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Doctor insights on: Spinal Stenosis

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Dr. Thomas Dowling
753 doctors shared insights

Spinal Stenosis (Overview)

A medical condition in which the openings where the nerves leave the spine are narrowed. As a result of the narrowed openings, nerves can get pinched off, leading to symptoms such as pain, abnormal sensations, and weakness.


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What can help spinal stenosis?

What can help spinal stenosis?

Depends: Surgery is typically a definitive treatment for the symptomatology, although, non-surgical management should be initiated first. Surgical Treatment for spinal stenosis usually consists of decompressive laminectomy (unroofing of the spinal canal) with or without fusion. ...Read more

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Dr. Thomas Dowling
753 doctors shared insights

Spinal Stenosis (Overview)

A medical condition in which the openings where the nerves leave the spine are narrowed. As a result of the narrowed openings, nerves can get pinched off, leading to symptoms such as pain, abnormal sensations, and weakness.


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How is spinal stenosis symptom different from herniated disc symptoms?

How is spinal stenosis symptom different from herniated disc symptoms?

Typical spinal : Stenosis symptoms in the lumbar spine are pains radiating to the leg(s) with progressive standing and walking relieved by bending over or sitting while a disc herniation causes pain into the leg(s) worse with sitting and bending and usually better standing or walking. Both feel better typically lying down. Obviously, there are variables based on several factors in terms of symptom presentation. ...Read more

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Spinal stenosis (Tip)

If epidural doesn't work, its crime to get a second opinion from a neurosurgeon. ...See more

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Managing Spinal Stenosis (Checklist)

Use NSAIDs for relief
Daily
Get an Xray/MRI if not better in 6 weeks
Once
See a spine specialist if not better in 6 weeks
Once
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What are the common symptoms of spinal stenosis?

What are the common symptoms of spinal stenosis?

Positional sciatica: Symptomatic spinal stenosis usually presents as radiating pain down the sciatic region of one or both legs. Because of anatomic considerations, the sciatica is typically positional. Leg pain, numbess, and/or weakness predictably worsens after a short period with the spine extended (standing upright/walking) and improves with forward flexion of the spine (sitting/hunching forward/fetal position). ...Read more

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Sign spinal stenosis at l4-l5. Small syn cyst right side l4-l5 no hern disc 14 wk out apptwill corrective action delay cause problems?Options i may ha

Sign spinal stenosis at l4-l5. Small syn cyst right side l4-l5 no hern disc 14 wk out apptwill corrective action delay cause problems?Options i may ha

Depends: If you are having weakness in leg related to this, and surgery might be considered, then it is better not to wait as fixing it after delay might mean permanent weakness, if this is pain and other symptoms like numbness you can tolerate or manage conservatively, then the delay is not likely going to threaten your functioning. ...Read more

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Spinal stenosis (Tip)

Lumbar surgery is not typically effective for patients with only low back pain. ...See more

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Treating a Spinal Fracture (Checklist)

Rest
Once
Use NSAIDs to decrease inflammation
Daily
Use pain medications on an as-needed basis
Daily
Consider MRI to evaluate fracture
Once
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Diagnosis sever spinal stenosis..Had lamenectomy last year on ruptured L5 after loss of bladder control. Could it be related?

Could be: Severe lumbar spinal stenosis (occuring from large herniated discs, & other compressive pathologies), could result in compression of the nerve roots below the level of your spinal cord -- called your cauda equina. This could then result in bladder/bowel dysfunction. Your surgeon likely did the laminectomy to relieve the compression of your cauda equina so as to prevent the problem from worsening. ...Read more

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How do you diagnose spinal stenosis?

Evaluation : First, a clinical exam with a history taken to see if symptoms are consistent with spinal stenosis then most likely a MRI or ct would be indicated next to confirm diagnosis. ...Read more

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Spinal stenosis (Tip)

Steve NASH adapted and won two mvp's with a.S. Variant. Do the best you can, but take care. ...See more

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I've had many tests down. Burning left upper back..no one knows what happening, going another test thoracic spinal stenosis. . What could it be?

I've had many tests down. Burning left upper back..no one knows what happening, going another test thoracic spinal stenosis. . What could it be?

Hard to say: Certainly hard to say without benefit of your records. A thoracic radiculopathy can cause upper back burning, as can a peri scapular problem such as a sub scapular bursitis, or something deeper inside such as a lung , stomach, or pancreas problem for the left side. A real detailed exam and appropriate studies can usually determine the cause. ...Read more

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What are the tests for spinal stenosis?

Imaging: The most accurate test is a ct scan for assessing the size of the spinal canal to determine if it fits the criteria for spinl stenosis followed by a mri. However, one has to have the clinical symptoms and/or findings to make a clinical diagnosis of spinal stenosis since a lot of people with positive imaging findings have no clinical symptoms or findings ...Read more

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Spinal stenosis (Tip)

20% of people have it by age 60, most with no symptoms. Exercise & OTC meds, if no restriction. ...See more

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What causes spinal stenosis?

What causes spinal stenosis?

Several things: Spinal stenosis can be congenital but is also acquired with aging, or trauma, by either arthritis, herniated discs or even vertebral collapse as people age, which can result in vertebra slipping across each other which can cause stenosis too. It is important to see a neurosurgeon for evaluation, or a orthopedist who specializes in the spine, for full evaluation and treatment, surgery is an option. ...Read more

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What does it mean to have advanced spinal stenosis?

Depends: They, the person completing the dictation on your imaging study might be referring to "advanced" in comparison to your age. Alternatively, it might also mean that your stenosis (narrowing of the signal canal) is severe. ...Read more

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Spinal stenosis (Tip)

Talk to your physician about trying epidural steroid injections prior to considering surgery. ...See more

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What are the best ways to treat spinal stenosis?

What are the best ways to treat spinal stenosis?

Common problem: Lumbar spinal stenosis is a common problem especially for those older than 50. It can be managed conservatively in many patients for years. If surgery becomes necessary, it can be planned on an elective basis. Check out spine-health.Com. ...Read more

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Who treats spinal stenosis?

Pain physicians also: In addition to dr. Frankel's answer, also consider talking to an interventional pain/spine physician. They have other minimally invasive options to treat spinal stenosis, such as the mild procedure. ...Read more

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I am being treated for spinal stenosis but today my right arm, hand, leg and foot are having continuous pins and needle feeling. ?

Many possible causes: You could have spinal stenosis in both the neck & back which occurs in 20% of patients with stenosis in one region. If it is in the neck, the degenerative changes that create the stenosis may also be affecting one of the vertebral arteries leading to stroke like symptoms or you may be having a mini stroke or tia. The other possibility is that it may be a symptom of a demylinating disease like ms. ...Read more

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Stricture (Definition)

A stricture is an anatomic narrowing of any structure in the body with a lumen. Depending on the organ, the underlying causes can be traumatic, ...Read more


Dr. Hamid Sajjadi
1 doctor shared a insight

Stenosis (Definition)

Constriction or narrowing of something - duct, artery, passage way such as the outlet of the stomach into the small ...Read more