When spinal fusion surgery is performed, the body compensates by shifting stress to adjacent areas, often creating new problems above or below the fused segment; effective treatment requires identifying and addressing the root cause through comprehensive spinal analysis rather than just treating symptoms.
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Deep Dive
He Had 11 YEARS of Burning Pain… They Told Him “More Surgery”Added:
Welcome to the office.
>> Welcome to the office, Fidel.
>> Thank you.
>> How are you doing?
>> Good.
>> Nice to meet you.
>> So, where are you coming from?
>> From San Diego.
>> San Diego. Why are you here from San Diego?
>> I got a back pain in my legs.
>> Back pain you said?
>> Yeah. But like you know when I walk it's not a pain like now I I drive long don't drive from my leg to here.
>> Okay.
>> So there is a I feel like here it's burning since >> burning local back pain. Does it go down your leg?
>> No.
>> It stays local. How many years you've been dealing with this?
>> Oh it's like 11 years.
>> 11 years. You've seen people for this?
>> Uh I mean before 11 years I I do surgery laminctomy into the back. Okay.
>> And they told me they're going to fix it.
>> So you had a laminctomy done in your low back. We're going to go over your X-ray.
>> Nothing around here.
>> You have hardware up there, sir.
>> No laminctomy. They did the surgery.
They say it's laminctomy surgery.
>> Okay. So why is there hardware? There's metal in there.
>> Oh, that's the same thing related.
>> So there's two Okay. So there's two different surgeries. Laminctomy is when they actually I'll explain the difference. So what what I see there before I continue I just want to clarify.
>> So a laminctomy the lamina these are the lamina of this of the vertebrae. This is the spinus process. So the theory of a laminctomy is they're going to cut this and remove this piece >> and by doing that allows the spinal cord and nerve to be free. Right. That's the theory.
>> Okay. So you saying you had that done?
>> Yes. But also they have put metal to hold the vertebrae together and and put bone chips in there.
>> Yes.
>> Right.
>> Yeah. First they try to this one front one to fix it and then they when they do this one they see it already. So I think you have to do that one too.
>> And it all happened at the same time or separate surgery?
>> Super surgery.
>> Yeah. So the first one they went in from the front to put in the the staples. The second one was that probably didn't work. So they went to the >> That's right.
>> Okay. That was 11 years ago.
>> Yes.
>> And have you had it? That's in your neck.
>> Yes.
>> Not your back.
>> But you were complaining right now about your low back.
>> Yeah. The problem I go for this one is there's no pain. I don't feel any pain.
But my leg is not going like it's dragging when I play ground. I used to play soccer. Now I just >> do once in a week ground tennis.
>> Okay. And then this one start dragging and then I didn't feel it then with my friends they told me >> you were dragging your right leg.
>> Yeah I can't like you know. So I go to the doctor which doctor he suggest me this doctor is sport doctor when he come going to do something. So I see the guy and then he told me you have to do this one. If this one is not working we're going to go to this one because you don't have pain only the burning stuff here and then here. So after Okay. So you had they did the neck surgery for your burning pain and your leg pain.
>> Yes.
>> Okay. Did that help?
>> The burning is gone >> in the hands.
>> This one is still there.
>> That is still there.
>> Yeah. Then then they said uh we're going to do another surgery and then I see.
>> What was the other surgery they wanted to do?
>> I mean that's why they said you have to check again and then we're going to go.
>> So exploratory surgery.
>> Yeah. So I say no, I'm not. So there was no real answer.
>> Okay, I got it.
>> All right, so that's your number one complaint.
>> Yes.
>> Okay. What else? Balance issues.
>> Balance issues. Yes. That's the main thing now comes recently >> like 2 years. It's most likely the balance is kind.
>> Stand up for me, sir.
>> When I drive long hours, um I can't sit.
>> Okay. Just put your hands on top of mine. Don't just barely. If you need it, raise your right leg. Raise your right leg. Right leg up.
Okay. Raise your left leg >> cuz we need to test something.
>> Yeah.
>> So, you're having more problem lifting the left?
>> No, the right leg is weak. That's why I can't lift this.
>> Okay. So, the right leg is weak. You're not able to plant. You're not able to stabilize. Okay. Ra now use my hands.
Raise your left leg and down. Raise your right leg.
Both are >> Yeah.
>> Okay. Have a seat. I just wanted something to test.
>> Okay.
>> All right. Okay.
Anything else I need to know? You've se besides the surgeon, you've seen Cairo physio, anybody?
>> No. No.
>> Okay. So, why are you coming to me?
because the one of my friend he told me he got a problem too and then he was in Yemen.
>> Okay.
>> So he they saw on YouTube and then always he said if you want to see this guy I want to see this guy and then now he talked to me you know we have to see this guy.
>> Okay.
>> And then I said okay what's his name?
See >> uh Aman.
>> Aman. So Aman from Yemen saw my video on YouTube.
>> Hussein. Am I'm sorry. Hussein. Hussein.
Hussein.
>> And he gonna come.
>> Okay. Well, you know, I'm also in Dubai.
He can see me in Dubai.
>> No, he's in the US now.
>> Oh, okay. Okay.
>> That's why he told me he's in San Diego.
>> Okay.
>> When he came, you know, I I just wanted to see this kind of one day. He said, "Okay."
>> So, he sent you as a as a test.
>> Okay, fair enough.
>> You ready to get started?
>> Yes, sir.
>> So, here's what we're going to do. We're going to go over your X-rays in detail.
Okay. I do see a few things going on.
So, number one is the back pain. Number two is the balance issues. You've had neck surgery, laminctomy, and um hardware put in there for stability. For whatever reason, I do see things above and below it, but I also see foundational in the tailbone.
>> I want to explain all that, examine you, figure out where we're going to start. I see you for a few visits and then we'll decide from there what to do.
>> Fair enough.
>> Okay.
>> In order to have a stable building, we need to have a level base and foundation. So, first thing is, do we have a level base and foundation? We're a little bit off. Okay, not too bad though. So, first thing we see is we have a short leg or a low leg 5 mm on the right side.
>> It is under 7 mm. So, it is within normal variant limits. Adjustments will hold no problem.
>> One millimeter of it is coming from the tailbone. Now, on the on the pelvis and the foundation, it's just a tiny bit off. Okay. Now, what does that mean? The left pelvis goes pi down four and in three. So, if the left one goes down, the right one goes up. The left one goes in, the right one goes out. So, the overall effect is your foundation wants to go slightly to the left side, >> but your short leg wants to bring you to the right. That's part one of the imbalance. Yeah, >> this is a tailbone injury and these are old tailbone injuries that produce compensations in the spine that you are now feeling today. And number one is when we look at the tailbone, it should be a smooth arc. We have a big nub here S3 S5 coxix.
So this is the first piece of the puzzle. And why this is important, the spinal cord ends up here at L1. It becomes a string and it inserts into the tip of the coxix.
Yours is misaligned forward which causes a loosening of the toe. It's part of your imbalance. So we have a coxix issue. We have an S3 issue. These are more significant for your stability. We should see a good ch. Hoping we'll get a good change today. Okay. So S3 S5 coxix. Now as we go up the spine you can see it ve it deviates slightly to the right it comes back then it comes back you have some calcification here and here body is trying to stabilize now this is where the party starts so when we're talking about your legs okay have I seen cases where an upper cervical can cause uh the leg yes absolutely uh you had four five or five six7 fused okay I see something or four five I see something a little bit higher and I'll explain it. So, let's zoom in a little bit and let's see.
Okay. Well, they did a good surgery, but the problem is above and below. Okay.
So, let's go over here to the neck and let me show you what I'm talking about.
Okay.
When we're looking here, this is two.
This is three, >> four, five, six. So, this has all been butterfied together. They put some bone in there, >> but C3 is your issue. And C3 has been there a long time and it's forming this hook >> because this has all been fused. This has become hyper mobile. But this was one of the main issues to begin with.
>> Okay. And so that's what we have to we're going to have to address. So I see C3 as your issue. And then I see upper cervical. So 3 2 and 1 3 2 1 is what we have to look at as to your upper cervical. And if my suspicion is correct, if I'm finding a lot of pressure at three, there is a potential possibility that that is the one that's actually causing some of your symptoms. We'll know today. We'll see.
Okay, >> let's look at your posture from the bottom. So the other part of this is your posture. When we're looking at your posture line, this line should be going through the base of the neck here. Okay, you have what's called a sway back.
So, we want to see what's going to bring that forward. 543 probably L2, but we'll deal with that when we get to it. Your discs are great. We need a little more curve in your spine. The take-home message here, this is foundation down here, and this is C3 and above. Okay, >> that's what it's ready to get started.
Yes.
>> Starting at the base head down, my friend.
And the first thing we're getting is actually his third cervical.
C3 right side. C2 left side.
C3 right side.
C2C1.
Let's see how the middle is doing.
Sit up straight, sir. Good.
starts to deviate to that right, comes back left. It doesn't stop. It goes, goes, goes all the way down to Cox 6 S5.
Yep, there it is. Cox 6ix S5, my friend.
And three and two. That's what I'm finding.
Yeah.
Let's go ahead and feel what's going on in your low back first. Feet together.
Open and close your knees with your feet touching. Open and close. Good. Open and close. Checking sacral iliac joint motion. Do the right side only. Right side. Right knee. Open and close.
When he does the right, left is okay. Do the left side, please.
There's a little fixation on that right side. Now let's check low back. This is number five. Come back for towards me.
Five. That's one. Tender.
>> That's two.
>> More.
>> Yes.
>> That's three.
>> More. Right. That's four.
>> More tender than three.
>> Yes.
>> Yes. This is four.
Going down. One more. Five.
Right there.
You feel that one?
>> Yeah.
>> Right there. That's five.
That's five.
All right. Sit back for me, please.
Center on the chair. All the way back.
Scoot to the right a little bit, please, sir. There you go.
Come back. That's two.
That's three. You feel that one, right?
>> Yes.
>> Okay. If I go back, bend to the right. Bend to right there.
Right there. Bend to the right. Bend to the left.
You feel that one?
>> Yes.
>> That's the one.
>> C3 and S5X.
That's where we're going to start. All right. Before we do that, stand up and let's see you walk, dude. All right.
Walk to the end of the room, please, and back. Let's watch his walk. And you can see it's a very unstable walk. When he's walking, hips move up and down.
It's very unstable.
Okay, have a seat, my friend. Let's get started. So, here's the game plan. We're going to do your third cervical here.
This one first. It pinches on the left, but it shows as a right. So, I'm going to test it one more time. The thing goes down one. We'll do C3 and then we'll do that coxix. Then we'll watch you walk.
Okay, that's two.
That's three.
That's three on the right. That's three. No, it's left.
We're going to be on the left lamina. Chin down. Come back all the way, my friend. Good. And we're going to go left here. Let me do it. I got you the whole way, sir. And if it's gone right, we're going to turn a little bit there. Look up a little bit.
That's the home run, baby.
Little different.
>> Yeah.
>> Stand up. Check it out.
Walk.
Walk it out.
Walk it out.
And then let's go over here face down and let's do the tailbone.
All right. Slide up a little more, my friend.
>> Yep. There you go. Open the legs a little bit right there. Good.
That's it. Hands forward. Hold on here, my friend. And we're going to do I'll be on the boxers on the outside. I'm going to be down on the cockpits.
We'll do it as an anterior lifting it up and then I'll shoot it across. Let's tighten it up a little more.
Gotcha.
Now we're going to do a little more this way.
There you go.
All right, let's bring you up.
And let's walk over one time.
Keep walking, my friend. Anything feel different for you right now?
Uh like sometimes when it's freezing when I sit up and then stand let me go walk from the same.
>> Is that what it feels like right now?
>> Yeah.
Because when I stand like 20 30 minutes I can't walk. It's just freezing. So I sit up and then start walking.
>> Let's go here on your left side. Let me do a little more of your low back. Lie down on your side.
Little bit more.
Little bit more there. Gotcha.
Okay, come on up.
All right, my friend. One more time.
Walk it off once and come back.
All right.
Back over here. Starting at the base.
Neck is clear.
Clear.
That's where we're going to start. Sit forward, my friends. Scoot forward.
Move your butt forward.
And I want to retest to see. Sit straight.
Back towards me. That's five.
That's one.
That's two.
That's the one that started hurting.
Three. Different.
>> Four.
Different. Five.
Good.
That's where we're going to start. Okay, sir.
>> Now, let's just buff out that low back a little bit.
So, this is going to be a a good good journey for us. Okay. We're going to see how you do a couple visits. And what I'm looking for with you is anything different.
>> Okay.
>> I don't you've had this going on 11 years. That's okay. But you've had also some uh invasive surgery done. So, I did find the pressures. We started to release it today. Let's see how you do.
I'd like to see for a few visits, not more than three days apart.
>> Okay. I know you're from San Diego. Is what it is. Okay. Stand up for me, please. Now, what I'd like you to do, stand over here.
Hands on top of mine if you need it.
Raise your right leg.
Raise your left leg.
Okay.
It's all right. It's okay. Use my hands.
Raise your right leg.
>> Oh, right.
>> Mhm. Use my hands if you need it.
>> Raise your left leg.
>> Okay. Get power in that leg.
>> Okay. Any questions with what I found or did today?
>> No.
>> You're clear on what I did today? Okay, sir. Welcome to the office. All right.
Thank you.
>> I'll see you in a few days.
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