Doctor insights on:
What Is Lumbar Stenosis
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
What is the prognosis for lumbar stenosis with bulging discs at l4/l5 and l3/l4 with spinal cord effacement and bilateral facet joint hypertrophy.
Mixed: Facet hypertrophy is a common change as people age; the amount of joint enlargement is more important than the fact that it is present. Stenosis is an issue if it is symptomatic. Weight control and exercise can help. Surgery can help in cases that don't respond to other treatment. The spinal cord usually ends at l1-2, so if it truly goes down to l5, there are other issues that need to be addressed. ...Read moreSee 2 more doctor answers
Stenosis: Is a problem with crowding. Heat expands tissues, cold contracts. Cold in theory would work except your skin won't let the cold penetrate deep into your spine where the problem is. ...Read more
Not at all.: Narrowing of lumbar spine/ stenosis is usually from degeneration or arthritis of the spine related to aging. Ask your dr for the cause of your constipation. U may need a colonoscopy if it persists. Best wishes! http://www.Medicinenet.Com/script/main/mobileart.Asp?Articlekey=84876 http://www.Ehow.Com/how_4621539_treat-constipation-natural-remedies.Html. ...Read moreSee 3 more doctor answers
Recently found out I have severe stenosis (lumbar) and possibly MS is there a point to having surgery or would it be a recurring issue?
Unclear: Spinal stenosis if severe, is unlikely to respond well to conservative therapy, and some of the newer surgical techniques may be highly successful. BUT, not clear to me why MS has been considered associated with all you other problems. Maybe get neurological consult. ...Read moreSee 2 more doctor answers
Can be serious: Stenosis is an objective finding on imaging studies, like an mri. However the symptoms of lumbar stenosis determine how severe it is. It can be as mild as occasional pain or numbness radiating down the legs, to severe weakness, pain and numbness that worsens with walking. Depending on how severe the pain and disability is, determines the treatment. ...Read moreSee 3 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
Duty Restrictions: Many people have lumbar stenosis. In some cases, it's congenital or acquired. Patients usually don't see a doctor until they become symptomatic. Duty restrictions directly related to severity, pain and functional limitations. Applicants to the military are examined, but x-rays and MRI of the spine aren't routinely performed. Pre-existing conditions may disqualify applicants from the military. ...Read more
Yes: In 15%, it can just get better on its own. Sometimes non op care like medication, exercise, a zero degree lordosis back support or epidural injections can give relief. When indicated surgery can be done via a variety of ways depending on the region and levels involved and if there are any other associated spine problems or underlying medical issues. ...Read moreSee 3 more doctor answers
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