Hey y’all, it’s jo and my assistant with me today is bailey again. and today i’m going to be talking about your piriformis. So lots of times I hear people say they’ve got that sciatic nerve, well actually everybody has a sciatic nerve, but you can have pain coming from that nerve, and a lot of times that piriformis muscle is causing the pain. So we’re gonna show you some stretches to stretch out your piriformis and hopefully get rid of that sciatic nerve pain. Alright let’s go on to our backs. Here we go. I think.
We’re gonna maybe move bailey out of the way. in the first stretch for your piriformis is a pretty simple one. A lot of pictures you may get from your therapist will actually show one leg down, I actually like for you to have it staying up so you can prop your foot over it. So your gonna make almost like a figure 4 with your legs and then what you’re gonna do, the side that’s hurting, so my left side is hurting, I’m gonna cross that leg over. And what I’m gonna do is I’m gonna bring my knee with my opposite hand towards my shoulder.
Over here. so i’m pulling this leg up and across my body. and what you wanna do same kind of thing with all the stretches, you wanna pull and you wanna feel a stretch under there. Soon as you feel a really good stretch you wanna hold it for 30 seconds. So remember up and across the body. Just coming up is not gonna get that piriformis stretch. But coming up and across the body like I’m trying to bring that knee towards my shoulder. Holding it there for about 30 secondsa real 30 seconds. And then coming back down and you wanna do.
That 3 times. now the next one to do, sometimes this is a little harder for people, but what your gonna do is your gonna keep that same figure 4, and what your gonna do is your gonna take your hands and on the opposite side that it’s hurting, so the hurting side is still up crossed over it’s still my left side. I’m gonna take my hands and put them underneath my thigh, and I’m gonna bring my leg up, and I’m gonna pull until I feel that stretch underneath there. Now some people might have a hard time grabbing on to their leg here, so again you.
Can use your belt, or your dog leash and put it under, around your leg, and pull up towards you like this. Same kind of thing, you want to hold that stretch for 30 secondsbye Bailey, we’ll see you later and then 3 times each. Alright, so now you’re gonna bring that down getting it nice and stretched. For those of you that need a stronger stretch, those might not be stretching it out quite as much, what I’m gonna have you do is I’m gonna have you turn over. And what your gonna do is the side that’s hurt again, my left side, I’m gonna.
Bring my leg up across. now as you can see, this is something you have to be pretty high level, pretty flexible to do, but it’s gonna get a fantastic stretch. So your gonna put your knee over across your body, and bring your body down. So it’s almost that same concept, you’re bringing that knee towards the opposite shoulder, but what you’re doing now, is you’re using your body weight to bring it down. You can stretch that back leg as far as you can. You can bring your arms down, but that knee is essentially going towards that opposite.
Shoulder. 30 second stretch, 3 times each. alright and there you have it. those were your piriformis stretches. So if you had some pressure on that sciatic nerve, hopefully that will loosen it up a little bit. So if you like my hair, or if you like the stretches, please click like and leave me a comment. And if you’d like to see some more stretch tutorials, or if you’d like to go see some educational tutorials, please go to AskJo . And remember, Be Safe. Have Fun. And I hope you get to feeling better y’all!.
L5 S1 Fusion TLIF Back Surgery Tutorial O Arm CT Vail Colorado
This is corenman and we’re going to talk about a transforaminal lumbar interbody fusion using minimally invasive micro surgical technique stealth and the O Arm this is a typical picture of a very degenerative L5 S1 disc.
The disc has collapsed and you can see black vacuum phenomenon this is the MRI finding where you can see the lowest disc is much collapsed compared to the ones above with bone signal changes indicating stress fracturing this is a discogram where the two discs above the degenerative disk obviously normal with a cotton ball appearance and the L5 S1.
Disc is quite degenerative this is the technique of the pedicle screw insertion we start first by putting a small frame on the spinous process which you can see protruding out of.
The blue sheets there we cover it with a clear sheet in order to protect the sterility of the field this device is an O Arm it’s an intro operative CT scanner and this device can lend us images not only front to back and side to side but top to down which.
Makes surgery much safer and much easier for insertion of the screws we’re going to watch how this CT works the light on top comes on and you’ll see this image spin around and this is the actual CT scan and how long it takes.
This ct is onethird the typical exposure of a standard CT performed in a here are the tools that we use in order to identify the levels the incisision has alread been made that device that is protruding out is attached to the spinous process the device I am and holding identifies the level that we are at after identify.
Where the screw is going to be inserted I use a small burr to create a starting hole once that starting holes is created then i use a tool called a pedicle finder or pedicle.
To find the pedicle and this is done under direct visualization you’ll see here that this device that i have has these balls attached and these balls reflect off of a frame and is very similar to a GPS device you can actually insert.