Caller was told he needs a spinal fusion. He does not. Watch how we figure it out.

0:00 - Nobody wants a spinal fusion unless it's absolutely necessary. Here's how to be sure you need it.
01:19:23 - Epidural injection can be done 2 ways: interlaminar or transforaminal.
01:24 - Interlaminar injection is no longer widely done due to the risk of a dural puncture and spinal fluid leak.
02:21- Low back pain from a facet is typically mostly in the back,
02:27- Radiates to the butt. Feels like it’s in your hip.
02:32 - And burns in the outer thigh.
03:12- If you put your hand in the middle of your low back at your hip level you are at L4/5.
05:39 - The foramen is the small hole through which a nerve root passes as it leaves the bony spine.
06:31 - The key is to match up what you are feeling with the change seen on the MRI.
07:16 - Epidural injection is not specific, meaning it relieves pain no matter the cause. But only for a short time.
07:59 - The standard treatment for low back pain due to an inflamed facet joint is radiofrequency ablation.
08:29 - Radiofrequency ablation is effective in relieving 80% of low back pain in 60% of people for an average of 10 months.
11:17 - Phoenix spine and joint gets you in to the right doctor at the right time.
11:52 - You can’t exercise stenosis away, but you can often treat facet pain with exercise.
12:58 - Low back pain due to facet swelling is not an indication for fusion surgery.
13:40 - Tapping in a thumb tack with a sledge hammer.
14:03 - Artificial discs are a treatment for discogenic low back pain with Modic changes on MRI.

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