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Spinal Stenosis Treatment For Cure
Spinal stenosis is related to degeneration in the spine and usually will become significant in the 5th decade of life and extend throughout every subsequent age group. Most patients first visit their doctor with symptoms of spinal stenosis at about age 60 or so. Patients need only seek treatment for lumbar spinal stenosis if they no longer wish to live with significant activity limitations, such as leg pain and/or difficulty with walking.
Spinal stenosis can occur in a variety of ways in the spine. Approximately 75% of cases of spinal stenosis occur in the lumbar spine (low back), which is called lumbar spinal stenosis, and most will affect the sciatic nerve which runs along the back of the leg. When this happens, it is commonly called sciatica..
• lumbar stenosis, the spinal nerve roots in the lower back are compressed, or choked, and this can produce symptoms of sciatica -- tingling, weakness or numbness that radiates from the low back and into the buttocks and legs -- especially with activity.
• Spinal stenosis pain in the neck (cervical spinal stenosis) can be far more dangerous by compressing the ...
... spinal cord. Spinal cord stenosis may lead to serious symptoms, including major body weakness or even paralysis. Such severe spinal stenosis symptoms are virtually impossible in the lumbar spine, however, as the spinal cord is not present in the lumbar spine.
In rare cases, lumbar stenosis can go no further than to produce severe persistent disabling pain and even weakness in the legs. Most cases of stenosis in the lumbar spine, however, have pain that radiates into the leg(s) with walking, and that pain will be relieved with sitting. This is called claudication, which can also be caused by circulatory problems to the legs.
Spinal stenosis may result in low back pain as well as pain in the legs. Stenosis may pinch the nerves that control muscle power and sensation in the legs. Additional symptoms may include:
• Frequent falling, clumsiness
• Pain and difficulty when walking
• Numbness, tingling, hot or cold feelings in the legs
Spinal stenosis can be difficult to diagnose because its symptoms can be caused by other conditions. Usually, people who develop stenosis have no history of back problems or any recent injury. Often, unusual leg symptoms are a clue to the presence of spinal stenosis.
There are many potential causes for spinal stenosis, including:
• Aging: With age, the body's ligaments (tough connective tissues between the bones in the spine) can thicken. Spurs (small growths) may develop on the bones and into the spinal canal. The cushioning disks between the vertebrae may begin to deteriorate. The facet joints (flat surfaces on each vertebra that form the spinal column) also may begin to break down. All of these factors can cause the spaces in the spine to narrow.
• Arthritis: Two forms of arthritis that may affect the spine are osteoarthritis and rheumatoid arthritis.
• Heredity: If the spinal canal is too small at birth, symptoms of spinal stenosis may show up in a relatively young person. Structural deformities of the involved vertebrae can cause narrowing of the spinal canal.
• Instability of the Spine, or Spondylolisthesis: When one vertebra slips forward on another, that can narrow the spinal canal.
• Tumors of the spine: Abnormal growths of soft tissue may affect the spinal canal directly by causing inflammation or by growth of tissue into the canal. Tissue growth may lead to bone resorption (bone loss due to overactivity of certain bone cells) or displacement of bone and the eventual collapse of the supporting framework of the spinal column.
• Trauma: Accidents and injuries may either dislocate the spine and the spinal canal or cause burst fractures that produce fragments of bone that penetrate the canal.
If simple treatments, such as postural changes or nonsteroidal anti-inflammatory drugs, do not relieve the problem, special imaging studies may be needed to determine the cause of the problem. An MRI (magnetic resonance image) or CAT (computed tomography) scan may be requested. A myelogram (an X-ray taken after a dye is injected into the spine) may be performed. These and other imaging studies can offer details about the bones and tissues and help with diagnosis.
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