Laminectomy/Laminotomy: Episode 82 

  • In this episode: What is the difference between a Laminectomy and Laminotomy and when are they used.

  • Chip Review @ (07:29): Deep River – Mango Habanero

  • Trivia question of the week @ (05:16): What is a group of hippos called?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

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Brief overview of the episode: 

            Laminectomy and laminotomy are both used to increase space around a spinal nerve. They are both forms of spinal decompression.
            Laminectomy is a complete removal of the lamina which is a part of the spinal vertebra. This procedure can often be on it’s own but it is often done in conjunction with a fusion. A fusion is done because the full removal of the lamina can lead to instability, specifically anterior instability known as a spondylolisthesis.
            Laminotomy is a partial removal of the lamina. This opens up space but maintains stability. This procedure is usually done without any additional surgical intervention.
            Both are typically done when stenosis is present and non-surgical treatment has not provided adequate pain relief. It is always a good idea to purse all non-surgical options prior to committing to a spinal surgery because at the end of the day you can’t put the lamina back.

 


Other Episodes you might enjoy:

Pain: Episode 29

Discectomy: Episode 81

Stenosis: Episode 36

 

Thoracic Outlet Syndrome: Episode 70

  • In this episode: Thoracic Outlet Syndrome (TOS) is compression of nerves or blood vessels near the neck and shoulder resulting in pain, numbness, weakness and sometimes cold and blue hands or fingers.

  • Chip Review: Bohemaia – Paprika (Thank You Susan Jerman) – (13:23)

  • Trivia question of the week: What bone are babies born without? (10:43)

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

To Subscribe, Review and Download select your preferred hyperlink below

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Brief overview of the episode:

            Thoracic Outlet Syndrome (TOS) is compression of the blood vessels or nerves resulting in pain, numbness, weakness and sometimes cold and blue hands or fingers. Compression is of the brachial plexus (a nerve bundle around the neck/armpit area, think sciatic nerve but of the arms) or the subclabian artery or subclavian vein.
            Signs and symptoms include numbness in hands and arms, pain in neck/shoulder/arms, hands, weak grip, possible muscle wasting in the hands (usually at the thumb). There can also be swelling in arms and hands, discoloration and or cold hands, weak pulse and sometimes throbbing near the collarbone.
            Causes of Thoracic Outlet Syndrome are trauma, repetivie motions, backpack or similar providing an external pressure, posture or anatomical changes and pregnancy. TOS is most commonly seen in females, about 70% of cases, and with individuals aged between 20-50 years of age.
            Typically with physical therapy symptoms can be lessened or reduced entirely. However, on occasion surgery is performed.

Other episodes you might enjoy:

Radicular Pain: Episode 22

Biceps Tendonitis: Episode 24

Intro to Rebound Therapy and Wellness Clinic: Episode 1

Cervicogenic Headache: Episode 10

Upper and Lower Extremity Posture: Episode 8

 

Whiplash: Episode 69

  • In this episode: Whiplash is the mechanism of injury not a diagnosis. There are Whiplash Associated Disorders (WAD), and they are the much more common, strain, sprain, disk issues, fracture etc…

  • Chip Review: Aloha Edibles – Furikake Potato Chips (Thank You Khem) –  (10:20)

  • Trivia question of the week: Hawaii is the only state that grows this agricultural product? (8:49)

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

To Subscribe, Review and Download select your preferred hyperlink below

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Youtube: 

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Podbean: 

Brief overview of the episode:

 

             The biggest take away from this podcast is that we want people to understand that whiplash is a mechanism of injury not a diagnosis. Whiplash is defined as; the head moves backward then forwards suddenly. This is most common with a rear-ended motor vehicle accident (MVA). But can also happen during sport, a fall, amusement part rides or really anything where the head changes quickly. Whiplash will result in what are known as whiplash associated diagnosis (WAD).
            WAD will include sprains, strain, disk issues, fractures, concussion, neural issues and any other possible cervical related diagnosis. Most individuals will experience a delay in symptoms following the accident of about 24 hours. The immediate fight or flight response typical causes people to feel Ok immediately following an MVA. In many cases people will wake up the following morning with neck pain, stiffness and ROM loss. There can be headache as well as radicular symptoms with more sever cases.
            If a fracture is suspected or you have immediate numbness or tingling in the extremities please do not delay and head right to the emergency room. It is extremely important to rule out fractures as soon as possible. As TV and movies have shown over the years, a cervical collar has been prescribed to most people following a whiplash related injury.
            What the evidence is finding is that immobilization is one of the worst things you can do when you have a stiff, sore and painful neck (when there is no fracture or neurological injury). The best home treatment is to move the neck within your pain free range and work to increase you range of motion as able.

 

Other episodes you might enjoy:

Radicular Pain: Episode 22

Cervicogenic Headache: Episode 10

Shoulder Pain: Episode 4

 

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