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.

  • Thanks for listening!!

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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

 

Morton’s Neuroma: Episode 49

  • In this episode: Morton’s Neuroma. Pain in the forefoot and between the toes, sometimes numbness and/0r tingling. Usually related to tight footwear. (01:06)

  • Chip Review: Pop Chips Potato – Crazy Hot, Thank you to Skylar and his Mom (12:45)

  • Trivia question of the week: What names were given to the three tunnels in the movie The Great Escape? (11:10)

  • 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!!

Morton’s neuroma symptoms, typically pain in the foot, worse with shoe wear or boot wear or stake wear, any kind of compression of the foot. It is most common in middle age. More common in women, but that could just be footwear related. Most commonly seen a the 3rd digital nerve. However, any of the digital nerves are possible. More or less the middle of the foot.
A neuroma is typically caused by an enlargement of the nerve ending, almost like a benign tumor of the nerve ending. This enlargement then causes compression, which results in pain, numbness, and/or tingling. Historically surgery, minimally invasive, to remove the growth was an early treatment option.
Much more recently physical therapy treatment and other non-surgical options have been found to be as if not more effective. Intrinsic foot strengthening, getting the muscle of the foot stronger as well as doing a shoe assessment and looking at the daily activities that are causing pressure on the forefoot are the places to start working to correct.
Generally speaking unloading the forefoot will help. Djimmer has been using a very simple taping technique where you pinch the bottom of the foot together. This causes the top of the foot to open up and reduce the pressure on the neuroma. 99/100 times this will relieve the neuroma. This is a temporary solution but it allows for patients to be comfortable and then work on strengthening, balance and the other aspects of treatment.
If taping is helpful often times an off the rack orthotic will be appropriate. You don’t always need a $3-400 orthotic custom made for it to be affective. This is something you can cut to length and move from one shoe to the other.
Shoes and getting shoes that fit properly is one of the easiest and quickest ways to help yourself. Reducing pressure on the forefoot is going to be the primary cause of a Morton’s neuroma so reducing that pressure is part of the long term solution.

Other episodes you might find useful:

 

Stress Fractures: Episode 43

Foot & Ankle Health with Dr. Mohammad Rimawi: Episode 40

Plantar Fasciitis: Episode 11

Ankle Sprain_Inversion Type: Episode 3

 

Patella Femoral Pain Syndrome: Episode 32

  • Patella Femoral Pain Syndrome (PFPS). Pain behind or around the knee without any other specific intra-articular pathology.

  • Today’s Chips: Kim’s Magic Pop Brown Rice Chips – Smoked Paprika compliments of Jamie and Pippa

  • Trivia question of the week: What is the most common non-alcoholic drink in the world?

  • 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!!

 

This is the last week to make donation for the Fight for Air Climb. Thank you to everyone who has already supported this wonderful cause!

To learn more check out: https://action.lung.org/site/TR?fr_id=17508&pg=entry&_ga=2.8921013.1498938364.1547918000-523393982.1547225137

Team Grover: https://action.lung.org/site/TR/Climb/ALASW_Southwest?team_id=148799&pg=team&fr_id=17508

To donate: https://action.lung.org/ffaClimbFY19/dashboard.html?pc2_page=center&fr_id=17508

Live from Chicago, O’Hare airport. It’s been a pretty wild day. It has been a pretty wild day. We took a little bit of a trip. We are not in Denver anymore. Today we are probably going to talk about Patella Femoral Pain (PFPS). Maybe a little, and then we are going to review Kim’s Magic Pops, Brown Rice Chips, Smoked Paprika flavored. They actually survived the trip. Sort of survived.

This has been a good day so far. Got up early and caught a flight to Chicago. After it snowed a foot of snow, in Denver. Yeah or 1-3 inches, but whoever is counting. Yeah something like that. It was pretty impressive. Flight went out no problem, flew pretty quick. Got in to O’Hare. Picked up by friend of the show Dave. Shout out to Dave, thank you. Mr. Stokes we appreciate it very much.

Then we caught the Elmhurst verses Hope College lacrosse game. Which was a dozy. Yeah, it was a tale of three quarters and one quarter. Three quarters of pretty even play, then one quarter where Elmhurst just whooped us. Final score was 14-9. Second quarter was 8-2 in favor of Elmhurst. Captain of the Elmhurst team Quinn Stokes played a solid, solid defensive game. Yeah a great game from Quinn.

So now we are currently sitting at the airport waiting for our flight to Colorado, back to Denver. This is not our usual controlled, studio quality, recording here today. I actually kind of like. Yeah it is kinda nice, more relaxed.

Patella Femoral Pain! Pretty, pretty, pretty common. It is basically pain behind or around the kneecap that has no other definable pathology http://reboundclinic.com/knee-pain-physical-therapy-treatment/ . Tendinitis, bursitis, plica syndromes, Osgood Schlatter’s disease, Sinding Larsen’s disease, which is Osgood-schlatters but of the inferior-patellar pole instead of the tibial tuberosity. Which is a great fun, never seen diagnosis. That gets talked about all the time.

A lot of the patella femoral diagnosis’s are related to patella femoral tracking issues. Which we see a lot of in adolescents and kids. With the youth population you will see a lot of muscle imbalances. Patella femoral issues are more common in females. Almost 2:1.

Pain: Episode 29

  • Pain is something everyone experiences. Pain is unique to the individual and is difficult to quantify.

  • Today’s Chips: Kettle Brand – Salt and Fresh Ground Pepper – Thank You Judy Kay!

  • Trivia question of the week: What is the coldest temperature ever recorded in the contiguous United States?

  • 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!!

 

 

Rebound Therapy & Wellness Clinic has joined Team Grover for the Fight for Air Climb on March 3rd at Republic Plaza. This event raises money for the American Lung Association.

To learn more check out: https://action.lung.org/site/TR?fr_id=17508&pg=entry&_ga=2.8921013.1498938364.1547918000-523393982.1547225137

Team Grover: https://action.lung.org/site/TR/Climb/ALASW_Southwest?team_id=148799&pg=team&fr_id=17508

To donate: https://action.lung.org/ffaClimbFY19/dashboard.html?pc2_page=center&fr_id=17508

 

 

Today we are going to be discussing pain. That is a painful topic. We are going to review Kettle Brand Salt and Fresh Ground Pepper chips. Krinkle cut, Kris Krinkle cut? That is Kringle. Oh, yeah that would not work then. No that is different, easy to confuse. I can understand that.

 

Pain is an interesting thing. It is just your mind perceiving something. We all perceive that differently. Everyone is going to experience that a different way. When someone says that this is the worst pain I have ever felt, that could be true. There is somatic, visceral, chronic, acute, bone, muscle, radicular ( http://reboundclinic.com/radicular-pain/) to name a few.

 

The infamous scale right? The zero to ten scale. Zero no pain, ten the most pain you have ever had. People are always concerned about getting that one right. There honestly is no wrong. It is a relative scale. It is relative to you, to you only. If we ask you this week, you might be a zero and next week you might be a ten or a one. We are more concerned about the change in pain or establishing a baseline.

 

What is you pain level like today Djimmer? Zero. So if we start exercising and his pain goes up to four. Then maybe it is time to stop, or we are doing the wrong exercises.

 

We are also required to document this for insurance. Yeah that is where the whole scale came in. It is semi objective. There is also the Wong-Baker Faces scale. Which goes from happy face to really unhappy face.

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