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Doctor insights on: Medicine For Lumbar Spinal Stenosis

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What's lumbar spinal stenosis?

What's lumbar spinal stenosis?

Narrowing: A narrowing or "pinching" of the nerve canal. ...Read more

Dr. Thomas Dowling
757 Doctors shared insights

Spinal Stenosis (Definition)

A medical condition in which the openings where the nerves leave the spine are narrowed. As a result of the narrowed openings, nerves can get pinched off, leading to symptoms such as pain, ...Read more


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What is lumbar spinal stenosis?

What is 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

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Can lumbar spinal stenosis be cured?

Can lumbar spinal stenosis be cured?

Yes: If a proper work up has been done and all conservative measures have failed in a symptomatic patient, then surgery can provide definative treatment. Check out spine-health. Com. ...Read more

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What can end my lumbar spinal stenosis?

Only surgery: If truly indicated, surgery can open up the spinal canal fixing the stenosis. There is a chance, over time, that ongoing degenerative changes can lead to a recurrence. ...Read more

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How will lumbar spinal stenosis affect my life?

Potentially: Spinal stenosis can definitely affect someone's life by causing pain and limiting a persons ability to stand and walk. Consider being seen, there are many good treatment options available. ...Read more

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How serious is it to have lumbar spinal stenosis?

How serious is it to have lumbar spinal stenosis?

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

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How is lumbar spinal stenosis typically diagnosed?

How is lumbar spinal stenosis typically diagnosed?

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

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Can there be any relief for lumbar spinal stenosis?

Decompression: Surgical decompression is successful when conservative therapy fails. ...Read more

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Can I be a marine if I have lumbar spinal stenosis?

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

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Is there any thing to relieve lumbar spinal stenosis?

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

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Is there any kind of relief for lumbar spinal stenosis?

Is there any kind of relief for lumbar spinal stenosis?

Yes: 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. Check out spinehealth. Com. ...Read more

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How do you make the diagnosis of lumbar spinal stenosis?

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

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What are good exercises to relieve pain from lumbar spinal stenosis?

Flexion: Most exercises help but ones with your lower back in fkexion such as biking or walikng uphill or on a incline are good as are williams flexion exercises and swimming pool workouts. Core exercises are helpful like pilates. ...Read more

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What can I do about lumbar spinal stenosis if im leaving the army in two months help?

Depends on symptoms: If you have no or minimal aymptoms, don't worry about it. Sometines exercises known as williams flexion ones help as can medication and if needed, epidural steroid injections. If surgery is needed, doing it now should allow enough time for recovery. ...Read more

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Please tell me recommendations for being diagnosed with about lumbar spinal stenosis?

Please tell me recommendations for being diagnosed with about lumbar spinal stenosis?

Yes: Lumbar spinal stenosis is a common problem especially for those older than 50. It can be managed conservatively in many patients for years. If surgery becomes necessary, it can be planned on an elective basis. Check out spine-health. Com. ...Read more

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Is lumbar spinal stenosis curable?

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

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Is lumbar spinal stenosis curable?

Is lumbar spinal stenosis curable?

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

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What is the treatment for lumbar spinal stenosis?

What is the treatment for lumbar spinal stenosis?

Several: Treatment can range from none if little or no symptoms to exercise, activity modification, physical therapy followed by home exercise, medication, epidural steroid injections and if no improvement and symptoms warrant it and you are medically stable, surgery. ...Read more

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Does lumbar spinal stenosis require surgery?

Does lumbar spinal stenosis require surgery?

Depends: If the symptoms aren't bad then I generally do not recommend surgery. If someone can't walk a block and has failed physical therapy and epidural steroids, surgery can be helpful. ...Read more

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Can the symptoms of lumbar spinal stenosis wax and wane?

Can the symptoms of lumbar spinal stenosis wax and wane?

Yes: They often facilate worse with activitu improve with rest they tend to cycle ad the nerve swells rubs more then with rest it shrinks and fits better as swellimg subsides. ...Read more

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What is the recovery like for lumbar spinal stenosis surgery?

What is the recovery like for lumbar spinal stenosis surgery?

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

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What is the difference between cervical and lumbar spinal stenosis?

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

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Lumbar spinal stenosis -- do I have to have surgery to correct this?

No: Surgery for spinal stenosis is only needed in symptomatic patients that have failed all conservative measures. Check out spine-health. Com. ...Read more

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What are treatment options for lumbar spinal stenosis?

What are treatment options for lumbar spinal stenosis?

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

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Can lumbar spinal stenosis be affecting my job?

Can lumbar spinal stenosis be affecting my job?

Yes: Of course. Especially if your job involves standing or walking a lot. ...Read more

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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'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?

Yes: The stenosis can cause you back pain, but would not preclude you from having a baby. Of course, when pregnant, the extra weight and strain on your back, may possibly irritate your back, etc. Best wishes. ...Read more

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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

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Can chiropractic manipulation correct vertebral malalignment in lumbar spinal stenosis?

Can chiropractic manipulation correct vertebral malalignment in lumbar spinal stenosis?

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

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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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When must I call for referral to spine doctor if I have lumbar spinal stenosis?

When you do not feel: Relief from the conservative treatment, then you have to seek his opinion. ...Read more

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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.

Possibly: Spinal stenosis can cause your symptoms especially if you also have a bulging disc at that level. Epidural steroid injections and/or treatment with some medications may improve your pain. I would suggest consulting a pain management physician. ...Read more

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I have lumbar spinal stenosis, herniated discs, pins & needles in lower leg/foot and now my foot is turning blue. Could spinal stenosis be the problem?

No: Bno spinal stenosis will do all the above except the discoloration of your feet.
That is a circulation problem.
If you are diabetic, or if you are a smoker, need to see your doctor it could be a serious problem ...Read more

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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?

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

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Could my knee and ankle joint pain be caused by my lumbar spinal stenosis?

Could my knee and ankle joint pain be caused by my lumbar spinal stenosis?

Yes: The nerves from the back can definitely create knee and ankle pain. ...Read more

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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

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

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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

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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

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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?

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

Dr. Chukwuka Okafor
97 Doctors shared insights

Lumbar Spinal Stenosis (Definition)

A condition in which the spinal canal narrows and compresses the spinal cord and nerves at the level of the lumbar vertebra. This is usually due to the common occurrence of spinal degeneration ...Read more


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