What are treatment options for lumbar spinal stenosis?

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.
Several. This can range from no treatnent if little to no symptoms to exercise, activity modification, medication, physical therapy followed by home exercises, epidural steroid injections and surgery if no symptom improvement and symptoms warrant it and you are medically stable done by an orthopedic spine surgeon or neurosurgeon.
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.
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.

Related Questions

What is the treatment for lumbar spinal stenosis?

Many things. Depending on the severity, stenosis of the lumbar spine can be treated with medications, physical therapy, injections, or surgery.
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.
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.

How do you make the diagnosis of lumbar spinal stenosis?

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.
By history & imaging. The history giving symptoms of pain in back and/or legs standing and walking relieved by sitting or bending over is classic. If a vascular reason, same symptoms occur but one can stand in place and not sit or bend for relief. A MRI or ct will diagnose the stenosis.
MRI. Mri is the most common study. Check out spine-health. Com.

Lumbar spinal stenosis central canal severe they wanto do epideral makes me nervous?

See Nurosurgeon. Talk to neurosurgeon to discuss different options.
Epidurals. Are not very difficult and have low risks. One could help alleviate your pain and postpone or prevent a surgical intervention.
Temporary approach. The injection of epidural steroids in lumbar spinal stenosis may alleviate some of the pain and stiffness, but, in no fashion, will cure, or alter the symptoms after a few weeks at most. Typically, the best solution is surgery, and spine surgeons now have minimally invasive approaches to address the problem.
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. Epidural steroid injections are commonly performed and are safe. If surgery becomes necessary, it can be planned on an elective basis. Check out spine-health. Com.