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Lumbar Spinal Stenosis Tips

Spinal Stenosis - Know Treatment Of It!

Dr. Neelabh 90% (59 ratings)
DNB (Orthopedics), Diploma in Orthopedics, MBBS
Orthopedist, Delhi
Spinal Stenosis - Know Treatment Of It!

What is Spinal Stenosis?

The narrowing of the gaps in the spine or the backbone is called as Spinal stenosis. This leads to pressure on the nerves and the spinal cord. 5% of cases of spinal stenosis are seen in the low back of the lumbar spine. In some cases the narrowing of the spine leads to the compressing of the nerve root, which leads to pain in the leg.

Causes of spinal stenosis: It can be caused by aging, arthritis, trauma to the spine, spondylolisthesis and tumor of the spine

Symptoms of spinal stenosis: There is constant pain in the back and legs as stenosis pinches the nerve responsible for sensation and muscle power. Other symptoms are numbness and tingling in the legs, frequent falling and pain while walking.

Treatment of spinal stenosis:

-  A routine program with exercises and physical therapy are the best treatment for spinal stenosis. The exercises are not a complete cure but they are beneficial in keeping the patient active. A physical therapy can be supervised and once the period of the same is over people easily transition to the exercise program. The key for exercise is starting slowly in order to build strength.

-  Generally, the patients are counseled not to perform strenuous activities as that might worsen the symptoms of spinal stenosis. In case of lumbar stenosis, patients find it comfortable when they are flexed forward. The doctor might recommend walking while being bent over and leaning when using a walker if not walking upright; sitting in recliners is also recommended instead of straight back chairs.

-  Injections of cortisone are usually given in the epidural space. This is believed to relieve the symptoms of spinal stenosis temporarily. Though there have been studies which question the use of these injections as they lead to the risk of osteoporosis related fractures. This is still being pondered over by the doctors as a suitable treatment option as it has its own benefits and risks.

-  Medications such as the antiinflammatory medicines like ibuprofen or aspirin are helpful in controlling the symptoms of spinal stenosis. Narcotic drugs might also prove to be helpful if used with care and for a short while. This is helpful for severe pain related to the nerves. Muscle relaxants like gabapentins might also be recommended. In some case anti depressants might also be given to provide relief from pain. 

Though side effects are a concern when using these medications and the patient should let the doctor knows about their allergies.

1 person found this helpful

Back Pain Lumbago Sciatica

Dr. Qaisar Raza 86% (53 ratings)
BHMS
Homeopath, Kolkata
Back Pain Lumbago Sciatica

Hypericum perforatum
This honeopathic remedy relieves lower back pain with sharp throbbing pain.

Ruta graveolens
This is used to relieve lower back pain caused or worsened by staying immobile.

 Causes
Umbago is often provoked by banal causes, i. E. A muscular or ligaments’ sprain, that may occur after a bad movement (as a fall), or after having lifted heavy weights or having done an exaggerated physical effort.
Obviously inadequate training, a wrong posture, overweight together with many other factors can help the happening of the problem.Other causes source from the spine itself: lumbago may descend from an arthritis of the spine (spondylosis) degenerative arthritis of the spinal vertebrae and related tissue; on the vertebral surface they may form the so called osteophytes (bony projections) that sometimes impinge on nerves causing pain.

Spine arthritis often shows up together with a problem of the intra vertebral discs that tend to become more thin. This causes the vertebrae to come closer with a consequent reduction of the space left for the nerve roots.The result is an irritation of the nerve structures that causes a lumbar sciatica. Another possible cause of compression of the nerve’s root is spinal disc herniation, main factor of sciatica.

Lumbar sciatica may also be caused by a narrowing (stenosis) of the vertebral canal inside which is contained the spinal marrow. Some persons are simply born with a more narrow canal than normal, while in some other cases stenosis can appear later, in example caused by an arthritis.There can also be an alteration of the spine, when a displacement of a vertebra in relation to the vertebrae below occurs (spondylolisthesis).

Symptoms


Almost everyone knows what is back pain. Lumbago is one of the most frequent problems: it is the second cause of medical visits after influenza and it has been estimated that 4 on 5 people suffer from it sooner or later in life.The spine is made by vertebras, separated by intra vertebral discs that act as shock absorbers, and its stability is assured by a group of ligaments and muscles.Inside the spine it is located the spinal marrow from which the nerves source and, coming out from spaces between a vertebra and another, they reach different parts of the body.The lumbar section of the spine, composed by 5 vertebras, is involved in almost every movement: it is fundamental to hold the back straight, to allow the torso rotation and its flexion. The back sustains most of the body weight and efforts and if its functions are compromised this can be strongly invalidating.The main symptom of lumbago is obviously pain that can locate in a specific area of the back.

The main symptom of lumbago is obviously pain that can locate in a specific area of the back.

It is often provoked by a muscle or ligaments sprain and it usually shows up together with a trauma, also called back strain.
Pain can be continuous and can sometimes ease by changing posture or practicing a light physical activity.
It is recommended not to practice heavy physical activity because it causes the symptoms to increase. When pain is provoked by a compression of one of the nerves' roots that come out from the lumbar spine, it tends to irradiate to the area reached by the entire nerve.So, if speaking of the lumbar spine, pain reaches the lower limb on the interested side of the body. In these cases the result is lumbar sciatica.
Ache may be felt after making an effort but also spontaneously and tends to be continuous and characterized by peaks of pain.

Prevention

Improving the physical conditions and following some simple rules can help preventing back ache: it is important to do aerobic physical activity periodically (i. E. Swimming or walking).In fact, training helps to strengthen the back and its resistance. Moreover it is important to hold in check the body weight, losing weight if necessary and doing reinforcement and stretching exercises focused on the abdomen, buttocks and back muscles.

Here are some suggestions that can turn useful in daily life.

  • When standing: if forced to spend a long time standing it is important to shift weight support from a leg to the other.
  • When sitting: it is recommended to use a chair suitable for the lumbar area;
  • The chair seat must allow to keep knees folded and feet well laid on the ground.
  • When lifting a weight. Knowing how to lift a weight in the correct way it is really useful to prevent low back pain: it is important to avoid using the back while doing it. Legs must be folded so that arms are at the same level of the object that needs to be lifted ; the object must be kept near the body. Moreover, it is better to avoid putting weights over the head.
  • When sleeping: in general the advice is to sleep on a hard mattress, even if recent studies recommended medium-hard ones. Avoid pillows which are too thick because they force the neck to bend excessively.

Self healing

  • It is important to avoid too long periods in bed: a light physical activity helps the recovery, obviously avoiding those movements that increase pain.
  • If lumbago is caused by an acute trauma it can be useful to initially apply ice. The latter can be applied for 15 minutes several times a day. Once spasm and acute pain are gone, heat can be applied.
  • With regard to body belt and corset, opinions are sometimes discordant therefore it is necessary a suggestion of an orthopedic specialist. In fact, even if they help keeping warmth on the damaged area, they tend to weaken the back muscle in the long term. For this reason it is better to do some exercises in order to reinforce the musculature.


Homoeopathic remedies
 

Aesculus
Pain in the very low back (the sacral or sacroiliac areas) that feels worse when standing up from a sitting position, and worse from stooping, may be eased with this remedy. Aesculus is especially indicated for people with low back pain who also have a tendency toward venous congestion and hemorrhoids.

Arnica montana
This remedy relieves lower back aches and stiffness from overexertion or minor trauma.

Bryonia
This remedy is indicated when back pain is worse from even the slightest motion. Changing position, coughing, turning, or walking may bring on sharp, excruciating pain. This remedy can be helpful for back pain after injury and backaches during illness.

Calcarea carbonica
This is often useful for low back pain and muscle weakness, especially in a person who is chilly, flabby or overweight, and easily tired by exertion. Chronic low back pain and muscle weakness may lead to inflammation and soreness that are aggravated by dampness and cold.

Calcarea phosphorica
Stiffness and soreness of the spinal muscles and joints, especially in the neck and upper back, may be relieved by this remedy. The person feels worse from drafts and cold, as well as from exertion. Aching in the bones and feelings of weariness and dissatisfaction are often seen in people who need this remedy.

Natrum muriaticum
Back pain that improves from lying on something hard or pressing a hard object (such as a block or book) against the painful area suggests a need for this remedy. The person often seems reserved or formal, but has strong emotions that are kept from others. Back pain from suppressed emotions, especially hurt or anger, may respond to natrum muriaticum.

Nux vomica
This remedy is indicated for muscle cramps or constricting pains in the back. Discomfort is made worse by cold and relieved by warmth. Pain usually is worse night, and the person may have to sit up in bed to turn over. Backache is also worse during constipation, and the pain is aggravated when the person feels the urge to move the bowels.

Rhus toxicodendron
This remedy can be useful for pain in the neck and shoulders as well as the lower back, when the pain is worse on initial movement and improves with continued motion. Even though in pain, the person finds it hard to lie down or stay still for very long, and often restlessly paces about. Aching and stiffness are aggravated in cold damp weather and relieved by warm applications, baths or showers, and massage.

Sulphur
This remedy is often indicated when a person with back pain has a slouching posture. The back is weak and the person feels much worse from standing up for any length of time. Pain is also worse from stooping. Warmth may aggravate the pain and inflammation.

Other remedies
Cimicifuga (also called actaea racemosa)

Severe aching and stiffness in the upper back and neck, as well as the lower back-with pains that extend down the thighs or across the hips - may be eased with this remedy. It is often helpful for back pain during menstrual periods, with cramping, heaviness, and soreness. A person who needs this remedy typically is talkative and energetic, becoming agitated or depressed when ill.

Dulcamara

If back pain sets in during cold damp weather, along with catching a cold, or after getting wet and chilled, this remedy may be indicated. Stiffness and chills can be felt in the back, and pain is usually worse from stooping.

Ignatia

Back pains related to emotional upsets-especially grief-will often respond to this remedy. Thee muscles of the lower back may spasm, and twitches, drawing pains, and cramps often occur in other areas.

Kali carbonicum

Kali carbonicum is a homeopathic medicine for lower back pain with the feeling that the knees are going to" give in"

Hypericum perforatum

This honeopathic remedy relieves lower back pain with sharp throbbing pain.

Ruta graveolens

This is used to relieve lower back pain caused or worsened by staying immobile.

 

Lumbar Canal Stenosis - What Causes It?

Dr. Harpreet Singh 85% (10 ratings)
MBBS, MS - Orthopaedics, Clinical Fellowship In Adult & Peadiatric Spine Surgery
Orthopedist, Kanpur
Lumbar Canal Stenosis - What Causes It?

Spinal stenosis is a condition where a part of the spinal column becomes narrow. There are generally two types of spinal stenosis- lumbar stenosis and cervical stenosis. Lumbar stenosis is the form of the condition that affects the lower back. It is also the most common type of spinal stenosis.

Common Causes of Lumbar Spinal Stenosis
Some people may be born with a narrow spinal canal, but in most cases the condition is caused post birth. Here is a look at some of the most common causes for the spinal stenosis.

  1. Overgrowth of bone- Osteoarthritis can sometimes cause bone spur formation, which in turn can lead to the stenosis at the lumbar region of the spine. This usually occurs in adults, as osteoarthritis is common after a certain age.
  2. Herniated discs- A soft cartilage exists between the vertebrae, which cushions any impact on them. However, this cartilage dries up over time, and with age may lead to formation of crack on the exterior, which in turn causes suppression of the inner soft material and nerves of the spine.
  3. Stiffened ligaments- The ligaments in the spine may become thick and stiffened over time and age. Due to the thickness of the ligaments, a bulge may occur in the spinal column and lead to lumbar spinal stenosis.
  4. Injuries to the spine- Lumbar spinal stenosis may often be brought on by an injury to the spine. A spinal fracture resulting from an accident may narrow down the spine, which can cause the issue.
  5. Tumours- A tumour may affectumbar Canal Stenosis anyone at any point of time. These tumours may occur between the spinal cord and the vertebrae or between two bones in the vertebrae.

Symptoms of Lumbar Spinal Stenosis
Often the spinal stenosis may lie dormant and not produce any noticeable symptoms. However, it can still be diagnosed using an MRI or CT scan. However, all forms of the condition gradually progress and produce severe symptoms. This is why the treatment should be started as soon as the lumbar spinal stenosis is diagnosed, for the best result.

Here are common symptoms associated with the disorder

  • Numbness and tingling in the leg and foot.
  • Pain in the back
  • Leg cramps after long spells of standing or walking.
  • Weakness in the legs and feet.

If you observe any of the symptoms mentioned above, make sure that you visit an orthopaedist, so that the condition can be diagnosed and treatment can be initiated at soon as possible. In case you have a concern or query you can always consult an expert & get answers to your questions!

3542 people found this helpful

How To Deal With Spinal Stenosis?

Dr. Shobhit Tandon 89% (822 ratings)
MBBS, PG-Diploma In Clinical Pathology
General Physician, Sri Ganganagar
How To Deal With Spinal Stenosis?

What is spinal stenosis: The narrowing of the gaps in the spine or the backbone is called as spinal stenosis. This leads to pressure on the nerves and the spinal cord. 5% of cases of spinal stenosis are seen in the low back of the lumbar spine. In some cases the narrowing of the spine leads to the compressing of the nerve root, which leads to pain in the leg.

Causes of spinal stenosis: It can be caused by aging, arthritis, trauma to the spine, spondylolisthesis and tumor of the spine

Symptoms of spinal stenosis: There is constant pain in the back and legs as stenosis pinches the nerve responsible for sensation and muscle power. Other symptoms are numbness and tingling in the legs, frequent falling and pain while walking.

Treatment of spinal stenosis:

  1. A routine program with exercises and physical therapy are the best treatment for spinal stenosis. The exercises are not a complete cure but they are beneficial in keeping the patient active. A physical therapy can be supervised and once the period of the same is over people easily transition to the exercise program. The key for exercise is starting slowly in order to build strength.
  2. Generally, the patients are counseled not to perform strenuous activities as that might worsen the symptoms of spinal stenosis. In case of lumbar stenosis, patients find it comfortable when they are flexed forward. The doctor might recommend walking while being bent over and leaning when using a walker if not walking upright; sitting in recliners is also recommended instead of straight back chairs.
  3. Injections of cortisone are usually given in the epidural space. This is believed to relieve the symptoms of spinal stenosis temporarily. Though there have been studies which question the use of these injections as they lead to the risk of osteoporosis related fractures. This is still being pondered over by the doctors as a suitable treatment option as it has its own benefits and risks.
  4. Medications such as the anti-inflammatory medicines like ibuprofen or aspirin are helpful in controlling the symptoms of spinal stenosis. Narcotic drugs might also prove to be helpful if used with care and for a short while. This is helpful for severe pain related to the nerves. Muscle relaxants like gabapentins might also be recommended. In some case antidepressants might also be given to provide relief from pain. 

Though side effects are a concern when using these medications and the patient should let the doctor knows about their allergies.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2598 people found this helpful

Spinal Stenosis - Causes, Symptoms And Treatment

Dr. Amit Shridhar 87% (23 ratings)
MBBS, D (ORTHO), DNB (Orthopedics), MCH (Orthopedic), Spine Fellowship DePUY, Medtronics Spine Fellowship
Orthopedist, Delhi
Spinal Stenosis - Causes, Symptoms And Treatment

What is spinal stenosis: The narrowing of the gaps in the spine or the backbone is called as spinal stenosis. This leads to pressure on the nerves and the spinal cord. 5% of cases of spinal stenosis are seen in the low back of the lumbar spine. In some cases, the narrowing of the spine leads to the compressing of the nerve root, which leads to pain in the leg.

Causes of spinal stenosis: It can be caused by aging, arthritis, trauma to the spine, spondylolisthesis and tumor of the spine

Symptoms of spinal stenosis: There is a constant pain in the back and legs as stenosis pinches the nerve responsible for sensation and muscle power. Other symptoms are numbness and tingling in the legs, frequent falling and pain while walking.

Treatment of spinal stenosis:

  1. A routine program with exercises and physical therapy are the best treatment for spinal stenosis. The exercises are not a complete cure but they are beneficial in keeping the patient active. A physical therapy can be supervised and once the period of the same is over people easily transition to the exercise program. The key for exercise is starting slowly in order to build strength.
  2. Generally, the patients are counseled not to perform strenuous activities as that might worsen the symptoms of spinal stenosis. In case of lumbar stenosis, patients find it comfortable when they are flexed forward. The doctor might recommend walking while being bent over and leaning when using a walker if not walking upright; sitting in recliners is also recommended instead of straight back chairs.
  3. Injections of cortisone are usually given in the epidural space. This is believed to relieve the symptoms of spinal stenosis temporarily. Though there have been studies which question the use of these injections as they lead to the risk of osteoporosis-related fractures. This is still being pondered over by the doctors as a suitable treatment option as it has its own benefits and risks.
  4. Medications such as the anti-inflammatory medicines like ibuprofen or aspirin are helpful in controlling the symptoms of spinal stenosis. Narcotic drugs might also prove to be helpful if used with care and for a short while. This is helpful for severe pain related to the nerves. Muscle relaxants like gabapentins might also be recommended. In some cases, antidepressants might also be given to provide relief from pain. 

Though side effects are a concern when using these medications and the patient should let the doctor knows about their allergies. If you wish to discuss about any specific problem, you can consult an orthopedist.

4520 people found this helpful

Sciatica Pain and Ways to Deal With It

Dr. Sidharth Verma 88% (36 ratings)
MBBS, MD - Anaesthesiology, DNB Anaesthesiology, PDCC - Pain Management
Pain Management Specialist, Mumbai
Sciatica Pain and Ways to Deal With It

The sciatic nerve spreads down the spine till the legs. The pain in this nerve can feel like sparks running down your leg (by and large only each one in turn) or cause pain in the lower back. Anything that puts weight on or aggravates this nerve can cause pain that shoots down the back of one butt cheek or thigh. The amount of pain can increase gradually. Sciatica may feel like a gentle ache, a sharp sensation or extreme uneasiness. Sciatica can bring feelings of shivering, numbness and weakness.

Sitting, standing up, coughing, sneezing, lifting, or straining for a very long time, might aggravate pain. Now and then, individuals experience numbness or shivering in the leg, too.

Some of the most regular symptoms of sciatic pain include:

  1. Lower back pain
  2. Pain in the back or leg when sitting
  3. Hip pain
  4. Burning sensation in the leg
  5. Numbness or trouble moving the leg or foot
  6. Continuous pain on one side of the back
  7. Shooting pain that makes it hard to stand up properly

The most common causes of sciatic pain include:

  1. Lumbar spinal stenosis (narrowing of the spinal channel in the lower back)
  2. Degenerative disk sickness (breakdown of discs, which go about as pads between the vertebrae)
  3. Spondylolisthesis (a condition in which one vertebra slips over another)
  4. Pregnancy
  5. Muscle spasms

Some of the most effective exercises for sciatic pain relief are as follows:

  1. Pigeon Pose is a typical yoga posture. It attempts to open the hips. There are various types of this stretch. The first is the leaning back pigeon posture. If you are beginning your treatment, you have to attempt the leaning back posture first.
  2. While on the back, raise your right leg up to a right point and hold it with both hands behind the thigh and lock your fingers. Take your left leg and touch your lower leg against the knee. Hold the position for a minute.
  3. Sit on the floor with your legs stretched straight before you. At that point twist your right leg, putting your lower right leg on top of the left knee. Bend forward and incline your abdominal area toward your thigh. Hold for 15 to 30 seconds and after that switch sides.
  4. Kneel down on the floor on all fours. Get your right leg and bring it forward so that your lower leg is on the ground. Your right foot has to be ahead your right knee while your right knee stays to one side. Stretch the left leg out the distance behind you on the floor, with the top of the foot on the ground and toes pointing backwards.
  5. Lie on your back with your legs facing outward and your feet flexed upward.

Wrap your hands around your knee and delicately pull your right leg over your body toward your left shoulder. Hold it there for 30 seconds and afterward push your knee so your leg comes back to its initial position. If you wish to discuss about any specific problem, you can consult a orthopedist.

4987 people found this helpful
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