Common Spine Disorders | Degenerative Spondylolisthesis | Back Pain Prevention | TV8 Vail | CO

Common Spine Disorders | Degenerative Spondylolisthesis | Back Pain Prevention | TV8 Vail | CO

welcome back to good morning Vail
two inches of new snow on both mountains in the last twenty-four hours but right now we’re going
to switch gears and doctor dr. corenman. he’s with the steadman clinic and he specializes
in spine disorders and i’ve had my share of this and I think there is a
great majority of americans who do suffer from spine disorders – oh my
goodness it’s you know it’s estimated eighty percent of the population at one
time or another it’s a big deal it really is and it’s debilitating, whether
it keeps you away from work or the fun activities you like to do you
or just life in general yes and so today i thought we’d talk about one of these disorders that’s pretty interesting because obviously when you’re young you’re mom
tells you to stand up straight and you push your shoulders back but as we get older we start to bend
forward too and you can’t tell your mother to stand up straight obviously but what happens is there are certain
specific things that happen in the spine that force us forward I thought we’d talk about one of them
because it’s pretty interesting in my opinion that you know what i mean you
see that a lot more with older people and is there our way to prevent it
if they are a little more conscious of it there is but if you understand the mechanics
of the disorder then you can understand how to actually make it better
I find myself sitting up very straight as soon as you come into the room
okay so you have some slides that’ll show us a little about the anatomy and give us an idea of what is happening so walk us through this
okay this first picture uh… you see the white arrow pointing
to the side view of the spine and you can see in the center of the
picture there’s that long white canal and the arrow is pointing to the black
area and that’s a narrowing of the spinal canal this condition is a mouthful what’s
called a degenerative spondylolisthesis latin for an area of slip and narrowing but this condition creates pressure on
the nerves so if we can go to the next picture there we go, so what happens is
that unfortunately our spine wears out the discs themselves that small arrow
points to the disk starts to wear and the joints in back which i call the door
stops actually wear too and literally one vertebra slides forward on the other and so what what happens, next slide, is
that it narrows the canal and so this slide is interesting because our spinal canal actually changes in volume when you’ve bend forward and backward so the picture over on the left is when you
bend backwards and you see how narrow the canal can get and when you bend forward you
see the canal opens up so let’s go to the next picture so we have a normal posture you know
this is where people tell you to straighten up and you can see the head is sort of read
over the pelvis on the side there and the next picture what happens with this disorder is you
try to straighten your back out because it hurts to stand up so you end up with the posture where you have a bent
knee and a flat spine and that’s that’s the gist of the whole thing and
the next picture and this is what you look like you’re sort of bent forward your knees
are bent and it’s a real problem because every
time you try and stand up straight what happens is you crush those nerves nobody likes to have crushed nerves
-because that causes all that shooting pain right? exactly and so this disorder that you have is something that’s compensated for by
bending forward and these people can’t stand up straight
okay now is there anything we can do to help
prevent that this is a great disorder for a physical therapist because they
can work on what’s called core strength which we talked about earlier where you actually rotate your pelvis
and you tighten up your abdominal muscles and that flattens your back and flattening the back is exactly what
this is about if you do that you can walk straighter and you can walk further
it seemed like the back is always related to the core, so to always have those
working in harmony is what we should strive for – that’s the key
to be able to bounce quarters off our belly ok quick now we want to find out more about this and
the other work that you do what is the best resource uh the best resource i have a website if you go there you can learn about
anatomy and physiology, you can learn about treatments to take care of these things
it’s a pretty complete website ok perfect and if want to get out there, ski
longer, hike longer, golf longer checkout neck and back and check out the
research that’s done by doctor corenman from the steadman clinic we’ll be back
we’ll have more weather details with him

5 comments on “Common Spine Disorders | Degenerative Spondylolisthesis | Back Pain Prevention | TV8 Vail | CO

  1. Davidka1978Xoroshiy Post author

    Question for Dr. Corenman: what exercises tilt the pelvis for spondylolysthesis?

    core strengthening – got it.


  2. Magda100100 Post author




  3. Donald Corenman, MD, DC Post author

    Magda, you can ask Dr. Corenman general questions in his forum:

    AskSpineDoc (dot) com.

    If you would like to set up a private consultation please use the contact form:

    NeckandBack(dot) com/contact/dr-donald-corenman-md-dc

  4. Barbara Back Post author

    I was diagnosed with severe lumbar spinal stenosis in 2006, I am wandering can you get paralyzed from this?


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