Patients with degenerative arthritic Lumbar Spine may present with the symptoms of Lumbar spinal stenosis, which could be significantly disabling in majority of the cases. This is mainly because of the squashed nerves in the Spinal canal.
What are the Symptoms of Spinal Stenosis?
Cramps in legs
Leg pain triggered by walking and restricting walking distance
Back pain which is relieved by rest . Leaning over a shopping trolley and forward bending makes the pain better
Numbness and weakness in legs
Rarely bladder and bowel disturbances
Which age group?
More common in elderly patients
What is the pathology of Spinal Stenosis?
Arthritc joints of the spine produces extra bone spurs. These bone spurs blocks the nerve root space and impinges the nerves. Thickened ligaments ( Ligamenum flavum) could narrow the space for spinal canal and increases pressure on nerves. Disc prolapse could also obliterate the space for the nerves. Rarely tumors in the Spinal canal could reduce the space for the nerves leading to Spinal stenosis.
When to consult your Doctor?
Pain lasting for more than 6 weeks
Pain disturbing the night sleeps
Pain not controlled by analgesics
Quality of life compromised
Bladder/ Bowel disturbances
Loss of weight and or appetite
Non-operative measures
Pain killers
Physiotherapy – Flexion exercises
Epidural Steroid injections
Life style modification
Surgery for Spinal Stenosis
Aim of the Surgery is to provide more space for Nerve roots. This is achieved by decompression Surgeries like Open Laminectomy, Discectomy, Spinal fusion or minimal invasive procedures. Choice of Surgeries determined by patient factors and severity and location of Stenosis.
This information is not suitable for any commercial or litigation issues. Please consult your Doctor for an individualised treatment
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