MRI में स्लिप डिस्क या फ्रैक्चर देख कर डरो नहीं, परेशान मत हो, इसका इलाज करो, जोकि संभव और आसान है

don't get misguided by MRI films or the reports rather use it for deciding your manual therapy technique, so I'll be discussing three simple cases, but very rare cases, please pay full attention to it, and I'm sure it's going to help you a lot, when you see the MRI fils three rare cases I'm going to discuss with you, and I'm sure you will enjoy it. So pay full attention to it. Once again hello this is Professor Dr Deepak Kumar, from Capri Institute of manual therapy. Because many times there are people, who walk in with the MRI films and reports and they insist clinician, to see those films first, and many times when clinicians see those films, they say, oh my God there's a fracture, there's a huge disc bulge, there is a spondylolisthesis and nothing can be done, and surgery is the only answer or nothing can be done at all I'm sorry nobody can help you. So I'm going to show you three such cases which will be eye opener for many of my friends and in future when you receive recive such cases don't refuse them for treatment rather accept them, try at least, and maybe you will be helping them. So, the very first case I'm going to show is the 92 years old male, look at the age, 92, and look at the spine, I'm sure you can make out the multiple instability in the spine, and this is this real story, this man came in department on 15th of February for generalized physiotherapy with no back pain, no back pain, okay, and No MRI No back pain no CT scan, he came for the physiotherapy generalized Geriatric Physiotherapy, and we were mobilizing the limbs, we are mobilizing shoulder, elbow, and general Mobility exercise was going on. and he was quite happy, and then one day suddenly he said I'm having very severe back pain and he could not even move. The back pain was very severe. So, somehow we transported him back to his home, and we thought it's a muscle spasm and over the time he will be all right, but even after 7 days he was not okay and he was having the same severity of the pain and even after 10 days also he was having the same severity. So his family planned to get the MRI done and in the MRI this is what they saw. Various sections I'll show you, look at the compression fracture, look at the instability, and remember he is 92 years old male, okay, so they discussed it with the Orthopedics, and the Orthopedics suggested to do the kyphoplasty where they inject the bone cement in the fractured area. And look at the erosion of the vertebra here. But since this man was 92, and his General condition was not fit to undergo for
general anesthesia, so they said, no we can't do it, it is very risky to put him in general anesthesia. And they were really upset about his condition. Then it clicked me, that on 15th of January he was admitted in the hospital for his stomach pain for his other medical condition not for the back pain, so he came to physiotherapy on 15th of February, and for 10 days he took Physiotherapy, and on 10th day he was in a very severe back pain. okay, after that no physiotheapy. But then we remember he was admitted on 10 January also, 1 month before, and at that time his CT scan was done for his abdoman, so I went to the radiology department and requested to show me the city scan taken on January. okay, and in the CT scan this is what the finding we got. okay, look at the same vertebra fractured, and Erosed and multi level instability. this suggest, that when patient came to physiotherapy, he already had those problems. okay, it is important to note, even with this type of compression fracture and erosion, and instability, in the February month he was having no pain, in the January month he was having no pain, okay, he was fine he was moving around, he was fine, even with those things. So it is okay to see such kind of findings in MRI, and that helped me a lot in deciding his treatment, so we called him, and we told him that this was already there, don't think you recently got it. It is already there since long and with all those things, you were walking moving around. So don't worry, our diagnosis is still the same, that that it is the pain coming because of the muscle spasm. And after couple of days he was fine. No back pain and he started the physiotherapy again. Now another interesting case, this is another very very interesting story. look at the MRI, huge disc bulge, okay, huge dis bulge. like look at the transfer section, on the left side, huge disc bulge, and I'll show you this MRI belongs to 2012. 20th March 2012 this MRI was taken, and this patient I received very recently, last week in one of my clinic, and
he wanted to show all the films all the reports. and when I saw this, I said okay you have the back pain. he said no, I don't have back pain, I've come here to show you my shoulder. I said why you are showing me the MRI Films, he said just because I had pain almost 12 years back, in 2012, and I had this MRI, so I thought to show you once again. Maybe it is relevant or irrelevant.

Видео MRI में स्लिप डिस्क या फ्रैक्चर देख कर डरो नहीं, परेशान मत हो, इसका इलाज करो, जोकि संभव और आसान है канала Prof. Dr. Deepak Kumar Capri