Doctor insights on:
Medicine For Lumbar Spinal Stenosis
Narrow spinal canal: There is a canal surrounded by a membrane that goes through the middle of the vertebrae. The spinal cord sits inside the canal surrounded by fluid. If a disc is bulging or ruptured/herniated toward the rear, this may cause pressure on the canal and it is narrowed. This may put pressure on the spinal cord or nerves within the canal causing local pain or neurologic symptoms from nerve compression. ...Read more
Can be serious: Stenosis is an objective finding on imaging studies, like an mri. However the symptoms of lumbar stenosis determine how severe it is. It can be as mild as occasional pain or numbness radiating down the legs, to severe weakness, pain and numbness that worsens with walking. Depending on how severe the pain and disability is, determines the treatment. ...Read more
Depends.: Clinically, the diagnosis is often made by symptoms of neurogenic claudication, in the absence of any overt vascular disease. Typically this a tight or heavy ache in the legs with prolonged standing or walking that resolves quickly with sitting. The diagnosis can be confirmed by mri. Not all patients with MRI evidence of spinal stenosis will have symptoms. ...Read more
Duty Restrictions: Many people have lumbar stenosis. In some cases, it's congenital or acquired. Patients usually don't see a doctor until they become symptomatic. Duty restrictions directly related to severity, pain and functional limitations. Applicants to the military are examined, but x-rays and MRI of the spine aren't routinely performed. Pre-existing conditions may disqualify applicants from the military. ...Read more
Yes: In 15%, it can just get better on its own. Sometimes non op care like medication, exercise, a zero degree lordosis back support or epidural injections can give relief. When indicated surgery can be done via a variety of ways depending on the region and levels involved and if there are any other associated spine problems or underlying medical issues. ...Read more
Imaging: There are some clues on history (worse with walking, standing, and/or maintaining certain postures, and relieved with sitting or lying) but the presentation is often similar to peripheral vascular disease- unilateral or bilateral pain with sensory loss, weakness, with symptoms worse with activity. The diagnosis is made by typical symptoms and neuroimaging- some debate between ct vs. Mri. ...Read more
Surgery: Spinal stenosis is the condition where the canal which the nerves and spinal cord travels gets narrow. This can be congenital or progressive due to arthritis. Rare causes for stenosis are infection and tumor. To cure it you need surgery. But if you have stenosis due to arthritis it can be treated with medications, therapy and injections. If those don't work, surgery may be the best option. ...Read more
Somewhat: There are a multitude of treatments for spinal stenosis which to some extent can "cure" the symptoms of spinal stenosis to variable degrees. For example, an epidural steroid injection can sometimes cure the symptoms of spinal stenosis for a long time, sometimes well over a year at a time. But with any treatment, the symptoms can return, even if surgery is done symptoms can return. ...Read more
This is dependent on: Several factors including one's health status & physical conditioning, any associated instability of the spine, whether obese &/or a smoker, any underlying diabetes or neuropathy, evidence of any peripheral vascular disease-but in general, when indicated appropriately, 85% success rate --generally 6-8 week recovery depending on number of levels involved in spine that has not had any prior surgery. ...Read more
Cervical stenosis: The cervical region is the neck area and the lumbar region is the lower back. Stenosis is narrowing of the spinal canal which can occur in both regions due to overgrowth of bone. ...Read more
Several: There are nonsurgical treatments that may heal some cases- usually a combination of medication, physical therapy, and epidural injections. If surgery is eventually required, there are several procedures that are done. These will be described by the consulting neurosurgeon. See http://www. Uptodate. Com/contents/lumbar-spinal-stenosis-treatment-and-prognosis? Source=search_result&search=lumbar+spin. ...Read more
See Nurosurgeon: Talk to neurosurgeon to discuss different options. ...Read more
I'm 44 yo and we are thinking having another baby. I just found out from my doctor that I have severe lumbar spinal stenosis. Can we still try to have?
I was diagnosed with lumbar spinal stenosis. Is it curable in the morning I wake up that I can hardly walk I have two jobs and in the evening when I?
Yes and no: It is a degenerative condition, and so much like an arthritic knee, it's symptoms can potentially be managed non operatively or it can be "fixed" with surgery; however not all cases of spinal stenosis have good surgical options- some do and some really don't. I would discuss the specifics of your case with a spine specialist. ...Read more
Unfortunately....no: As an osteopathic physician, whose practice includes "manipulative therapy, " it is my opinion that spinal stenosis is not correctable with any form of manipulation or physical medicine. This is unfortunately a surgical condition, and I would professionally recommend a consultation with a neurosurgeon, vs. An orthopedist. Your condition requires more expertise, and your end result will be better. ...Read more
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?
When you do not feel: Relief from the conservative treatment, then you have to seek his opinion. ...Read more
I have lumbar spinal stenosis, but now I get pain in my upper left thigh and it travels down my leg. Is this from lss? No swelling or lumps.
Can lumbar spinal stenosis lead to vasospasms with Livedo Reticularis and Petechiae rashes present? Or must those two be from vascular disease?
I have lumbar spinal stenosis and a herniated disc. I'm having pins and needles mixed with numbness all over both of my legs. Is this serious?
Certainly is. If not:
Treated it can cause permanent damage to the nerves, on one or both sides.
See a spinal surgeon who'll advise what's best for you. ...Read more
Yes: The nerves from the back can definitely create knee and ankle 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
Burning in tip of penis that comes and goes and also in legs. Neg test for STDs and uti. I have lumbar spinal stenosis. Could it be that?
Yes: Spinal stenosis is found on studies in 20% of the population by age 60 with symptoms ranging from none to a lot. Pain into the legs due to stenosis is due to nerve compression & this can also occur in the perineal region & over the penis due to compression of the nerves that supply that region as well. Typically it is brought on by standing & walking & relieved by sitting or bending over. ...Read more
Can neural foraminal, and lumbar spinal stenosis, with ddd at l5-s1. And the stenosis is at l4-5, l5-s1, cause HIGH abn on CBC for WBC mono lymph gran?
Ummm....: Let me see if I can translate your post into English: You have bony and disc abnormalities in your lumbar spine and also some hematological abnormalities. Is that the correct rendering? The two have nothing to do with each other. Did you ask the question of your doctor? (I recommend that in future you have a native speaker of English check your question before you post it.) ...Read more
I have lumbar spinal stenosis and have had four back surgeries. I also have nerve damage in my legs and feet. I feel extreme burning and tingling. Now they want to puta spinal cord stimulator (scs) in. Is it a good idea?
Medically Sound: One cannot generalize for every patient and their own particular situation. In general, if a patient has been adequately decompressed, as you have been with 4 surgeries, and still has residual or continuing neuropathic pain they would be considered an excellent candidate for SCS at first assessment. Further spinal surgeries have not been seen to help and may in fact worsen your situation. ...Read more
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