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Doctor insights on: What Is The Treatment Of Choice For Spinal Canal Stenosis

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What is the treatment of choice for spinal canal stenosis?

What is the treatment of choice for spinal canal stenosis?

Conservative...: Depends upon the severity; physical therapy and anti-inflammatory medications to start...Epidural steroid injections as symptoms progress...And spinal surgery for severly progressive cases; which i advise trying to avoid at all costs. ...Read more

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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


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Mri test shows loss of spinal height & signal spinal stenosis narrowing of spinal canal diffused disc bluge in contact with thecal sac neural formina narrowed bilatery what treatment do you recommend?

See a spine surgeon,: Who depending on your symptoms and response to the medication, will have you go through a course of epidural shots (steroids) or might advise to enlarge the narrowed (stenosis) canal, to take pressure off the cord or the nerves. Good luck. ...Read more

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What does it mean on your scan: broad based posterior disk protrusion without spinal canal stenosis?

Disc disease: The disc between the vertebral bodies is bulging into the spinal canal. This can be painful or not. This could be affecting nearby nerves or not. Basically, the disc is damaged and is at risk for developing a tear and herniation which could be more serious. ...Read more

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Severe spinal canal stenosis w severe bilateral forminal stenosis at c-5 c-6 probable myelomalicia at c-5 c-6 multilevel ddd at c-3 to c-7 prognosis?

Need expert opinion: Only the orthopedic surgeon or neurosurgeon with whom you consulted with can answer that question as he/she knows enough about you to render a good opinion. ...Read more

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How can I relieve my lumbar spinal canal stenosis pain?

How can I relieve my lumbar spinal canal stenosis pain?

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

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Will a inversion table help relieve my pain.Ten years ago dr. Completely remived one of four protruding disc. Also have spinal canal stenosis.

Will a inversion table help relieve my pain.Ten years ago dr. Completely remived one of four protruding disc. Also have spinal canal stenosis.

Temporarily : Inversion table may improve your symptoms temporarily but will not cure your spinal stenosis. Additionally, if you have not had any recent neuroimaging studies of your spine, should discuss your condition and treatment options with your doctor or spine surgeon before taking up inversion table. ...Read more

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Had an MRI and dont understand results. "large posterior disk extrusion contacting the anterior spinal cord and causing severe spinal canal stenosis.

Had an MRI and dont understand results.  "large posterior disk extrusion contacting the anterior spinal cord and causing severe spinal canal stenosis.

Spinal Stenosis: Did a doctor explain to you the results or did you just obtain a copy? In general you have a protruding disc (not sure if neck or back) that is impinging on the spinal canal and resulting in narrowing of the canal. I would imagine you are having pain, weakness, numbness? ...Read more

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My MRI says "spinal cord contact". Does it cause pain if an osteophyte or a disc touches the spinal cord with mild spinal canal stenosis? Thank you.

My MRI says "spinal cord contact".  Does it cause pain if an osteophyte or a disc touches the spinal cord with mild spinal canal stenosis?  Thank you.

Depends: An osteophyte touching the spine shouldn't cause pain. What we worry about is when an osteophyte or protruding disk actually compresses the spinal cord/canal which should be seen on the MRI. ...Read more

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I had an MRI - says L4-L5- Disc buldge with superimposed central disc protusion. Severe spinal canal stenosis with compression of the thecal sac with bilateral neurofarminal narrowing. A chair broke and I collapsed on back. ?

Pinched nerve: Spinal stenosis is one way to say you have a narrowing or "pinching" of your nerve canal, in your case it is severe. The cause of the pinching is at least in part from a disc protruding into the nerve canal (herniated disc) which could potentially have occurred in the injury on the chair. I would not hesitate to be seen, many good treatment options available. ...Read more

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An MRI report shows no central cervical spinal canal stenosis but does show a right sided foraminal narrowing. Any impingement on the spinal cord?

An MRI report shows no central cervical spinal canal stenosis but does show a right sided foraminal narrowing. Any impingement on the spinal cord?

Puzzled: If there were impingement on the spinal cord, the report would say so. Presumably you didn't just wander into an MR center & make an impulse purchase. The MRI was ordered by a Dr who took a history & did physical. It's Dr's responsibility to review test results with you or if he can't, to find someone who can. You have a right to an explanation in terms you understand. ...Read more

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Does the following mean 2 pinch nerves? 1. degenerative disc disease at the C2-C3 level to result in mild to moderate spinal canal stenosis at this level. 2.. Degenerate changes at the C5-C6 and C6-C7 levels resulting in mild to moderate spinal cana

Does the following mean 2 pinch nerves?
1. degenerative disc disease at the C2-C3 level to result in mild to moderate spinal canal stenosis at this level.
2.. Degenerate changes at the C5-C6 and C6-C7 levels resulting in mild to moderate spinal cana

No but can't tell: Spinal canal stenosis can cause spinal cord compression. In order to know if a nerve is pinched in the cervical spine you want to know if there is lateral spinal canal stenosis ore more specifically foraminal stenosis. The foramen is where the nerve comes out of the spine and can be pinched. ...Read more

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Mri shows disc protrusion at l5-s1. Mod. Central spinal canal stenosis throughout L spine.mod degrees of neural forminal stenosis at l4-5 an esp l5-s1?

Degenarative disks: the cartilage disks that cushion vertrebrae, (which are the bones protecting the spinal cord), have degenarated. usually from wear - tear, the central portion loses water, which causes outer portions to bulge out and press upon surrounding nerve structures. the foramina are tiny holes from which nerves exit the spinal canal which is main space spine sits within vertebral cage. Tends to cause pain ...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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What is the best treatment for spinal stenosis for a male?

See below: Medicines to relieve pain and inflammation. Exercise, to maintain or achieve overall good health. Weight loss, to relieve symptoms and slow progression of the stenosis. Physical therapy lumbar epidural steroid injections lumbar decompressive laminectomy. ...Read more

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What are the long-term outcomes of surgical treatment for spinal stenosis?

What are the long-term outcomes of surgical treatment for spinal stenosis?

It depends: These arethe result after 8 years follow up for patients have the sugery.There were 68% excellent and good, 22% fair and 10% poor results. Back pain was relieved in 91% of the patients. Leg pain was relieved in 76% of the patients. Numbness was relieved in 87% of the patients. Five patients had re-operations. ...Read more

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What is the treatment for lumbar spinal stenosis?

What is the treatment for lumbar spinal stenosis?

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 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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Dr. Ana Adelstein
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Stenosis (Definition)

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