When is spinal stenosis serious
Women have a higher risk of developing spinal stenosis than men. Early lumbar spinal stenosis may have no symptoms.
In most people, symptoms develop gradually over time. Symptoms may include:. Pressure on nerves in the lumbar region can also cause more serious symptoms known as cauda equine syndrome. If you have any of these symptoms, you need to get medical attention right away:.
To diagnose lumbar spinal stenosis, your healthcare provider will ask you questions about your symptoms and do a complete physical exam. During the physical exam your healthcare provider will look for signs of spinal stenosis, such as loss of sensation, weakness, and abnormal reflexes. If you have lumbar spinal stenosis, many types of healthcare professionals can help you, such as arthritis specialists, nerve specialists, surgeons, and physical therapists.
Treatment can include physical therapy, medicine, and sometimes surgery. Except in emergencies, such as cauda equina syndrome, surgery is usually the last resort. But you may be able to lower your risk. Here are some ways to keep your spine healthy:. The best way to manage lumbar spinal stenosis is to learn as much as you can about your disease, work closely with your medical team, and take an active role in your treatment.
Keep your lower back as healthy as possible by maintaining a healthy weight, practicing good body mechanics, and getting regular exercise. Simple home remedies like an ice bag, heating pad, massage, or a long, hot shower can help.
The nutritional supplements glucosamine and chondroitin have been recommended as nutritional supplements for osteoarthritis, but recent studies have been disappointing. Lumbar spinal stenosis can cause cauda equine syndrome, which needs medical attention right away. If injections don't resolve your pain, your next step is to schedule a consult for surgical options. Get the help you need. Find a neurosurgeon or a physical medicine and rehabilitation physician. View All Articles. Because spinal stenosis is common as you age, here's a quick look at the condition: 1.
Spinal stenosis can result from wear and tear Aging can change the skeletal system. The shopping cart test Common spinal stenosis symptoms include: Weakness Numbness or tingling in a foot or leg Pain or cramping in one or both legs when you stand for long periods of time or when you walk Back pain Pain in your limbs or when sitting is usually what causes you to seek a doctor's advice.
There is no cure for this condition but there are steps you can take to feel better. For example:. The rheumatologist is often the one who makes the diagnosis and rules out other forms of rheumatic diseases.
He or she will also help patients create a treatment strategy, which may include medications, exercise and physical therapy, or referral for surgical consultation. This information is provided for general education only. Individuals should consult a qualified health care provider for professional medical advice, diagnosis and treatment of a medical or health condition. Do you need help? Call Help Get more information. Spinal Stenosis Fast Facts Spinal stenosis is usually the result of osteoarthritis, which can cause a pinching of the spinal cord or nerve roots.
Anyone over the age of 50 is at risk. Medical history is key to making a diagnosis. The impact of this disease varies widely from patient to patient.
There is no cure for this disease but there are steps you can take to reduce pain and improve your flexibility your ability to bend and move about. Exercise is very important in the treatment of this disease. Exercising regularly to keep muscles strong and improve flexibility boosts strength, reduces pain and improves general well-being.
In: Goldman-Cecil Medicine. Philadelphia, Pa. Frontera WR. Lumbar spinal stenosis. Cervical stenosis, myelopathy and radiculopathy. North American Spine Society.
Levin K. Lumbar spinal stenosis: Treatment and prognosis. Kim K, et al. Nonsurgical Korean integrative treatments for symptomatic lumbar spinal stenosis: A three-armed randomized controlled pilot trial protocol. Evidence-Based Complementary and Alternative Medicine. Dasenbrock HH, et al. The impact of provider volume on the outcomes after surgery for lumbar spinal stenosis. Rochester, Minn. Minimally invasive lumbar decompression MILD.
Abt NB, et al. Thirty day postoperative outcomes following anterior lumbar interbody fusion using the National Surgical Quality Improvement Program database. Clinical Neurology and Neurosurgery. Spinal stenosis. Watson JC expert opinion.