If you have the symptoms of spinal stenosis, your doctor will start by taking a medical history, performing a physical examand observing your movements. Your doctor may also order tests to confirm a suspected diagnosis, such as: X-rayMRI scan, or CT scan to view images of your spine electromyelogram to check the health of spinal nerves bone scan to look for damage or growths in your spine What are the treatment options for spinal stenosis?
Page of The lumbar spine lower back consists of five vertebrae in the lower part of the spine, between the ribs and the pelvis. Lumbar spinal stenosis is a narrowing of the spinal canal, compressing the nerves traveling through the lower back into the legs.
While it may affect younger patients, due to developmental causes, it is more often a degenerative condition that affects people who are typically age 60 and older. Narrowing of the spinal canal usually occurs slowly, over many years or decades.
The disks become less spongy with aging, resulting in loss of disk height, and may cause bulging of the hardened disk into the spinal canal.
Bone spurs may also occur and ligaments may thicken. All of these can contribute to narrowing of the central canal and may or may not produce symptoms. Symptoms may be due to inflammation, compression of the nerve s or both.
Such symptoms may include: Degenerative spondylolisthesis slippage of one vertebra over another is caused by osteoarthritis of the facet joints. Most commonly, it involves the L4 slipping over the L5 vertebra. Degenerative scoliosis occurs most frequently in the lower back and more commonly affects people aged 65 and older.
Back pain associated with degenerative scoliosis usually begins gradually and is linked with activity. The curvature of the spine in this form of scoliosis is often relatively minor.
Surgery may be indicated when nonsurgical measures fail to improve pain associated with the condition. Diagnosis Diagnosis is made by a neurosurgeon based on history, symptoms, physical examination and test results. Imaging studies used may include the following: Focuses radiation through the body to create an image and can show the structure of the bones, alignment of the spine and outline the joints.
CT scan or CAT scan: Creates images by combining multiple X-rays together and can show the shape and size of the spinal canal, its contents and the structures around it with details of the bony anatomy.
Creates images by using powerful magnets and computer technology and can show the spinal cord, nerve roots and surrounding areas, as well as enlargement, degeneration and tumors.
Injects contrast dye into the spinal fluid space cerebrospinal fluid to outline the nerves and spinal cord, and show evidence of any pressure affecting these areas; seen on X-ray, sometimes done with a CT scan.
Nonsurgical Treatment A combination of time, medications, posture management, stretching and exercise can be helpful to many patients for pain flare-ups.
Weight management, nicotine cessation and bone-strengthening endeavors may also be indicated. Anti-inflammatory medications can be used to reduce swelling and pain, and analgesics can be used to relieve pain.
Most pain can be treated with non-prescription medications, but if the pain is severe or persistent, prescription medications may be provided. Epidural injections of medications may be prescribed to help reduce swelling.Lumbar spinal stenosis is a condition whereby either the spinal canal (central stenosis) or one or more of the vertebral foramina (foraminal stenosis) becomes narrowed.
Spinal stenosis occurs when the spine is narrowed in one or more areas. This puts pressure on the spinal cord and nerves to cause pain.
The impact of the disease varies from person to person. Spinal stenosis may be treated by medications, braces, or surgery. Your doctor may also recommend that you. Spinal stenosis is a condition in which the spinal column narrows and starts compressing the spinal cord. This process is typically gradual.
The Symptoms. You may not notice any. But if the narrowing puts pressure on your spinal cord or nerve roots, you may have numbness, weakness, cramping, and pain in your arms and legs.
Spinal stenosis is a condition, mostly in adults 50 and older, in which your spinal canal starts to narrow. This can cause pain and other problems.
Your spine is made up of a series of connected. Lumbar spinal stenosis can be a painful condition. When the spinal cord narrows, it puts pressure on the spinal cord, which often leads to pain, tightness, or numbness down the back or in one leg.