Face Of Sciatic Nerve Surgery

Anterior Cervical Decompression and Fusion ACDF Live Spine Surgery Tutorial Spine Surgeon

hello this is corenman we're goingto go through a tutorial and animation of an anterior cervical decompressionand fusion C six seven here you see a side view xraylateral xray where there's an angulation and here yousee the MRI with the herniation at the base of the spine this is a normal level transversely and the next picture will be thehernaited disc where you see it's compressing both the cord

as well as the two holes the nerves exit we first start with a small transverseincision on the side of the neck point and we disect directly onto the anterior part ofthe neck we put in these two small distractionpins called caspar pins that allows us to pull the vertebraapart to its normal height typically thesevertebra have collapsed at least half way this is a picture of what the annulusitself looks like in a live tutorial you can see this little penfield goinginto the tear that tear obviously should

be attached to that vertebra but thispatient has torn off their annulus we then take off the anterior aspect of the annulus and this tutorial depicts howit's done in a simple matter and we'll see how we do it using a typical eleven blade here is the little tiny scalpel

that goes in and removes this annulus the nucleus is missing in this patientit had actually dissolved away and the rest of it went tothe back of the neck compressing the nerves here we see a small tool removing this portion of the annulus we then remove the spurs

on the front portion of the neck so we can get the two vertebra parallel and have a good spot to dock our plate in addition it allows us to be able toknow the depth of the graft that we need here we see aburr taking off theses spurs once we have the spurs in the frontremoved we then need to remove the spurs thatoccur within the disc itself and we see this little dremel typedevice the burr removing that bone

and here we see a live version of thesame thing where the burr actually takes the spuroff the bone and we need to have the end platesparallel because the end plates in a typicalcervical vertebra have some curve to them and in order to be accepting of a good placement of a graft we have to take these end plates down we then curette the cartilage that sits on each endplate

How To Massage Sciatica To Reduce Leg Pain Massage Monday 226

Hi everyone. This is Yasuko and it's timefor Massage Monday. This week I'm going to talk about how to selftreatsciatica or more accurately pseudosciatica using a lacrosse ball or Thera Cane. I oftenhave clients come in with quot;sciaticaquot; issues with a pain shooting down from the hip tothe leg and even numbness in the leg. So what is sciaticaé Sciatica is an inflammation ofsciatic nerve that runs through the hip and down the side of the leg or the back of theleg. The common symptom is the radiating pain from the hip all the way to the leg. Medicallyspeaking it is caused by a pinch of the nerve in the lower back by herniated discs or bonespurs which can be medically treated by a

surgery as a last resort. However, this pain that shoots down the legmay be caused simply by tight gluteal muscles, the muscles in the buttocks, specificallyby the trigger points found in gluteus minimus. Let's call this pseudosciatica because it'snot really sciatica but has the similar pain like the real sciatica and it makes it hardto get up from the chair or stand straight. Trigger Points are the tight spots in musclesthat are stuck in a contracted state and forgot to release. They are sore or painful to touchbut they also cause pain elsewhere called referred pain. This is what I mean. In thiscase, the X's are the trigger points in gluteus

minimus and the red areas are the referredpain. When you loosen these trigger points the pain in the red area will be gone. Thesetrigger points can be created from various reasons such as sitting crooked for a longtime in front of the computer, TV, car, airplane, especially if you keep a wallet in your buttpocket, or from playing sports like tennis, walking, running, swimming, and cycling fora long period of time. To treat the trigger points first find thehip bone. Then go down on the side of the hip to find the greater trochanter which isthe big bump on the top of the thigh bone. The gluteus minimus is located between theselandmarks. It is the deepest layer of the

gluteus muscles. You can also lean side toside and feel the muscles contracting as you lean to the target side. Then put a lacrosseball on the muscle and lean against the wall and roll it over the tight spot for 10 timeswhich should take no more than 20 seconds. You don't want to do it too long because itinvolves some pain and you don't want to bruise the muscle. If you are working on the rightside, stand on your left leg. Or almost lift your right foot to loosen the target muscle.When you massage the muscle should be relaxed and loose so you can dig deeper. As you sawthis muscle gets contracted and tight when you put on your weight on this side. If youhave a pain on the side of the leg, look for

a painful spot more towards the side betweenthe hip bone and thigh bone. If you have a pain in the back of the leg, look for a painfulspot towards the center of the glutes under the hip bone. If lacrosse ball is too hardand painful, you can use a tennis ball. You can also use Thera Cane if you have one.With Thera Cane put the ball on the tip on the gluteus minimus from behind, hold it withboth hands in a comfortable position, lean to the other side, and press on the tightspot for 10 times. BTW if you don't have Thera Cane it's a great selfhealing tool. I'llput the link below. Repeat this treatment three to six times aday every day to see the results. If you tend

to sit in front of the computer for a longtime and if that's causing this problem it's a good way to take a short break because itshouldn't take more than 20 seconds. Remember only do it 10 times at a time. Besides the daily selftreatment I highlyrecommend working with a massage therapist in your area who knows and believes in TriggerPoint Therapy who can treat you and check if you are doing it right. If you have a pain in your body and want tofind out if Trigger Point Therapy can help, let me know and I will cover in the futuretutorials. Holistically speaking I would avoid

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