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Doctor insights on: Lower Back Stenosis

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Lower right back pain severe?

Lower right back pain severe?

When to see a doc?: Severe back pain that is associated with: weakness in the leg, problems controlling your bowels or bladder, numbness when wiping yourself with toilet paper should be seen immediately by a doctor: http://www.webmd.com/back-pain/living-with-low-back-pain-11/when-to-call-doctor ...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


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Lwhat causes lower back pain on your lower left side?

Lwhat causes lower back pain on your lower left side?

Multip possibilities: Low back pain can be caused by various conditions and often a combination of sorts. The history (due to trauma?/how long present/ etc) , severity of the pain, radiation of the pain(does it move down your leg) & other factors, and exam are helpful in identifying the cause. It coud be be due to mechanical prob, muscle strains, disc disease, arthritic problems, joint d/o. See your md as a start! ...Read more

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Left sided pelvic pain radiating to lower back?

Left sided pelvic pain radiating to lower back?

Could be: Many different things, from ovarian/uterine issues to left sided colon issues. It could even be from your left kidney/urinary tract system. It would be very helpful if you could provide more information in regards to the quality of the pain, what makes it better or worse, anything else going healthwise and what may have been going on when it started. ...Read more

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Cause of left lower back pain radiating to hip?

Cause of left lower back pain radiating to hip?

Disk, sij: Pain could be from a bulging disk, sacro-iliitis (sacro-iliac joint), facet joint arthropathy, lumbar stain, muscle spasm or many other causes... Go see a medical specialist for an evaluation. ...Read more

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Back knots in lower back and sharp shooting pains middle upper backand lower neck?

Muscle spasm: pain and knots in back muscles sounds like possible muscle spasms Heat, massage, gentle stretching, topical muscle creams and over the counter pain medications can help with muscle spasms. ...Read more

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Lower back pain radiates upto my leg thru butt?

Sounds like sciatica: Back pain that radiates into the leg passing through the buttock is a common sciatic pattern especially if the leg pain is worse or equal to the back pain suggesting a disc herniation is the culprit. ...Read more

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Lower back pain when bending neck?

Couple of things: Sounds as if either there's traction on the cord sometimes referred to as a tethered cord...or you may be experiencing a funny thing called Lhermitte's sign though your description's not classic. Have you recently developed SEVERE migraine like headaches by chance with fever? Hopefully not..just a question. In any event, any of these possibilities deserves a workup by a doctor. Cheers! ...Read more

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Sore lower back where hips meet back. Cause?

Sore lower back where hips meet back. Cause?

Let's count the ways: Referred pain from hip or si joint, vascular, genitourinary, gi, tumor, infection , gynecological issues and then back issues: tumor, infection, rheumatologic, disc, facet joint, fracture, deformity, muscular, deconditioning, degenerative, spinal stenosis, epidural hematoma, instability to name the majority of causes. ...Read more

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Numbness and lower back pain?

Numbness and lower back pain?

Disc: A disc herniation in the lumbar spine could cause both back pain and numbness . If the symptoms persist or are limiting you, see your doctor, or a spine md. ...Read more

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Could cervical stenosis cause pain in your upper middle back on the spine?

Could cervical stenosis cause pain in your upper middle back on the spine?

Yes: Cerivcal stenosis may cause headaches, neck pain or upper back pain, but upper back pain is commonly caused by arthritis or muscles (myofascial pain). This type of pain may respond well to physical therapy, heat, anti-inflammatories, steroid injections or radiofrequency ablation (rfa) treatments. I would recommend discussing it with your doctor. Good luck! ...Read more

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What causes radiating pain from the lower back down into the legs, besides disc herniation?

What causes radiating pain from the lower back down into the legs, besides disc herniation?

Vascular disease: Peripheral vascular disease & spinal stenosis both can cause pain into both legs mimicking sciatic pain as can other issues like hip & knee arthritis. Other causes of nerve compression in the spine due to a tumor, infection or fracture can cause this pain. Bilateral pyriformis syndrome can also cause bilateral radiating leg pain. ...Read more

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Pain l upper side in back behind heart?

Pain l upper side in back behind heart?

L scapula: The bone in your back behind your heart is the scapula - it's generally not involved in heart pain. Unless you only get it with lower extremity exertion (like walking), i'd look for a local cause: shoulder arthritis, bursitis, tendonitis or cervical spondylitis. ...Read more

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Which lower back exercise help back pain?

Which lower back exercise help back pain?

See below: The best exercises for low back are gentle core exercises. A great program for this can be found at www.therehabzone.com ...Read more

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Lower back pain with stomach pain radiating down leg?

Lower back pain with stomach pain radiating down leg?

See your PCP: You need a thorough evaluation by your primary care provider and probably some i, aging studies and perhaps a referral to a specialist for a consultation. ...Read more

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Lower back pain on left side?

Lower back pain on left side?

Probably your muscle: Usually lower back pain is due to muscle strain that should improve with gently stretching the back, giving the muscle some rest (but remain active if you can!), and using an over the counter pain reliever / anti-inflammatory. If the pain becomes severe or does not start to improve, or if it's accompanied by other symptoms, you should be evaluated by a doctor. ...Read more

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Lower left back pain and burping?

Lower left back pain and burping?

Reflux: You may have gastric reflux.Try an antacid and if no improvement see a doctor for a definitive diagnosis ...Read more

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I have been diagnoised with three bulging discs in lower back, along with stenosis of spine, but the pain in my groin and pelvic area is getting as bad as my lower back, my dr. Recommends pt, should I request another mri, I had one a yr. Ago.?

I have been diagnoised with three bulging discs in lower back, along with stenosis of spine, but the pain in my groin and pelvic area is getting as bad as my lower back, my dr. Recommends pt, should I request another mri, I had one a yr. Ago.?

Repeat MRI: If your symptoms are new, you may need another mri. Disc protrusions may cause groin and hip pain. With that said, physical therapy is a good start and should be tried before jumping back in the magnet. Note: if pain is severe or you are having sensory symptoms or weakness, an MRI is indicated. ...Read more

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Is surgery for a reasonable idea for an otherwise healthy 78 year-old man with a painful lower back caused by stenosis, arthritis & 3 bulging discs?

Yes: Healthy individuals usually have lower health risks. Spinal stenosis can cause some back pain but is usually noted for leg pain and weakness. The degenerative process which causes the stenosis is probably the cause for your back pain. Surgery is definitely an option at your age. There are different types of surgery which may be offered. See a neurosurgeon or ortho spine surgeon for options. ...Read more

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Do you know what spinal stenosis is in the lower back?

Not enough space...: Each bone in the spine has a space that contains the nerves. The space can get too narrow for the nerves to function normally. This is spinal stenosis. Most spinal stenosis is caused by degenerative disease: disc bulges, bone spurs from the facet joints, thickening of the ligaments. Symptoms can include leg pain, heaviness, tingling, etc, usually worse with standing or walking. ...Read more

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Ii have stenosis in mt c-spine , i also have severe pain in my lower back, is it more likely I have stenosis there to sine I have it in my neck?

Ii have stenosis in mt c-spine , i also have  severe pain in my lower back, is it more likely I have stenosis there to sine I have it in my neck?

About 20% of people: With lumbar spinal stenosis will have coexisting cervical spinal stenosis. Spinal stenosis is a narrowing of a bony canal structure such as the central spine canal or the exiting nerve holes known as neuroforamen which when severe enough by imaging studies will be deemed spinal stenosis. ...Read more

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I have a grade 1 spondylolisthesis l4/l5/s1 with stenosis. My pain would be described as burning and a feeling of heaviness in my lower back . ?

Common: Spondylolisthesis commonly causes back pain. Lumbar stenosis commonly causes leg pain, numbness especially with extended activity. Weight control and core muscle exercises are a first step. If these don't help, consultation with a neurosurgeon or orthopedic spine surgeon would be a reasonable next step. ...Read more

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I have spinal stenosis 2 disk in the neck and one lower back with it I have neck, shouler, arm pain especially when lift things?

I have spinal stenosis 2 disk in the neck and one lower back with it I have neck, shouler, arm pain especially when lift things?

See spine doc: The neck/arm/shoulder pain might be from pinched nerve. There are non-surgical and surgical treatments that can help if you're not getting better with time, physical therapy, etc. See a spine specialist who can talk about options. ...Read more

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Hi I have ruptured disc in the lower back l4-s1, lateral recess stenosis, facet authropathy . Please tell me options for the pain is unbearable?

Discectomy vs. fusio: The simplest solution is to have the disk removed by a micro discectomy procedure. If you have a long history of back pain which predominates over leg pain you might consider fusion as an alternative. In my practice patients that have a history of back pain do better with fusion procedures. The priority for you should be reducing your dependence on narcotic medications as clearly outcomes seem to be worse if you're on high doses of those medications pre-surgicall. ...Read more

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Does lower back problems cause a feeling of constantly having to move your bowels? Background: lower discs ruptured, spondylosis, stenosis, sciatic

Does lower back problems cause a feeling of constantly having to move your bowels? Background: lower discs ruptured, spondylosis, stenosis, sciatic

Nerve irritation: So, the nerves that cause you to have bowel movements/expel urine are located in the lumbar spine (lower back). If you are having the feeling you constantly need to go, or become incontinent (can't control or feel that you are going), or have "saddle numbness, " you need to go to the er as that may indicate something that needs surgery. Good luck! ...Read more

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Can Spinal Stenosis present itself as lower back pain without leg symptoms and still maintain pain relief by bending forward or sitting?

Can Spinal Stenosis present itself as lower back pain without leg symptoms and still maintain pain relief by bending forward or sitting?

You need evaluation: It is not clear this could be mechanical or inflammation. You can ask your physician to evaluate and/ you for both and if there is a clue of inflammatory back pain. ...Read more

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I have a bulging disc and lumbar spinal stenosis. I have a bad lower back tattoo that needs to be covered. Can getting it cause any damage?

Not necessarily : Need more data on your general health not see a reason no to cover it depending how you will treat the lumbar stenosis If planning possible surgery ...Read more

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Please explain the significance of my recent MRI findings on my cervical spine. I have a history of spinal stenosis in the lower back. I recently had an MRI on my cervical spine showing significant to severe foraminal and thecal sac narrowing at multiple

About 20% of people: With lumbar spinal stenosis will have coexisting cervical spinal stenosis. Spinal stenosis is a narrowing of a bony canal structure such as the central spine canal or the exiting nerve holes known as neuroforamen which when severe enough by imaging studies will be deemed spinal stenosis. ...Read more

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"Facet enlargement in the lower lumbar spine and multilevel degen disc narrowing.There is foraminal stenosis, greatest on the r side @ L4-L5" Meaning?

These findings are: all part of the spectrum of degenerative arthritis. The facets are small joints between the posterior parts of successive vertebral bodies. Foraminal stenosis means that the opening(foramen) that the nerve root exits the spinal canal through is narrowed, usually by degenerative disease, and may be pinching the nerve root, in your case the right L4 nerve root exiting the L4-L5 foramen. ...Read more

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Treatment recommendations for spinal stenosis combined with 4 bulging disk in lower lumbar?

Verify actually caus: Verify that is actually causing the symptoms. Are there specific objective neurologic findings? ...Read more

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I have some spinal stinosis in the lower back. When I walk it hurts mainly on my left side. ?

I have some spinal stinosis in the lower back. When I walk it hurts mainly on my left side. ?

Physical therapy: Physical therapy may be helpful. The best thing for spinal stenosis is exercise to strengthen the paraspinal muscles that support the spin. It may hurt to do the exercises at first, but it will be worth it in the long run. Also if you are overweight- try to get your weight down. ...Read more

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Lumbar stenosis surgery safety?

Very safe: Most of these surgeries are done on an out patient basis w/ the patient returning to work w/in few days. These surgeries are done on a minimally invasive fashion w/ typically excellent results. ...Read more

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Dr. Jeffrey Stevens
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Stenosis (Definition)

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