Sciatic Nerve Surgical Exposure

Sciatic Nerve Pain Stretches Exercises Ask Jo

Hey y'all, it's Jo and my assistantwith me today is Bailey again. And today I'm going to be talking about your piriformis.So lots of times I hear people say they've got that sciatic nerve, well actually everybodyhas a sciatic nerve, but you can have pain coming from that nerve, and a lot of timesthat piriformis muscle is causing the pain. So we're gonna show you some stretches tostretch out your piriformis and hopefully get rid of that sciatic nerve pain. Alrightlet's go on to our backs. Here we go. I think we're gonna maybe move Bailey out of the way.In the first stretch for your piriformis is a pretty simple one. A lot of pictures youmay get from your therapist will actually

show one leg down, I actually like for youto have it staying up so you can prop your foot over it. So your gonna make almost likea figure 4 with your legs and then what you're gonna do, the side that's hurting, so my leftside is hurting, I'm gonna cross that leg over. And what I'm gonna do is I'm gonna bringmy knee with my opposite hand towards my shoulder over here. So I'm pulling this leg up and acrossmy body. And what you wanna do same kind of thing with all the stretches, you wanna pulland you wanna feel a stretch under there. Soon as you feel a really good stretch youwanna hold it for 30 seconds. So remember up and across the body. Just coming up isnot gonna get that piriformis stretch. But

coming up and across the body like I'm tryingto bring that knee towards my shoulder. Holding it there for about 30 secondsa real 30 seconds.And then coming back down and you wanna do that 3 times. Now the next one to do, sometimesthis is a little harder for people, but what your gonna do is your gonna keep that samefigure 4, and what your gonna do is your gonna take your hands and on the opposite side thatit's hurting, so the hurting side is still up crossed over it's still my left side. I'mgonna take my hands and put them underneath my thigh, and I'm gonna bring my leg up, andI'm gonna pull until I feel that stretch underneath there. Now some people might have a hard timegrabbing on to their leg here, so again you

can use your belt, or your dog leash and putit under, around your leg, and pull up towards you like this. Same kind of thing, you wantto hold that stretch for 30 secondsbye Bailey, we'll see you later and then 3 times each.Alright, so now you're gonna bring that down getting it nice and stretched. For those ofyou that need a stronger stretch, those might not be stretching it out quite as much, whatI'm gonna have you do is I'm gonna have you turn over. And what your gonna do is the sidethat's hurt again, my left side, I'm gonna bring my leg up across. Now as you can see,this is something you have to be pretty high level, pretty flexible to do, but it's gonnaget a fantastic stretch. So your gonna put

your knee over across your body, and bringyour body down. So it's almost that same concept, you're bringing that knee towards the oppositeshoulder, but what you're doing now, is you're using your body weight to bring it down. Youcan stretch that back leg as far as you can. You can bring your arms down, but that kneeis essentially going towards that opposite shoulder. 30 second stretch, 3 times each.Alright and there you have it. Those were your piriformis stretches. So if you had somepressure on that sciatic nerve, hopefully that will loosen it up a little bit. So ifyou like my hair, or if you like the stretches, please click quot;likequot; and leave me a comment.And if you'd like to see some more stretch

tutorials, or if you'd like to go see some educationaltutorials, please go to AskJo . And remember, Be Safe. Have Fun. And I hope youget to feeling better y'all!.

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

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