Doctor insights on:
Can Inversion Tables Help With Spinal Stenosis
Will a inversion table help relieve my pain. Ten years ago dr. Completely remived one of four protruding disc. Also have spinal canal stenosis.
Temporarily: Inversion table may improve your symptoms temporarily but will not cure your spinal stenosis. Additionally, if you have not had any recent neuroimaging studies of your spine, should discuss your condition and treatment options with your doctor or spine surgeon before taking up inversion table. ...Read more
I have disc degeneration, loss of height, protrusion, spondylosis, disc bulge, mild stenosis on neck and lumbar. Can I use an inversion table?
Conservative care: Yes, I believe that all people should exhaust and utilize all conservative measures for treatment of his or her back pain first, prior to discussing surgical intervention. I tell my patients that is it is helpful then it should definately be incorporated in your treatment plan. I have had many patients say that an inversion table has helped with their neck and low back pain. ...Read more
No evidence for this: Glucosamine & chondroitin are supplements that some believe help osteoarthritis pain (facet joint arthritis in spine); studies have shown mixed results; the american academy of orthopedic surgeons recommend against prescription of these for knee oa as a randomized controlled trial showed no benefit; there is no evidence that they help w/ spinal stenosis; see a spine specialist for treatment recs. ...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
They may via an: Anti- inflammatory effect similar to ibuprophenGet a more detailed answer ›
Not really: I assume by lsi, you are referring to lumbar spinal injections, also known as epidural steroid injections (esis). These can help temporarily treat some of the pain associated with spinal stenosis but are not a definitive treatment. Check out http://www. Mildprocedure. Com for some information on a new minimally invasive procedure for spinal stenosis. ...Read more
Leads to pressure: On the the spinal cord (for cervical or thoracic spinal stenosis), and lead to pressure on nerves (in lumbar spinal stenosis). With decrease space where the nerves and spinal cord lives, they can start getting pressure, which leads to some variety of symptoms, depending on if the stenosis is localized in the cervical or lumbar spine, and how significant the stenosis is. See your spinal specialist. ...Read more
Multiple options: First, it can be diagnosed in up to 20% of people over 60. Sometimes this is picked up on a study because it is common & may not be the source of your symptoms. If it is your correct diagnosis, exercise sometimes initiated with physical therapy, over the counter medication or perscription ones &/or injections like epidural steroids may help. Most don't get worse, only about 15% do. Surgery last. ...Read more
Surgery: Spinal stenosis or compression of the nerves can be alleviated with surgical decompressive laminectomy (unroofing of the spinal canal) with or without fusion -but, the symptoms sometimes partially remain present. Pain, weakness and or numbness usually does get better though, at least partially. ...Read more
Likely: Spinal stenosis is a structural problem which progresses slowly and steadily over the years due to wear and tear and arthritic changes. Surgical approaches are the only long-term answers to alter the narrowing, but you can cope with a variety of therapies, exercises and even occasional medicines. Surgery is usually reserved for folks who are becoming progressively disabled due to the stenosis. ...Read more
Unlikely: Unlikely, but there are syndromes that are associated with smaller than average spinal canals that have a genetic basis. ...Read more
Reduced spinal canal:
Reduction in the spinal canal whether in the cervical, thoracic or lumbar. Usually causing neurogenic claudicatory symptoms like pain going down the legs or arms.
If these are going on, you definitely need to see a specialist ...Read more
Holes in vertebrae: Usually spinal stenosis is referring to narrowing of the large canal in the vertebrae that the spinal cord travels through, while foraminal stenosis refers to a narrowing of one of the smaller canals between the vertebrae through which nerves leave from the spinal cord and go to your limbs or trunk. ...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
Yes, surgery is recommended after you fail conservative non-surgical treatments -- including nsaids, pt, epidural injections. If you continue to have persisting symptoms, then surgery could offer some great symptomatic relief of your extremity symptoms. Consult a spine surgeon.
Also surgery if you start experiencing progressive neurological deficit, or changes in your bowel or bladder function. ...Read more
Sort of...: Spinal stenosis means there is decreased space available for the spinal sac & spinal nerves. This can be due to pressure from bulging discs, arthritic joints, thickening of the spinal ligaments, tumors, congential problems, etc. Foraminal stenosis is decreased space available for one of the individual nerves around the area that it exits off the main spinal canal (known as the neural foramen). ...Read more
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