Doctor insights on:
Similarities Between Fibromyalgia Spinal Stenosis
Spinal Stenosis: Depending on where the spinal stenosis was would determine if it could be confused with fibromyalgia. If it were lumbar, the answer would be "no" due to the pain being only in the lower body. If it were cervical, the answer could be "maybe". The work up for fibromyalgia would discover multiple underlying other disorders contributing to the disease. Have a knowledgeable specialist evaluate. ...Read more
Can you help please? I have spinal stenosis. Dystonia and Fibromyalgia. I can't hardly walk but it's being suggested by a respite care home I walk.
Which is causing thi: Which of these diagnoses are responsible for your inability to walk. Your medical team will need to help you decide and then the treatment can be directed. Lumbar stenosis can be treated with epidural steroid injection and physical therapte y and the others with this with physical therapy. We don'y know your age andam uncertain what a repite care home is ...Read more
I have many chronic conditions. Lupus, spinal stenosis, djd, fibromyalgia, degenerative disc disease. My husband doesn't understand my pain. Any ideas?
Go to doc with you: Have your husband attend your appointments with you. Ask the physician, physical therapist, etc. To explain the nature of the conditions to your husband, including the associated pain and toll it takes on you physically and mentally. Seeing a marriage counselor/psychologist could also be helpful. ...Read more
I have fibromyalgia, degenerative disc and joint disease, spinal stenosis, migraines, I'm on vicodin 5/525 but am never out of pain. It's wearing on me and my dr. Refuses to increase the vicodin. What do I do?
First do no harm: Your physician is not ignoring your pain. Pain medications have risks that must be weighed against the potential benefits. In the setting of fibromyalgia, there is no proven long term benefit with use of narcotics. There are many safer non-narcotic medications that may be worth a try. Even with the best pain medications, your goal may be to reduce pain, not eliminate pain. ...Read more
Pain from spine surgery years after 3 failed back surgeries. I also have spinal stenosis, spinal fusions, fibromyalgia, severe scar tissue, bad hip?
Stimulator may help: If you're still having pain after your 3 failed spine surgeries you could benefit from a spinal cord stimulator. I have seen many people helped tremendously by this implantable device. Find someone reputable and they may be able to help. ...Read more
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 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 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
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
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