What procedures to use for spinal stenosis?

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.
Usually decompresion. Of the spinal cannal and the foramina decompresion ( were the nerve exit from the spinal.
Common problem. Lumbar spinal stenosis is a common problem especially for those older than 50. It can be managed conservatively in many patients for years. If surgery becomes necessary, it can be planned on an elective basis. Check out spine-health.Com.
Several. Therw are pain management procedures, specifically epidural steroid injections. Surgical procedures range from interspinous implants like the x-stop to minimally invasive ones for decompression to standard surgery like a laminectomy for decompression.

Related Questions

Is spinal stenosis and loss of leg use reversible?

Usually. The vast majority of my lumbar stenosis patients improve significantly following surgical decompression in terms of how far they can walk. Read more...
Spinal stenosis. Loss of leg function and spinal stenosis is an acute emergency, if treated quickly then there is a possibility of reversal of loss of function. Read more...
Surgery . Spinal stenosis or compression of the nerves can be alleviated with surgical decompressive laminectomy (unroofing of the spinal canal) but, the symptoms sometimes partially remain present. Pain, weakness and or numbness usually does get better though, at least partially. Read more...
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. If there has been significant nerve root involvement, permenant nerve damage may persist. Check out spinehealth .Com. Read more...
Loss of leg usage. concerning. It can be reversible if caught early and treatments/surgical care done appropriately. Nerves take a long time to heal so expect a long recovery. Read more...

What is spinal stenosis?

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...
Narrowing... It's a narrowing of the central canal that your spinal cord travels through. Read more...
Too small a canal. Spinal stenosis is a spinal canal too small for its nerve tissue contents. This can be on a congenital basis or an acquired basis due to age related degenerative changes or even result from disc issues or from spinal deformities or instabilities or even from spinal fractures or possibly from prior spine surgery. This last reason is not fully conclusive. Read more...
Spinal stenosis. Spinal stenosis in a condition wherein tissue grows around the spinal cord, causing gradual compression and pain. It's progressive and unrelenting. Unfortunately leading to debility and pain. Surgical options are available which may help, but left alone it'll cause progressive limitations. The rate of progression is unpredictable. Read more...

Who treats spinal stenosis?

Spine surgeon. Whether or not you need surgery, an experienced neurosurgeon or orthopedic spine surgeon is the best resource to educate you in the treatment options available. Read more...
Pain physicians also. In addition to dr. Frankel's answer, also consider talking to an interventional pain/spine physician. They have other minimally invasive options to treat spinal stenosis, such as the mild procedure. Read more...
PT,PainMD,SpineSurge. Treatment of Spinal Stenosis consists of Physical Therapy,Pain Management and Spine Surgery.Depending on the severity of the condition 1Physical Therapist 2Pain Management includes Pain Meds and Epidural Injections 3Spine Surgeone in those severe cases not respnding to PT and Pain Management. Read more...
Primary care. Initially, usually primary care and chiropractors. If it worsens, then orthopedic surgeons, neurosurgeons, and interventional pain doctors can get involved. Read more...

What causes spinal stenosis?

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...
Several causes. People are born with either a small, medium or large spinal canal. Spinal stenosis is when the canal is too narrow fornerve tissue resultting in its compression. Everyone's canal narrows with time due to degeneration. By age 60, 20% have imaging finding of stenosis but not necessarily symptoms. Other causes are: congenital v acquired due to - fracture, herniation, tumor, fat, instability. Read more...

What causes spinal stenosis?

You can't. The size of the canal is inherited. The secondary degenerative leading to further narrowing is also linked to genetics. You may be able to reduce this by healthy living (regular exercise, no tobacco use, etc), but overall you have little influence on this condition. 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...
Spinal stenosis. Spinal stenosis in a condition wherein tissue grows around the spinal cord, causing gradual compression and pain. It's progressive and unrelenting. Unfortunately leading to debility and pain. Surgical options are available which may help, but left alone it'll cause progressive limitations. The rate of progression is unpredictable. Read more...
Degeneration. The most common type is caused by a gradual, progressive arthritic process in the spine. Read more...

Is spinal stenosis inherited?

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...
Maybe. There is a type of spinal stenosis that is known as congenital which means you are born with it but it is not inherited but there are syndromes that have a genetic or inherited basis that have as a feature spinal stenosis. Most stenosis issues develop over time. Read more...
Varies . The most common type of spinal stenosis is known as degenerative spinal stenosis and it is more not felt to be inherited. There is a type of spinal stenosis known as congenital spinal stenosis, and this type could very well have a genetic component to it. Read more...

What is spinal stenosis like?

It can be very. Painful. It is a decrease in space in the spinal canal which then impends on your spinal cord and/or nerve roots. It can be painful, which may decrease when bending forward as this frees up space in the canal. It can send shooting pains down limbs and can be a very aggravating and painful process. Therapy, injections and medications can help. Read more...
Spinal stenosis. Spinal stenosis in a condition wherein tissue grows around the spinal cord, causing gradual compression and pain. It's progressive and unrelenting. Unfortunately leading to debility and pain. Surgical options are available which may help, but left alone it'll cause progressive limitations. The rate of progression is unpredictable. Read more...
Can be Painful. Spinal Stenosis is actually narrowing of the spinal canal space due to Osteoarthritis,Aging,Instability of spine(slipped Disc)Hereditary in young people,Trauma and Tumors of spine Because of the narrowing there is often pressure on the nerves&it causes severe pain radiating down lower extremities It is Diagnosed after History,Physical Exam and MRI of the spine Treated with PT,EpiduraI Inj&Surgery. 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...

What can help spinal stenosis?

Spinal stenosis. Many possibilities. Proper help depends on accurate and thorough diagnosis. Spinal stenosis can occur at many different levels of the spine and can occur from one or more factors causing the sternosis. Best is to obtain examination and proper treatment from spinal specialists e.g. Neurosurgeons, orthopedic surgeons, physical therapy and pain doctors who specialize in this disorder. Read more...
Other options. In addition to dr. Pizzo's answer above, the treatment options typically include: conservative therapy (medication, pt), epidural steroid injections, the mild procedure, and traditional open surgery. Which one is best depends on your examination, symptoms, and usually the results of an MRI scan of the spine. Read more...
Depends. Surgery is typically a definitive treatment for the symptomatology, although, non-surgical management should be initiated first. Surgical Treatment for spinal stenosis usually consists of decompressive laminectomy (unroofing of the spinal canal) with or without fusion. Read more...
Options. Spinal stenosis can be treated conservatively with physical therapy and lumbar epidural steroid injections. Your spine specialist can thoroughly evaluate you and help coordinate conservative care if appropriate. Surgery is usually helpful if all else fails. Check out spine-health.Com. Read more...
Multiple. There are multiple treatments available for spinal stenosis to varying degrees of success. The most common nonoperative treatment for spinal stenosis is typically an epidural steroid injection. Read more...