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Certainly, it's plausible that your altered posture due to spinal stenosis might have had some impact on your knees. However, there's a more direct explanation for your knee problems. Spinal stenosis involves the narrowing of the spinal canal, caused by thickening of the spinal ligament and enlargement of the joint walls, which are influenced by arthritis. This arthritis affecting both your back and knees could be the primary reason for your knee issues. It's essential to address the root cause and manage your spinal stenosis and arthritis symptoms with the guidance of a healthcare professional. Stay in touch with your primary care doctor (either medical or chiropractor) to help you manage these issues.

You've highlighted a critical point. Indeed, the relationship between bulging discs and radiculopathy (such as sciatica) is complex. Bulging discs, in themselves, typically don't cause radiculopathy. Most often, radiculopathy results from inflammation of the nerve root. When a bulging disc occurs, and the annulus (the outer part of the disc) remains intact, the nerve root usually doesn't get irritated by it. Every nerve root normally contacts the annulus without irritation. However, if the annulus tears, the nucleus (inner part) of the disc can be highly irritating to the nerve root, causing inflammation and radiculopathy. It's essential to note that the only way a bulging disc can cause radiculopathy (and therefore sciatica) is through compression. It's concerning when people attribute all their pain to a bulging disc, as many individuals have bulging discs on MRI scans without experiencing pain. Therefore, it's a classic example of a false positive, where it appears on the scan but might not be the true source of pain. Addressing the actual source of pain is crucial for effective treatment. Focusing on accurate diagnosis and understanding the specific cause of radiculopathy is essential to ensure appropriate and effective interventions.

Sure. The ultrasonic knife is a tool spine surgeons can employ to remove bone, especially in procedures like Laminectomy surgery, which involves removing par of the lamina bone and decompressing the ligamentum flavum which is typically thickened and compressing the spinal canal. While some surgeons prefer the ultrasound tool, most still rely on the traditional technique utilizing a diamond-coated bit on a high-speed pneumatic drill for bone removal. In the end, it boils down to the surgeon's skill and expertise. A skilled surgeon can achieve excellent results regardless of whether they use ultrasonic or traditional methods to remove the bone. Instead of focusing solely on the tool being used, it's crucial to pay close attention to the expertise and experience of the person wielding it. Their proficiency and understanding of the procedure will significantly impact the outcome. So, when considering surgical options, it's wise to prioritize the surgeon's approach, experience, and results over the specific tools they use.

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