. Thank you Doctor.
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.
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.
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.
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?
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.
Thank you.
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.
nicely explained in simple way. good one
That was extremely informative.
Thank you very much. Very informative.
As an MRI Tech AWSOME Video.. NOW I have a better understanding of SPINE exams
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.....
This was very helpful. Thank you for posting.
I really loved your video! learning everyday! Thanks!
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!
I watched your video, and it was very very interesting! I'm Japanese but it was very easy to understand! Thank you very much!
Thank you for this valuable knowledge.
well informative video Doc.
thank you very much
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
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!
It drives me crazy when I go to a website and get peppered with ads and pop-ups. I vowed never to let that happen on ChiroGeek.com.
Thanks. Amazing at how many shade tree radiologists we have out there!
Amazing and informative - thankyou!
Thanks it really helped me understand viewing MRI. 👍😊
Thank you.
At 7:46 in figure 7 you changed the articular processes of L4 - L5.
Regards
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.
Douglas Gillard, BS, DC, Spine Researcher
+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?
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.
very helpful to me Dr Gillard thanks sir
Excellent video. Many thanks!
you made learning fun!! Thank you
Thanks for this information, it was very helpful
please we want your clear conception lectures on thoracic and especially cervical spine which is very difficult to interpreto
Very nice explained sir