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Dr. Levi breaks down what stenosis actually is, why imaging findings so often don't match a patient's symptoms, and why some people walk around with "severe" degenerative changes on MRI and no pain at all. Together they trace the full continuum of care, from physical therapy and diagnostic epidural injections to the decision points around laminectomy versus fusion, and what recovery really looks like at each stage. It's a candid, myth-busting conversation for anyone facing a stenosis diagnosis or supporting a patient through one.
Learn moreFor anyone who’s ever been told their spine is “degenerating” or that they’re a millimeter from paralysis, the fear can feel as debilitating as the condition itself. In this episode, Dr. Brent sits down with his own neurosurgeon, Dr. Allan Levi — Chairman of Neurological Surgery at the University of Miami Miller School of Medicine and Chief of Neurosurgery at Jackson Memorial Hospital — for a full-disclosure conversation about lumbar spinal stenosis, one year after Dr. Levi performed the surgery that gave Dr. Brent his leg back. Dr. Levi breaks down what stenosis actually is, why imaging findings so often don
... Learn more00:00 — Cold Open Dr. Brent frames the episode’s core question: what spinal stenosis really means, when surgery is necessary, and what recovery actually looks like. 03:45 — Welcome and Full Disclosure Dr. Brent welcomes Dr. Allan Levi and publicly thanks him for the surgery that restored his leg one year earlier. 05:03 — Dr. Levi’s Background Dr. Levi introduces his role as Chair of Neurosurgery at the University of Miami and his experience treating thousands of stenosis patients. 07:16 — Defining Spinal Stenosis Dr. Levi explains the pathophysiology of lumbar stenosis, including facet joint enlargement and disc bulging
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Hosted by Dr. Brent Anderson, this podcast draws on more than 35 years of clinical practice, research, and teaching. He is a doctor of physical therapy, professor, founder of Polestar Pilates, and pathokinesiologist. Dr. Brent has long been fascinated by the dynamic relationship between movement and pathology, and how understanding that relationship can help people move better, feel better, and live more aligned lives.
Each episode features conversations with special guests, colleagues, and friends who are making meaningful contributions across healthcare, movement science, wellness, and education. Together, we explore how movement shapes not only our bodies, but how we relate to ourselves, to others, and to the world.
Live Aligned is about curiosity, compassion, and clarity, inviting practitioners, students, and lifelong movers alike to think more deeply, move more intentionally, and be kind along the way.
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