YouTube video transcript of Dr. Jeff Langmaid (Evidence Based Chiropractor) unboxing and reviewing a Dynamic Disc Designs degenerative lumbar spine model. He describes the model's handcrafted, anatomically-based features (foraminal narrowing, facet arthropathy, ligamentum flavum hypertrophy, osteophytes, reduced disc height), its dynamic/motion-capable design, and emphasizes its value as a patient-education and clinical explanation tool in practice and online content.
Chapters
Hey, everybody, what's going on? I'm Dr. Jeff Langmane with the Evidence based Chiropractor. And right here I have a new model from Jerome and Dynamic Disc Designs. If you have not checked these out, you want to make sure to do so. They are simply the best there is out there. I have a couple. One behind my shoulder right there, and I have another new one right here. So I figured I might as well hop on. It's a good mail day at the evidence based Chiropractor. Unbox it. Take a look at what Jerome has up his sleeve. Leave. These are just great models, right? If you're doing online content like I do a ton of videos, obviously online, these are great teaching tools. And also in your practice, you know, sitting with patients and explaining what's going on inside their body sometimes can be very, very challenging with just like a handout or a one, you know, 2D sheet. But when you have a three dimensional model, you really get to get in there and explain to the people that come into your practice, hey, what's going on in their body? What. What are you trying to accomplish? And what might be some of the challenges that they might encounter along the way. Also, of course, kind of what matters and what doesn't matter, right? When we look at imaging and things like that, it can be big and scary, but quite often, you know, the truth can be a little bit simpler for a lot of people. So a model does a great. Is one of the best tools, probably the best tool at letting people understand what's going on inside their body. I use them every single day in practice in the multidisciplinary spine surgery groups that I've been practicing with. They're just essential in explanation. They're absolutely clutch. So I figured I'd hop on. Might as well just get in here with this box and let's see what we have going on inside. Maybe a little more challenging than I anticipated. Cool. Here we go. So the other thing about all of Jerome's models, to my understanding, is that they are all handcrafted by him and they additionally, all of them are based off like real anatomy, real skeletons. Right. So there is no guessing as far as that goes. So as I pull things out here, we got a whole bunch of popcorn protecting the model, which is cool. And we also have a stenosis degenerative lumbar. So this is a. I'm like holding out and showing the model right here. But anyway, we get a nice little glimpse of what's going on on the inside, which awesome. It explains what we have going on. Oh, sweet. So there's a great, fantastic picture. We'll see if that wants to maybe cooperate there, maybe not. But anyhow, great picture right there. We also have a assessment of the other models he has going on. So product catalog, and lo and behold, what do we have here but the degenerative lumbar model. So first take on this. The feel is awesome. The look, I mean, you could see the porous nature of the vertebra. We also can see that the disc on this model is challenged. So as I kind of hold it up closer there and let that zoom in, you can see the foraminal. You know, the foraminal canal there is narrowed due to disc degeneration. And if I turn it all the way around, you can see the same thing. On that side, we have a supremely compromised pyramidal canal. The other beautiful part of the models that Jerome creates is that they are not just a name. They are dynamic. So they do have the ability to get motion in there. You can actually compress in. And as we look down that central canal, you can see how challenged it is. So this is a. This is actually a really awesome model of a degenerative lumbar spine. We can see facet challenge right there are. The facets look pretty nasty, which is exactly, exactly what we want in this case. We want to be able to see that facet arthropathy. And it looks like he's done a great job illustrating the facet arthropathy there and the facet disease and facet hypertrophy, for that matter. We can see that the disc is pretty flattened out. It is degenerative by nature. This guy has a little bit of bulge on the anterior portion, and that total decrease in disc height has led to challenges in the pyramidal canal. And. And we can see some osteophytic formation and some challenge on the central canal right through the middle there. So we also have some ligamentous structures that Jerome does a great job. You're kind of bridging right into the model right there. And then as I kind of look up on the inside, I can also see. Might be a little challenging with this camera angle, but actually ligamentum flavum on the inside and is hypertrophic as well. So this is an awesome model. This actually came across Kadrome reached out to me. He saw I did a stenosis video, and he was like, man, you're using a great one of our models, and it looks awesome, but I might have the perfect model. When you talk about spinal stenosis in the future. I could not agree more. This is absolutely awesome. I'm kind of looking through some of the literature that he supplies here and good, I was correct. So we have mild facet or arthropathy, we have thickened ligamentum flavum and moderate facet arthropathy. On the other side, we have osteophytes formed throughout. So this is a pretty degenerative spine overall. I mean, I would say this if I looked at this on an mri, it's pretty nasty. So this would probably be someone who's either really had a lot of wear and tear on their body or someone who is a little bit more advanced in age. And it is a great opportunity to showcase to them, hey, that canal is supposed to look wide open, but clearly when you can look down, right down the pipe, right down that spinal canal, that central canal, with this model, it is super clear to see that it is compromised. You can see the disc is bulging out and challenged. And the bottom line is compared to the other models, you don't get as much motion. Right. There's facet arthropathy. Those facets are not gliding and sliding and gapping the way they should. There are osteophytes preventing some of that motion. And it's going to limit the amount of overall range of motion someone's going to get physically because literally there is bone in the way. And if they have central stenosis, if they have neurogenic claudication, if they're having fatigue in the legs, they're always looking for the next chair and leaning on the grocery cart when you can showcase to them, hey, here's where your X ray or MRI looks like, if available. Here's what's going on inside of your body and why that starts to become very powerful. When you explain to them the next steps and that you're recommending and the next steps they could take hopefully on those first steps on the road to relief. So if you have not checked out all of Jerome's models at Dynamic Disc Designs, be sure to do so. They're awesome. I have quite a few of them. I use them all the time. I'd recommend that you do as well. There's probably no better teaching tool that you can utilize and it is a great compliment if you have imaging, or if you don't have imaging for that matter, if you. It is nearly essential to showcase what's going on anatomically inside the body and what you hope to do to improve those patients conditions. I hope this was valuable for you. If you have one of these models, comment down below with your thought or which model you'd have. Love to hear about it. I have a few here and I'll probably do a full review on this also sometime soon, but I wanted to hop on live unbox it. I opened up my mailbox and it was a good mail day, so I thought I'd share that with you. So I hope you guys have a great day and I.
