We just want to quickly just show you potential causes of what spinal stenosis is and what can cause it so Vincent if you’re still watching you know take a look at this arthritis narrow spinal canal injury to the spine doctors spinal tumor certain bone diseases and past surgery is fine the most common one there will be arthritis that will be the most common one and the second one narrow the spinal canal they’ll be what we call congenital spinal stenosis the people that they were born with the canal is a little more tighter and obviously there’s nothing to be done there is the the patient that was the way that they they were born with and the other ones are less likely like spinal tumor normal occurrence in the 0.7 percent of patients and past surgeries definitely that was talking about the decent segment disorder we are nearing almost the end of the show we have a couple of minutes doctor but I just want to ask you any advice that you would give to our viewers you know Vincent and anyone out there that is suffering with back pain what would you say normally stay active you start experiencing some back problems normally started seeking care before it’s too late sometimes we might be able to see that we might be able to treat the patients beforehand and that may be that might make a huge difference down the road I do want to let our viewers know that dr. minute will be here next Friday because he’s a staple at this point November 16th Friday at one o’clock do you know what the topics could be it was about sacroiliac joint pain or dysfunction that’s basically the the topic of next week that they were that they we want to discuss over that helps you carry the weight of your upper body right yes the SI joint is actually a vital structure that it’s not the back it’s not the hip it’s actually in between the policy you