Doctor insights on:
Can Alcohol Make Spinal Stenosis Worse
What the difference from spinal stenosis and lateral recess stenosis? And is one worse than the other? Thanxx
Different symptoms: Lateral recess stenosis typically just affects a single nerve, causing varying degrees of pain, weakness, and/or numbness. Central canal stenosis usually affects the entire bundle of nerves in the canal at the affected level. This can include the symptoms above, as well as difficulty standing or walking, also known as neurogenic claudication. ...Read more
No: No, however, lying on your stomach may increase the arch or sway or lordosis of your lower back that could aggravate your symptoms and if thereis advanced stenosis, lying flat on your back may also do the same. Most people sleep in a fetal position on either side for relief like bending over for relief opening up the stenosis. ...Read more
Spinal stenosis for 2 yrs. .have developed slight bladder and bowel leakage. Lots of trouble walking. Wondering if it is worse.
Spinal stenosis: Yes you are describing what is termed "neurogenic claudication" — this means the stenosis is getting worse. I would see a back surgeon for further evaluation ...Read more
Can sexual activities like ejaculation and orgasm cause worsening symptoms in patients with Spinal stenosis, Herniated disc, Bulging disc?
Activity can affect these diseases but usually for the better. Exercise helps the problems but only a little.
Bulging discs are rarely symptomatic so have at it. ...Read more
Have spinal stenosis & degenerative disc disease. Prescribed Norco (hydrocodone and acetaminophen) 10 but the pain is either getting worse or I'm developing tolerance. Suggestions?
Start PT: Norco (hydrocodone and acetaminophen) does not eliminate the cause of the pain, merely covers it up. Be pro-active, have some physical therapy, do exercise and stretching. Do NOT become sedentary, instead, use your muscles and joints. Gradually, you will overcome the barriers and feel far less pain. ...Read more
Blood oxygen at 73 no breath very weak started about a month ago and steadily getting worse, going from one room to the next I need to rest to move again, lungs are clear heart fine but in a lot of pain due to lumbar spinal stenosis and four vertebrae bo
Smoker? COPD?: Blood oximetry at 73% is generally not good news. It points to a problem with ur lung or heart. Were u ever a smoker? That cd explain breathing & back problems. U may have chronic obstructive pulmonary disease (COPD) which comes from yrs of smoking. See ur doctor quickly to get diagnosed. While COPD damage cannot be reversed, ur symptoms can b treated w/ inhalers, & oximetry improved. Don't smoke! ...Read more
Mri-t12-l1 l4-l5 l5-s1 disk protrusion no nerve impingement or spinal stenosis. Left low back buttock leg pain ×3 wks. Foot cold tingling. Worse when sitting standing walking. 10 days steriod no help?
Delaying in this: Circumstance isn't advisable. Your symptoms suggest impingement, either through direct nerve compression or swelling around the nerve. In any event, a discussion with your neurologist/neurosurgeon about an epidural steroid (or transforaminal steroid) injection should happen sooner, rather than later. Although a cold, numb foot may be related to other (vascular) problems, nerve problems are primary. ...Read more
Perhaps: Exercise that strengthens the abdominal (tummy) muscles could reduce the curve of the low back (lordosis). This could enlarge the nerve channels slightly. This might suffice in mild cases of stenosis. Aerobic exercise in a flexed position (such as cycling) could improve overall fitness and that might improve symptoms. Exercise may be most beneficial in people with milder, less disabling symptoms. ...Read more
Options: Spinal stenosis can be treated conservatively with physical therapy and lumbar epidural steroid injections. Your spine specialist can thoroughly evaluate you and help coordinate conservative care if appropriate. Surgery is usually helpful if all else fails. Check out spine-health. Com. ...Read more
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
Spinal stenosis: The answer is no — spinal stenosis is a disease that occurs with aging, most commonly in the sixth and seventh decades of life. But having said that spinal stenosis can occur in a younger person, a problem likely that has been present since birth. The concern would be if this stenosis is causing pain or weakness problems then one might need to consider surgical solutions. ...Read more
Depends: Can be very or not at all. Depends on the degree of stenosis and whether it is central or at the opening where the nerves exit the spinal canal (called the neuroforamen.) after age 23 most of us have some degenerative disc on imaging. It doesn't predict your level of pain. If you take 100 forty year old americans with no back pain at all, at least 30 of them will have "bulging discs" on mri. ...Read more
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
Decompression: Spinal stenosis only matters if it is severe enough to compress the spinal cord or nerve roots. If there is no spinal cord or nerve root compression, then the stenosis is irrelevant. There are open and minimally invasive ways to decompress the spinal canal. Be sure to go to someone like me who is trained and experienced in every spinal procedure for stenosis, not just a subset of them. ...Read more
Maybe if muscles hur: Work with a good physical therapist. Find musculoskeletal acupuncture such as trigger points (don't need injections, just 'dry needling'). A good hands-on osteopathic physician who does omt (omm) is key for maintaining function in a chronic situation. Finally, since this is really arthritis in the spine, and has an inflammatory component, eat an anti-inflammatory diet and herbs (find online). ...Read more
Surgery: Spinal stenosis is when the spinal canal is too narrow for the nerve elements. This can be a congenital or acquired in origin. When surgery is indicated, one of the mosf common is a laminectomy which is a removal of the "roof" of the spine freeing up or decompressing the nerve tissues, a decompression. ...Read more
Spine surgery: This is a surgery performed by spine surgeons that helps relieve the pressure on the spine depending on the level of the stenosis the symptoms will be different because different nerves come off at different levels of the spinal cord. Therefore, the best is to be evaluated by a spine surgeon who can go into more detail about the severity and intervention required. ...Read more
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