Doctor insights on:
Thoracic Spinal Stenosis In Children
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
I have lumbosacral spondylosis without myelopathy, spinal stenosis other than cervical, lumbar region with neurogenic claudication and thoracic radiculitis. What should I do?
I have chronic low back pain. The X-ray showed spinal stenosis. I will be having an MRI next week. I am unsure if MRI shows cervical, thoracic and lumbar spine or if eacharea is ordered a separate mri? I have intermittent neck pain also.
Each area is separat:
lumbar are separate studies. ...Read more
I started physical therapy for spinal stenosis and it made the fasciculations, hip, chest pain that I had for 2 years go away. Why is that?
We should TALK!: I haven't got a clue...oh, I could come up with some very cerebral sounding answer as a neurologist and doctor of medicine but I'm more interested in knowing about what happened & can that be duplicated in anybody else? Doesn't sound like there are any down sides to the intervention. & even if it only helped one person; would it be worth it? I've got several TWITCHERS now who would follow you.... ...Read more
Hx of C5-6 spinal stenosis. I'm getting pedicure and having right leg rubbed, developed tingling pain in left arm and left chest. What could this be?
There are a number: Of potential diagnoses that could explain the symptoms you experienced but the most likely is nerve compression in your cervical spine. You may have been sitting in the pedicure chair in a different or awkward position that potentiated this. If the symptoms persist you should get reevaluated for cervical spine disease. ...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 of the 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 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
Yes, surgery is recommended after you fail conservative non-surgical treatments -- including nsaids, pt, epidural injections. If you continue to have persisting symptoms, then surgery could offer some great symptomatic relief of your extremity symptoms. Consult a spine surgeon.
Also surgery if you start experiencing progressive neurological deficit, or changes in your bowel or bladder function. ...Read more
Sort of...: Spinal stenosis means there is decreased space available for the spinal sac & spinal nerves. This can be due to pressure from bulging discs, arthritic joints, thickening of the spinal ligaments, tumors, congential problems, etc. Foraminal stenosis is decreased space available for one of the individual nerves around the area that it exits off the main spinal canal (known as the neural foramen). ...Read more
Too small a canal: It is when the canal of the spine becomes too narrow for the contents-- compressing the neural/nerve tissue to a degree causing symptoms of pain/ numbness/tingling/weakness with standing/walking better sitting or bending over. This is due usually to degenerative changes occuring over time and can be related to the size canal he was born with- smoking can accelerate these degenerative changes. ...Read more