LUMBAR STENOSIS

LUMBAR STENOSIS

Lumbar Stenosis is the narrowing of the spinal canal in the lower back area. It is also the most common type of spinal stenosis

As the human body grows older, the spine goes through a common wear-and-tear effect, wherein necessarily, we “wear out” due to use. There are progressive damage and deterioration to the body systems that will break down with use over time.

This wear-and-tear effect caused by aging leads to a condition called Spinal Stenosis, where the space (spinal canal) around the spinal cord narrows, which puts pressure on the nerves that travel through the spinal cord (stenosis).

Arthritis is the most widespread cause of Lumbar Stenosis across the general population. This refers to the gradual wear and tear of the joints over time.

Around the age of 50 years old, changes in the body mostly begin in most people. Adults 60 years old and above are at risk for this condition.

Besides arthritis, Lumbar stenosis can also be caused by:

  • Spinal injury
  • Spinal tumors
  • Certain diseases to the bone

This condition is equally common in males and females, but females pose a higher risk.

SYMPTOMS

People from around 30 to 50 years old usually notice the symptoms, but some may not display signs.

People with Lumbar Stenosis may experience:

  • Lower back pain depends on the degree of arthritis development.
  • Burning pain starts from the buttocks and emits down to the legs or up to the foot.
  • Sciatica – Tingling or numbness of the buttocks and legs may or may not accompany the burning pain.
  • Gait – Weakness in one or both legs is experienced when the pressure is at the critical level.
  • Difficulty in performing upright activities.

DIAGNOSIS

Medical History and Physical Examination

Your doctor will be asking you questions related to your well-being, which may include family history. Also, they will be asking any existing medical problems, what current medications you are taking, and what your lifestyle is.

The symptoms will be discussed with your specialist.

Then, your doctor will examine your back to see areas that show pain, swelling, and tenderness. Your specialist will also check regions for signs of limited movement.

Imaging Tests

These tests help doctors to arrive at their final diagnosis, which includes:

  • X-Rays
  • Magnetic Resonance Imaging (MRI)
  • Computed Tomography (CT) Scan or Computerized Axial Tomography (CAT) Scan
  • Myelogram

 

TREATMENT

Non-surgical

Anti-inflammatory and analgesic medications will be prescribed to help reduce the swelling and pain in the joints.

To reduce swelling, epidural injections might also be prescribed.

Some doctors might suggest physical therapy and prescribe exercises.

Surgical

In severe Lumbar Stenosis cases, doctors may recommend surgery, especially when non-surgical treatment and management is not improving to relieve symptoms.

Depending on case to case basis, the specialist will determine what procedure and measures needed are appropriate for the patient.

Risk factors of surgery include the patient’s age, overall health, and other issues.

A large fraction of patients who has Lumbar Stenosis and who have undergone surgery have reported significant relief from symptoms. Still, there is no assurance that surgical treatment is the choice to help every patient.

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