Lateral Recess Stenosis

Dr. Karuna ChawlaBHMSHomeopathy Doctor

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Below are exercises that strengthen the lower back and help manage lower back pain: 1. Bridges—lie on the ground and bend the knees, placing the feet flat on the floor hip-width apart. Press the feet into the floor, keeping the arms by the sides. Raise the buttocks off the ground until the body forms a straight line from the shoulders to the knees. Squeeze the buttocks with the shoulders remaining on the floor. Lower the buttocks to the ground and rest for a few seconds.Repeat 15 times and then rest for 1 minute.Do 3 sets of 15 repetitions.2. Knee-to-chest stretches— lie on the back on the floor. Bend the knees, keeping both feet flat on the floor. Use both hands to pull one knee in toward the chest. Hold the knee against the chest for 5 seconds, keeping the abdominals tight and pressing the spine into the floor. Return to the starting position.Repeat with the opposite leg.Repeat with each leg 2–3 times twice a day. 3. Lower back rotational stretches—lie back on the floor with bent knees and feet flat on the ground. Keeping the shoulders firmly on the floor, gently roll both bent knees over to one side. Hold the position for 5–10 seconds. Return to the starting position. Gently roll the bent knees over to the opposite side, hold, and then return to the starting position. Repeat 2–3 times on each side twice a day. 4. Draw-in maneuvers— lie back on the floor with knees bent and feet flat, keeping the arms by the sides. Breathe in deeply. While breathing out, pull the bellybutton toward the spine, tightening the abdominal muscles and keeping the hips still. Hold the position for 5 seconds. Repeat 5 times. 5. Pelvic tilts— lie back on the floor with knees bent and feet flat, keeping the arms by the sides. Gently arch the lower back and push the stomach out. Hold for 5 seconds, then relax. Flatten the back and pull the bellybutton in toward the floor. Hold for 5 seconds, then relax. Increase the number of repetitions daily, building up to 30. 6. Lying lateral leg lifts— lie on one side with the legs together. Keep the lower leg slightly bent. Draw the bellybutton into the spine to engage the core muscles. Raise the top leg about 18 inches, keeping it straight and extended. Hold the position for 2 seconds. Repeat 10 times. Turn onto the other side of the body and repeat, lifting the other leg. Perform 3 sets on each side. 7. Cat stretches— get onto the hands and knees with the knees hip-width apart. Arch the back, pulling the bellybutton up toward the spine. Slowly relax the muscles and allow the abdomen to sag toward the floor. Return to the starting position. Repeat 3–5 times twice a day. 8. Supermans— lie face down on the ground and stretch both arms out in front of the body, keeping the legs stretched out and flat on the ground. Raise both the hands and feet, aiming to create a gap of about 6 inches between them and the floor. Try to pull in the bellybutton, lifting it off the floor to engage the core muscles. Keep the head straight and look at the floor to avoid neck injury. Stretch the hands and feet outward as far as possible. Hold the position for 2 seconds. Return to the starting position. Repeat 10 times. For this homeopathic treatment is very effective consult online with details. 

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Dr. Suryam GoduguchintaB.P.T, M.P.T(Orthopedics)Physiotherapist

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Respected Lybrate user. Maybe you're missised regularity. Or "regular home ex's. Or regular check-ups. Please kindly re- question. About your status. 

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Dr. Vishwas VirmaniMPT, BPTPhysiotherapist

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Neck Exercises. Neck Stretching. Postural Correction. Shoulder Shrugs. Take frequent Breaks at work 

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Dr. Rahul (Pt)BPTh/BPTPhysiotherapist

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You should strictly avoid forward bend posture. To avoid compression on spinal cord .spinal brass indicated to delode spinal cord pressure which gives relief a lot. 

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Dr. Lokesh Kumar SharmaMBBS, D - Ortho, DNB - Orthopaedic Surgery, MNAMS, Fellowship Advanced Spine Surgery, Fellowship Disc Replacement Surgery, Visiting Spine Fellowship, Visiting Fellowship Spine Deformity Correction, Felloship Minimal Inavsive Spine SurgeryOrthopedist

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Sir you are having left Lowe limb radiating pain along with tingling and Numbness, you can't walk for long because of leg pain. This is all because of nerve compression by disc material. As per the reports compression is significant but I can comment with confidence after seeing the mri films. Two options are there in your case if pressure over nerve is moderate we can try pain block injection or if pressure over nerve is severe then surgery is the only choice left. But we can decide the treatment modality after seeing the mri films only. Just to inform you now a days technology is so advance that hardly it required more then three stitches after the surgery. No bed rest you can go home next day your own. We are using minimal invasive techniques like endoscopic and microscopic surgery for such type of cases with excellent results. 

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Dr. Poonam Patel VasaniMBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management, Multidisciplinary pain management coursePain Management Specialist

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Your problem in simple terms is Sciatica due to disc bulge. Surgery is definitely needed if you have weakness or loss of sensation of legs or loss of control over urine or stools. If you don't have above complications you should go for consultation with pain specialist and get epidural injection. A drug mixture consisting of steroid and local anesthetic is injected in epidural space (surrounding the spinal cord) which decreases the inflammation and pain of disc pressing on nerve. The procedure is done in operation theatre by interventional pain specialist using X Ray machine. It relieves pain of Sciatica and patient can easily start physiotherapy after this. 

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Dr. P NagarajFRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPTPhysiotherapist

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Do take ift and laser therapy for pain relief for 12 days followed by strengthening exercise from physiotherapist apply hot water fomentation thrice a day for 7 days regularly do revert for further assistance best wishes. 

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Dr. Vishwas VirmaniMPT, BPTPhysiotherapist

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For leg pain, please follow the below advise: keep your leg raised while sitting or lying quadriceps strengthening exercises- quad clenches: lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, hold for 3 secs. Repeat 10 times twice a day. Short arcs: lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight leg raise: lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise. Back. Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretchingstretch do the cat/cow avoid bending in front. Postural correction- sit tall, walk tall. Apply hot fomentation. 

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Dr. Manoj NagarDNB (Orthopedics), MS - Orthopaedics, MBBSOrthopedist

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There are some medications which can help relieve your leg pain and if this does not work, injection around compressed nerve root (nerve root block) helps. The last resort is surgery. 

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Dr. N C GuptaMBBS, MS - OrthopaedicsOrthopedic Doctor

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Sleep on a hard bed with soft bedding on it. SPRING BEDS, FOLDING BEDS OR THICK MATRESS ARE HARMFUL Use no pillow under the head. DO HOT FOMANTATION. Paracetamol 250mg OD & SOS x 5days. Caldikind plus 1tab OD x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again.. Do not ignore .It could be beginning of a serious problem. 

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