Doctor insights on:
What Do They Do For Babies With Spinal Stenosis
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?
Pressure on cord:
Imagine an hour glass with wide base and narrow center. Now consider that the spinal cord rests in a wide canal with ample room. But bulging discs, bony overgrowth and thicker ligaments can fill the canal, causing pressure on this sensitive structure and its connecting nerve roots, and leading to painful conditions
Spinal narrowing: Spinal stenosis is a narrowing of the spinal canal (which contains the spinal cord and nerves) caused by enlargement of the surrounding ligaments and bones. This enlargement creates pressure on the nerves and/or spinal cord and their blood supply resulting usually in back and/or leg pain, especially when the patient is walking upright. The condition usually occurs in older people. ...Read more
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
Born with or develop: Spinal stenosis is a narrowing of the spinal canal leading to compression of nerve tissue. You can be born with it or you can develop it with age related or degenerative changes or acquire it through deformities/instabilities or with disc herniations, synovial cysts or after some spine fractures. ...Read more
Not really: Spinal stenosis can be caused by many things. But as long as the canal is narrowed, by a variety of things, we call it stenosis. Congenital stenosis means you were born with a narrow canal. Other common causes of stenosis would be arthritis that causes bone and tissue to occupy the canal and make it narrow. Other less common forms of stenosis would tumor and infection. ...Read more
Narrowing: Spinal stenosis is a narrowing of the nerve canal, it can affect any part of the spine. Patients with spinal stenosis in the low back may start to lean forward when they walk, you will sometimes see them at the store leaning on to a grocery cart. There are good treatment options available. ...Read more
Depends: This depends on the location and severity of the stenosis. If the stenosis is located at the central canal of the lumbar spine, this generally leads to leg pain when walking. Central canal stenosis of the cervical spine quite often does not cause pain. Nerve root canal stenosis is different from central canal stenosis and causes pain in the arm or leg (depending upon the location). ...Read more
Narrowing of spine: Stenosis means narrowing. Spinal stenosis can be a symptomatic or cause compression of the spinal cord or nerves. If symptoms significant surgical decompression of the appropriate levels may be needed. If symptoms and signs not major exercises, epidural blocks and some medications help. Avoid narcotics. ...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
Surgery: Spinal stenosis is when the spinal canal is too narrow for the nerve elements. This can be a congenital or acquired in origin. When surgery is indicated, one of the mosf common is a laminectomy which is a removal of the "roof" of the spine freeing up or decompressing the nerve tissues, a decompression. ...Read more
Spine surgery: This is a surgery performed by spine surgeons that helps relieve the pressure on the spine depending on the level of the stenosis the symptoms will be different because different nerves come off at different levels of the spinal cord. Therefore, the best is to be evaluated by a spine surgeon who can go into more detail about the severity and intervention required. ...Read more
Tough diagnosis: 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
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
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
Variety: A variety based upon the specifics of the case. Most surgeries can be categorized as either doing an indirect decompression of the spinal canal, or doing a direct decompression, or found a decompression and fusion. Don't hesitate to discuss the specifics of your case with a specialist. ...Read more
Small spinal canal: The size of spinal canal varies person to person born with a small spinal canal I use this term when I see liitle room for nerves but no obvious single impinging structure also called short pedicle syndrome very arbitrary. ...Read more
Not enough space...: Each bone in the spine has a space that contains the nerves. The space can get too narrow for the nerves to function normally. This is spinal stenosis. Most spinal stenosis is caused by degenerative disease: disc bulges, bone spurs from the facet joints, thickening of the ligaments. Symptoms can include leg pain, heaviness, tingling, etc, usually worse with standing or walking. ...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
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