![]() Have to be a little bit generous with my curve to make it But in this particularĬase, I'd say, it's fine. MAHADEVAN: I would say,Īgain, you've got the keen eye. So there is a problem right there at that junction. Obvious that there's kind of that disconnection But most people might- SAL KHAN: A gift, you might say. You've got a very keen eye and might have picked it up. SAL KHAN: So let's- theĪVBL, it looks pretty good. And it looks like thatĪlso is a little off too. Important teaching point, which is, if you seeĪny abnormality on a plane film on an x-ray like this, you stop. Any one of these that you don'tĪlign, that's enough to say, hey, do something else. SAL KHAN: And youĭon't even have to look at the other lines. And as you can see,Īt that junction, it's no longer smooth. Again, it should beĪ nice, smooth line or a nice, smooth curve. Something as subtle as that is what you're looking for. Spinal cord and their lives, by picking up an ![]() It's subtle on the x-ray, it could be seriousįor the patient. Would this count? I mean, this looks like it Learning the words too, talking like a doctor. Or if there's something,Īctually, Sal, now that you know how to readĬervical spine x-rays. The green and the blue line, that's actually where yourĪctual spinal cord runs. SAL KHAN: Which is a bigĭeal, because your spinal cord is running through there. Rule- if any of these aren't aligned the way And these two should generallyįall in a nice, smooth curve. Projections you can see if you look at theīack of somebody's neck. Of somebody's neck, are those little bumps MAHADEVAN: The next is, weĬonnect all the spinolaminar junctions. No piece of that vertebralīody should fall off of the line you've draw. And so same thing,Ĭonnecting a line up and down should be nice and smooth,įall off that line. Of the entire vertebrae, the vertebral body, which is Line that connects the anterior aspect, the front of all You're doing is, you're trying to draw a smooth Looked at adequacy of x-rays, for the neck, which is, There are always risks, but if you put your mind correctly to the rehab, you should be good to go again, or at least you will be mostly pain free. If you find the right surgeon, you will wonder why you didn't do this 3 years earlier, as your pain, motion and usage of your shoulder will be returned for the most part. You don't have to live with pain in your shoulder. I am greatly concerned that your current physician did not recommend such to you, especially that you say you are in great shape and would not be a poor candidate for surgery. Just because an Orthopedic surgeon is licensed by the state, does not mean that they are necessarily highly skilled at formulating a solution to your specific problems. Don't let a friend of yours do the surgery either. They haven't done enough of these type of specialty surgeries to create good long-term outcomes. Try not to use a general small town Orthopod. In most larger cities there are Orthopedic shoulder specialists. Be sure that whomever you pick for an Orthopedic Surgeon, if they recommend shoulder replacement, that you find one whom has done at the minimum 50-100 shoulder joint replacements. See an Orthopedic Surgeon about replacing your shoulder socket. X-rays provide a static visual snippet of a problem, but treatment must address the fact that a very dynamic living system is involved in maintaining or restoring healthy structure and function. Enzymes would be a plus for digestive absorption of protein and other nutrients, as well as for supporting the remodeling process. ![]() Ligaments don't get a blood supply like muscle/tendon, so long-term nutrition support, particularly vitamin C complex and minerals, would be needed as ligaments remodel and structure/function changes progress. Expanding ellipsoidal decompression can be used to help restore structural and functional integrity, along with nutritional support for connective tissue. The ligament laxity and dysfunctional movement of lower cervical segments will also promote degeneration. The head will tend to gravitate forward and the SCMs will gradually transition from flexing to producing some extension, contributing to degenerative change. There is a mild spondylolisthesis, not just loss of curve.
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