Lateral Shift

  • In this episode: A lateral shift, sometimes called a lumbar list, is the presents of the torso shifted to the left or right relative to the hips. It can also be called an acute scoliosis and is most often due to a disk protrusion or herniation.

  • Chip Review @ (10:11): Old Dutch – Bar –B-Q

  • Trivia question of the week @ (08:00): From Scooby-Doo, what is Shaggy’s real name?

  • 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:

            A lateral shift is a visual shift in the spine to the left or right relative to the spine below. It is most common in the lumbar spine and is usually due to low back pain, a disk herniation or disk protrusion. Sometimes it can occur as a result of spondylolisthesis or scoliosis. A lateral shift can also be referred to as a lumbar list or an acute scoliosis.            

            In many cases a lateral shift is not painful. Or when a person has shifted their pain reduces. A lateral shift is not a diagnosis but it is a useful symptom when attempting to diagnosis.

            Most people will be able to reduce a lateral shift in a few days or weeks. However, the underlying cause (usually disk related) can continue to cause problems. More than 80% of people who experience a lateral shift will not need any significant medical follow up.

Other episodes you might enjoy:  

Spine Surgery Overview: Episode 80

Scoliosis: Episode 37

Low Back Pain: Episode14

 

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!!

To Subscribe, Review and Download select your preferred hyperlink below 

Apple Podcasts:

Google Play:

Youtube: 

Stitcher: 

Podbean: 

Spotify:

 

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

 

Stenosis: Episode 36

  • In this episode: Stenosis – basically it is narrowing of the spinal canal and it is quite common.

  • Chip Review: Funny-Frisch Kessel Chips Sweet Chili & Red Pepper Big Thank you to Liz Schneider for bringing these back from Germany

  • Trivia question of the week: Who was the shortest US president?

  • 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!!

Today we are going to be discussing stenosis and we will be reviewing the Funny-Frisch Kessel Chips Sweet Chili & Red Pepper. These chips have been delivered to us by Liz Schneider following her recent trip to Germany.
Stenosis, simply is narrowing of the spinal canal. Usually bone related but can be from other structures. Thickening of the ligamentum flavum is one. I just saw a great ligamentum flavum at the Museum of Technology in San Jose. They had a Body Works exhibit with Flamenco dancers. One of the dancers had her back opened and you could see the ligamentum flavum nicely.
The ligamentum flavum means yellow ligament. It runs along the inside of the spinal canal. If that thickens it will narrow the space and play a role in stenosis.
Stenosis is not a disk bulge, it is not disk degeneration, it has nothing to do with disks. Most people report Low back pain or Sciatica. The most common additional change you will see with it is a spondylolisthesis. This is when one vertebra is shifted forward of backward relative to the ones above or below it.
Sometime stenosis is referred to as shoppers’ disease. One of the classic symptoms is that you can walk for about 200 feet up to a half-mile the pain become to much and then you need a break. You will also see this as someone who has to bend or hunch over his or her shopping cart to prevent symptoms.
In almost all cases symptoms are reduced with sitting or other forms of spine flexion. This immediate reduction in symptoms is one of the tale-tale signs that someone is dealing with stenosis. This symptom pattern is known as neurogenic claudication.
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