Frequently Asked Questions Regarding Spinal Stenosis

This blog is going to answer some of the frequently asked questions pertaining to spinal stenosis.

What is spinal stenosis?

Spinal stenosis is a narrowing of the lumbar areas (back) called lumbar stenosis or cervical stenosis (neck) that causes pressure on the spinal cord or one or more of the spinal nerves.  

Who gets vertebral stenosis?

It is more common in men and women over the age of 50. However, it can occur in younger people who are born with a narrowed spinal canal or who suffer from an injury to the spine.

One should consult the bestorthopedic surgeons in Pakistan for the treatment of spinal stenosis.

What are the causes of lumbar or cervical stenosis?

• The narrowing of the spinal canal leads to stenosis. It can result from congenital conditions. When people are born with a small spinal canal, it is a condition called congenital stenosis. Sometimes people have a curvature of the spine known as scoliosis, which can put pressure on the nerves. Either of these conditions can lead to spinal stenosis.

• The acquired conditions can also cause stenosis. The most common cause of vertebral stenosis results from a degenerative process that is part of aging. As you age, your spinal structures change. The ligaments can thicken; the bones and joints can also widen due to wear over time, and vertebral stenosis can occur.

• When a vertebra slides forward over the one below it, a condition called Spondylolisthesis results. This slippage can also lead to stenosis of the spine.

• Vertebral stenosis can also occur due to tumors of the spine.

• Any of these processes can cause narrowing of the spinal canal leading to stenosis.

 What are the symptoms of stenosis?

The narrowing of the spinal canal can cause a number of symptoms. People often experience numbness, weakness, tingling, cramping or pain in the back, buttocks, thighs and calves or in the neck, shoulders or arms. Symptoms of spinal stenosis are more likely to be present or to get worse when you stand or walk. However, symptoms often go away by sitting down or flexing your lower back. You may notice that you feel better when you walk with a grocery cart; this is because the back is placed in the flexed position. With more severe stenosis, people may have problems with bowel and bladder function and weakness of the foot.

Cauda equina syndrome is a very serious and rare condition. It is caused by a severe narrowing of the spinal canal which compresses the nerve roots below the level of the spinal cord. With cauda equina syndrome, symptoms may include loss of control of bowel and bladder functions and weakness of the lower limbs with loss of sensation in one or both legs. You may also feel numbness in your groin or contact area while sitting on a saddle. Cauda Equina Syndrome is considered a surgical emergency.

If a person is experiencing such symptoms, the best orthopedic surgeons should be consulted immediately.  

How is vertebral stenosis diagnosed?

The diagnosis begins with a thorough medical history and a physical exam. Diagnostic tests, including x-rays, MRIs, and/or CT scans, can be done to identify the source of the pain.

What are the treatment options for spinal stenosis?

·         Non-surgical options are usually prescribed for the treatment of stenosis unless the person has severe or progressive nerve damage.

·         Medications such as non-steroidal anti-inflammatory drugs like ibuprofen and naproxen may be prescribed to reduce pain and inflammation.

·         Epidural steroid injections may be prescribed to relieve pain. These injections are also a very good option for those who cannot undergo surgery due to other medical problems.

·         Physiotherapy can be a viable option to help maintain movement of the spine, strengthen the abdominal and back muscles. Aquatic or aquatic therapy is also a great option for people with spinal stenosis.

Consult the best orthopedicsurgeons in Lahore via Hayaat.pk if you are suffering from the symptoms of spinal stenosis.