Good discussion but a few key points. While an X-ray is good for starts, for any radicular symptoms an MRI is certainly better from the get-go. It would even tell us if any bony suspect bony involvement such an occult end plate compression is acute or not. As far as treatment goes, rather astounded that your neuro guys would jump into surgery. Reeks of a blinded western mindset or commercially driven approach. Perhaps it would be nice to get some old timers in spine surgery like Dr Thomas Mathew to comment on how he used to treat such cases with amazing success (conservatively). I would certainly agree with the mentor suggesting steroids, pain killers and muscle relaxants on admission and taking things from there. Even a simple discectomy comes with high risks of dural tears, recurrent discs, post- op fibrosis etc to name a few. We seem to be forgetting our principles of doing less harm. Anyways , good discussion, and good work !!
@ANKUZAKI3 жыл бұрын
Would love it if important points were highlighted on the video as it's quite straining to listen to the audio through the masks. Great presentation!
@AETCMEmergencyMedicine3 жыл бұрын
These videos are not scripted its our routine academic case discussion which we are shooting and uploading for our subscribers.. Audio quality will improve within few days
@dr.mahavirsinghsengar1593 Жыл бұрын
@Reshma Shaikh atleast they are doing this thing for free. It should be enough for us. They don't have that much time for all this.
@jayakumar4461 Жыл бұрын
@@AETCMEmergencyMedicine qu70poqqoqóaô1
@kangkanrajbongshi66 Жыл бұрын
@Reshma Shaikh bhag
@kangkanrajbongshi66 Жыл бұрын
@@dr.mahavirsinghsengar1593 👍🏿👍🏿
@nagaratnamsuthakaran36392 жыл бұрын
Thank you very much sirs and madam. It's really really worth discussion. 🙏🙏🙏
@sonalkumar34853 жыл бұрын
Wow ,what a discussion
@srinivasaraosirasapalli51043 жыл бұрын
excellent
@RajinderSingh-uj8uf2 жыл бұрын
Thank you Dr. and AETCM Team for making this videos.
@aswinkutan2 жыл бұрын
Thank you sir
@mehransaif33829 ай бұрын
❤
@hannaabdulla35482 жыл бұрын
Sir..could you pls explain the selection of analgesic based on the type of pain
@vishavendra3 жыл бұрын
Please sir make case discussion on DKA🙏🙏
@MsHari0903 жыл бұрын
Very nice. Which patients of disc prolapse to be operated?
@AETCMEmergencyMedicine3 жыл бұрын
With Neurological deficits
@Docorif2 жыл бұрын
@@AETCMEmergencyMedicine Even better to say worsening neurological deficit. An isolated EHL weakness in an older patient, give him the option.
@mahmoudabokhzam28213 жыл бұрын
What is the adjunct that should be asked for before starting any NSAID other than asthma and CKD and allergy the one that dr Binu said which occurs after oral administration ?
@AETCMEmergencyMedicine3 жыл бұрын
Anaphylaxis, allergy to nsaids
@sharjeelahmed13033 жыл бұрын
Voice is not clear please improve it otherwise great work❤️
@sanketmali80382 жыл бұрын
NSAIDs should be avoided in gastric/peptic ulcer disease either in oral or intravenous form as they inhibit prostaglandins which are important in maintaining gastric mucosa.
@sanketmali80382 жыл бұрын
Sir my humble request to you to make a video on pain management in patients with different comorbidities (ckd ,cld,ihd,asthmatics,etc.)
@RakeshDas-ki1cj3 жыл бұрын
Is there any rule of epidural steroid injection?
@AETCMEmergencyMedicine3 жыл бұрын
No
@danishpatel82452 жыл бұрын
I am from Terna Medical college, Navi Mumbai, 22years old, I go to the gym, I am having lower back spasm from 3 months I have taken 3 course of Muscle relaxants what should I do?
@AETCMEmergencyMedicine2 жыл бұрын
Meet a physiotherapist do muscle strengthening exercises
@mahmoudabokhzam28213 жыл бұрын
What is the rule of steroid that he said please?
@AETCMEmergencyMedicine3 жыл бұрын
With Focal Neurological deficit to decrease disc edema
@Anishkumar860933 жыл бұрын
Back pain medecine name
@dr.sowmya21682 жыл бұрын
In x-ray solid organ won't be visible but why kidney is visible