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Doctor insights on: Spinal Stenosis

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Dr. Thomas Dowling
756 Doctors shared insights

Spinal Stenosis (Overview)

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, abnormal sensations, and weakness.


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What can help spinal stenosis?

What can help spinal stenosis?

Depends: Surgery is typically a definitive treatment for the symptomatology, although, non-surgical management should be initiated first.
Surgical Treatment for spinal stenosis usually consists of decompressive laminectomy (unroofing of the spinal canal) with or without fusion. ...Read more

Dr. Thomas Dowling
756 Doctors shared insights

Spinal Stenosis (Overview)

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, abnormal sensations, and weakness.


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How is spinal stenosis symptom different from herniated disc symptoms?

How is spinal stenosis symptom different from herniated disc symptoms?

Typical spinal: Stenosis symptoms in the lumbar spine are pains radiating to the leg (s) with progressive standing and walking relieved by bending over or sitting while a disc herniation causes pain into the leg (s) worse with sitting and bending and usually better standing or walking. Both feel better typically lying down. Obviously, there are variables based on several factors in terms of symptom presentation. ...Read more

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Spinal stenosis (Tip)

20% of people have it by age 60, most with no symptoms. Exercise & OTC meds, if no restriction. ...See more

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Managing Spinal Stenosis (Checklist)

Use NSAIDs for relief
Daily
Get an x-ray or MRI if you are not better in 6 weeks
Once
See a spine specialist if you are not better in 6 weeks
Once
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What are the common symptoms of spinal stenosis?

What are the common symptoms of spinal stenosis?

Positional sciatica: Symptomatic spinal stenosis usually presents as radiating pain down the sciatic region of one or both legs. Because of anatomic considerations, the sciatica is typically positional. Leg pain, numbess, and/or weakness predictably worsens after a short period with the spine extended (standing upright/walking) and improves with forward flexion of the spine (sitting/hunching forward/fetal position). ...Read more

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Sign spinal stenosis at l4-l5. Small syn cyst right side l4-l5 no hern disc 14 wk out apptwill corrective action delay cause problems? Options I may ha

Sign spinal stenosis at l4-l5. Small syn cyst right side l4-l5 no hern disc 14 wk out apptwill corrective action delay cause problems? Options I may ha

Depends: If you are having weakness in leg related to this, and surgery might be considered, then it is better not to wait as fixing it after delay might mean permanent weakness, if this is pain and other symptoms like numbness you can tolerate or manage conservatively, then the delay is not likely going to threaten your functioning. ...Read more

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Spinal stenosis (Tip)

If epidural doesn't work, its crime to get a second opinion from a neurosurgeon. ...See more

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Treating a Spinal Fracture (Checklist)

Rest
Once
Use NSAIDs to decrease inflammation
Daily
Use pain medications on an as-needed basis
Daily
Consider an MRI to evaluate fracture
Once
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Diagnosis sever spinal stenosis. Had lamenectomy last year on ruptured L5 after loss of bladder control. Could it be related?

Could be: Severe lumbar spinal stenosis (occuring from large herniated discs, & other compressive pathologies), could result in compression of the nerve roots below the level of your spinal cord -- called your cauda equina. This could then result in bladder/bowel dysfunction. Your surgeon likely did the laminectomy to relieve the compression of your cauda equina so as to prevent the problem from worsening. ...Read more

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How do you diagnose spinal stenosis?

Evaluation: First, a clinical exam with a history taken to see if symptoms are consistent with spinal stenosis then most likely a MRI or ct would be indicated next to confirm diagnosis. ...Read more

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Spinal stenosis (Tip)

Steve NASH adapted and won two mvp's with a.S. Variant. Do the best you can, but take care. ...See more

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I've had many tests down. Burning left upper back. No one knows what happening, going another test thoracic spinal stenosis.. What could it be?

I've had many tests down. Burning left upper back. No one knows what happening, going another test thoracic spinal stenosis.. What could it be?

Hard to say: Certainly hard to say without benefit of your records. A thoracic radiculopathy can cause upper back burning, as can a peri scapular problem such as a sub scapular bursitis, or something deeper inside such as a lung, stomach, or pancreas problem for the left side. A real detailed exam and appropriate studies can usually determine the cause. ...Read more

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What are the tests for spinal stenosis?

Imaging: The most accurate test is a ct scan for assessing the size of the spinal canal to determine if it fits the criteria for spinl stenosis followed by a mri. However, one has to have the clinical symptoms and/or findings to make a clinical diagnosis of spinal stenosis since a lot of people with positive imaging findings have no clinical symptoms or findings ...Read more

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Spinal stenosis (Tip)

Talk to your physician about trying epidural steroid injections prior to considering surgery. ...See more

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What causes spinal stenosis?

What causes spinal stenosis?

Several things: Spinal stenosis can be congenital but is also acquired with aging, or trauma, by either arthritis, herniated discs or even vertebral collapse as people age, which can result in vertebra slipping across each other which can cause stenosis too. It is important to see a neurosurgeon for evaluation, or a orthopedist who specializes in the spine, for full evaluation and treatment, surgery is an option. ...Read more

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What does it mean to have advanced spinal stenosis?

Depends: They, the person completing the dictation on your imaging study might be referring to "advanced" in comparison to your age.
Alternatively, it might also mean that your stenosis (narrowing of the signal canal) is severe. ...Read more

Dr. Chris Faubel Dr. Faubel
1 other doctor agreed
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Spinal stenosis (Tip)

Lumbar surgery is not typically effective for patients with only low back pain. ...See more

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What are the best ways to treat spinal stenosis?

What are the best ways to treat spinal stenosis?

Common problem: 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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Who treats spinal stenosis?

Pain physicians also: In addition to dr. Frankel's answer, also consider talking to an interventional pain/spine physician. They have other minimally invasive options to treat spinal stenosis, such as the mild procedure. ...Read more

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I am being treated for spinal stenosis but today my right arm, hand, leg and foot are having continuous pins and needle feeling.?

Many possible causes: You could have spinal stenosis in both the neck & back which occurs in 20% of patients with stenosis in one region. If it is in the neck, the degenerative changes that create the stenosis may also be affecting one of the vertebral arteries leading to stroke like symptoms or you may be having a mini stroke or tia. The other possibility is that it may be a symptom of a demylinating disease like ms. ...Read more

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What roll will a pain clinic play in diagnosing or treating spinal stenosis?

What roll will a pain clinic play in diagnosing or treating spinal stenosis?

Initial care: Pain clinics can diagnose and offer some nonsurgical treatment options for symptomatic spinal stenosis. However, for refractory sciatica from severe stenosis, the most effective treatment is surgical decompression by a ortho spine surgeon or neurosurgeon. ...Read more

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Treatment for spinal stenosis?

Treatment for spinal stenosis?

None to surgery: Up to 20% of the population will have stenosis by imaging studies by age 60. A lot have little to minimal symptoms. Treatment can include: medication, exercise/physical therapy, zero degree lordosis brace, epidural steroid injections & if all treatment fails & symptoms warrant it, surgery in terms of decompressing the neural elements by a laminectomy in the lower back & several options in neck. ...Read more

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What are treatments for spinal stenosis?

Varies: Spinal stenosis is a narrowing of the nerve canal. In the back it can cause back and leg pain and difficulty walking. Mild cases can be treated with medications or non invasive alternatives like therapy or chiropractic care. More severe cases are often treated with epidural steroid injections, and the most severe cases with surgery. ...Read more

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Is there a cure for spinal stenosis? How do you slow down the progression

Relieve compression: Surgical intervention to relieve pressure on the spinal cord usually can help. Non surgical options including epidural steroid injections, facet injections, weight loss, physical therapy can also assist. ...Read more

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Best treatment for advanced spinal stenosis?

Best treatment for advanced spinal stenosis?

Common problem: 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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Which drugs can be given for spinal stenosis?

Which drugs can be given for spinal stenosis?

Options: Spinal stenosis can be treated conservatively with physical therapy and lumbar epidural steroid injections. Your spine specialist can thoroughly evaluate you and help coordinate conservative care if appropriate. Surgery is usually helpful if all else fails. Check out spine-health. Com. ...Read more

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What is spinal stenosis and who gets it?

Narrowing: Spinal stenosis is a narrowing or "pinching" of the nerve canal. The most common type of which is degenerative spinal stenosis, which is an arthritic aging irises and as such gets more and more common the older a person gets. ...Read more

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Can I give spinal stenosis to my husband?

Can I give spinal stenosis to my husband?

No: Spinal stenosis is not an infection - it is not contagious or transmissible from one person to the next. ...Read more

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What increases my risk for cervical spinal stenosis?

Disc diease: Arthritis, some time having infection and tumors in that area. ...Read more

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How can I help prevent cervical spinal stenosis?

How can I help prevent cervical spinal stenosis?

You can't: The size of the canal is inherited. The secondary degenerative leading to further narrowing is also linked to genetics. You may be able to reduce this by healthy living (regular exercise, no tobacco use, etc), but overall you have little influence on this condition. ...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


Dr. Gary Pess
1 Doctor shared a insight

Stenosis (Definition)

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