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Spinal Canal Stenosis Health Feed

Hi Sir, Dorsal disc bulge at l2-3, l3-5, l5-s1 levels causing ventral thecal sac indication, bilateral neural foramina narrowing. Please help me to cure my problem asap.

Vanka Prabhukiran 86% (19 ratings)
MD - General Medicine, MBBS, MRCP (UK)
General Physician,
Hi Sir, Dorsal disc bulge at l2-3, l3-5, l5-s1 levels causing ventral thecal sac indication, bilateral neural foramin...
It takes a long time to cure. Mainstay of treatment in this type of situation is do physio as advised by an experienced physiotherapist and using some medications to improve your nerves and control your symptoms.
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Lumbar Canal Stenosis - Reasons Behind It!

Dr. Arjun Shelke 86% (45 ratings)
MBBS, Diploma In Orthopaedics (D. Ortho)
Orthopedic Doctor, Bilaspur
Lumbar Canal Stenosis - Reasons Behind 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 affect 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.

3896 people found this helpful

Spine Degeneration - How Neurosurgery Can Help?

Dr. Shailesh Jain 86% (13 ratings)
MBBS, MCh, MS
Neurosurgeon, Delhi
Spine Degeneration - How Neurosurgery Can Help?

The spine is one of the most delicate bones of the body. It literally supports the entire body and helps us walk upright. Any damage or degeneration of the same can lead to dire consequences ranging from pain to paralysis. Spine degeneration is something that progresses over time and does not happen overnight. The normal structure of the disc will be gradually lost in such cases, and there may even be changes in the vertebrae.

The discs may start thinning slowly, which will lead to posture and other issues like pain and weakness. These problems may happen due to old age, arthritis, accidents which may have rendered some damage to the spine, as well as neurological problems where the nerves may get pressed due to an outgrowth or a bulging disc.

Here are the facts that you need to know about spine degeneration related to neurosurgery-

Spinal Stenosis: This is a condition where the spinal canal becomes progressively narrow which may further lead to many problems. In such cases, the spinal cord and the nerves around it tend to get pressed and pinched, which causes significant pain. This may happen due to several reasons including old age which changes the structure of the spinal cord, and other issues such as spinal herniation which causes the growth from the spine. It can also happen due to problems like osteoporosis or the existence of a tumor.

Symptoms: This congenital condition can affect the entire lunar area as well as the shoulders and the neck. It can also lead to painful sensations in the legs and lower regions. Many patients also complain of the loss of bowel control in extreme conditions.


Causes: The stiffening of the invertebral joint leads to the growth of a bony structure. This is known as an osteophyte formation which can lead to spondylitis. There are chances of people as young as 35 years of age, experiencing such a problem. These kinds of issues directly affect the nerves and cause pain in various areas of the body.

Treatment: In such cases, a laminectomy procedure or a de-roofing surgery will be required so that the bony outgrowth may be sliced off, for better recovery of the patient. This will also prevent the nerves from getting affected or pressed, which in turn helps in leading a more normal existence. The success rate is quite high for this kind of surgery, as per myriad medical reports and studies. Yet, it is not entirely suitable for older patients who have other complications.

Other Methods of Treatment: In many cases, the patient may be required to go through other forms of physiotherapy so as to deal with the issue. The patients may also be given epidural injections that have steroids so as to deal with the pain. This is also one of the most preferred methods of managing chronic lumbar area pain which is caused due to herniation and nerve pressing. Electronic stimulation methods such as a neuro modulation with the help of decompression and fusion may also be followed in such cases.

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

2729 people found this helpful

Please suggest What are the precautions for stenosis .please tell me the cautions For that.

MBBS
General Physician, Mumbai
Please suggest What are the precautions for stenosis .please tell me the cautions For that.
Stenosis is a broad term which is when the opening or the route is blocked for a particular tube or organ and than we can plan for precautionary measures.

If it is cervical stenosis as you diagnosed Dr. Whole day I could move my arm upward without pain, only a particular direction of arm gives pain. How pain subsides slowly during day if the problem is there? Why it pains in the morning when I had a good sleep and rest?

Dr. Pulak Mukherjee 91% (9217 ratings)
BHMS
Homeopath, Hooghly
If it is cervical stenosis as you diagnosed Dr. Whole day I could move my arm upward without pain, only a particular ...
Do some stretching exercises,,u need to do some yoga also,,along with this u need proper homoeopathic treatment to cure ur problem permanently,, otherwise it won't be cure permanently
1 person found this helpful
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