Doctor insights on:
Treatment Options Lumbar Spinal Stenosis Pain
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 moreSee 3 more doctor answers
The lumbar part of the spine is the low back. It is made up of five bones (most of the time) stacked one on top of the other. They are connected by disks, facet joints, and ligaments. These soft parts allow for movement controlled by the spinal muscles; the muscles can also keep it stiff when need be. The lumbar spine also contains and protects nerves to ...Read more
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 3 more doctor answers
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 moreSee 3 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 3 more doctor answers
Im 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?
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 moreSee 3 more doctor answers
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