Doctor insights on:
Can Driving In The Car Make My Spinal Stenosis Pain Act Up
It might: Some patients with lumbar spinal stenosis experience worse pain with sitting and driving. ...Read more
Could a fall on a steel beam cause or start the process for spinal stenosis. I fell back onto a leg of a car lift and hit my whole back and head.
Fall: This typically does not cause stenosis unless its a herniated disc that is causing the stenosis. ...Read more
Have pain in left groin &hip aggravated by sitting. Have spinal stenosis severe in L4'L5. Started 20 days ago after long car ride. Can back cause?
Yes: Yes sitting long periods of time can inflame a lumbar region that as severe spinal stenosis. The pain in your hip and groin can be from aggravated nerve roots. You can try McKenzie Back exercises. If it doesn't resolve, then seek medical evaluation. Back pain that causes numbness around rectum, foot immobility or bladder incontinence needs immediate attention. ...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
Not usually but: Not in the lumbar spine except in severe, long standing cases or in people with an underlying neuropathy, there can be muscle wasting or atrophy or even permanent nerve changes leading to continued, numbness, tingling &/or weakness. In the neck, it can also injure the spinal cord permanently and this can happen in the thoracic or chest level as well. ...Read more
Good studies show that the safest and most cost effective even in the neck is with the lysis of adhesion technique
using contrast hyaluronidase, local and steroid followed bt Hypertonic Saline x3
in the lumbar area caudal and transforaminal catheter placement at the most effected area. Doing the same
epidural steroids work for a couple of weeks the above lysis technique for much longer. ...Read more
No: No, it will not alter the spinal canal's size which has become too small for the neural elements which are compressed. In a severe case of spinal stenosis, manipulation has a chance of aggravating the symptoms unless it is gentle traction which may help foraminal stenosis -the region where nerves exit the spine. ...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
Married v stenosis: Spinal stenosis is found in 20% of the population by age 60. For this diagnosis in the lumbar spine alone, it would be very unusual to get disability for it unless your occupation required prolonged standing or walking and you had a private policy just for your own occupation. If it involves the cervical spine & it is causing a myleopathy then it is possible. ...Read more
Hope this helps: 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
Common problem: For patients that have failed appropriate conservative care, surgery can be very beneficial. A thorough work up is required. The most common surgical treatment is a laminectomy. The success rate is good. If there has been significant nerve root involvement, permenant nerve damage may persist. Check out spinehealth. Com. ...Read more
Narrowing: Stenosis can be central, narrowing of the canal formed by the bony arch of the vertebrae that the spinal cord hangs in. Or it can be narrowing of the openings to the sides that the spinal nerves exit between the vertebrae. This can be caused by hypertrophy or thickening of the bony parts or the ligament along the back of the vertebral bodies or the discs pushing into the spaces or a combination. ...Read more
There is not a: Specific set of exercises for this other than general stretching, cardiovascular and strengthening programs to be in good general shape. ...Read more
Many little things: Doing things differently than you have been. Pain management can be helpful if it helps you move more normally. Breathing slow and deep helps. Fast and shallow is hyperventilating which aggravates your pain experience. Gentle osteopathic manipulation (no cracking stuff!) can help increase body awareness and ease of movement. Learning to unclench your jaw will help you learn 2 relax overall. ...Read more
I have a slipped disk and spinal stenosis. They want me to have surgery. What does this consist of?
Ask Surgeon.: Always best to run these questions by your operating surgeon. He/she will know exactly what is planned; keep in mind, that different surgeons may do things differently. Also best to be well-informed about the potential risk/complications associated with the planned procedure. Educate yourself about success rates and make sure you have enough help during your recovery period. Best wishes. ...Read more
Spine Pain Options: This chronic pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. ...Read more
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- Pain in groin while driving car