Pain medications may be helpful with relieving spinal stenosis-related back pain, depending on what type of medication it is. Many over-the-counter drugs like ibuprofen work well, but there are prescription medications as well, such as Voltaren (diclofenac) and Naproxin (naproxen).
Acetaminophen (eg, Tylenol), aspirin, ibuprofen (eg, Motrin, Advil), and naproxen (eg, Aleve) are examples of OTC analgesics that your doctor may recommend for spinal stenosis. While some analgesics only relieve pain (such as acetaminophen), others reduce pain and inflammation.
First-line pharmacotherapy for lumbar spinal stenosis (LSS) includes nonsteroidal anti-inflammatory drugs (NSAIDs), which provide analgesia at low doses and quell inflammation at high doses.
Heated and cold compresses: A heat compress or a hot shower will help to loosen up muscles, while cool compresses alleviate inflammation. Both can be used as needed in the affected areas. Over-the-counter medications: Pain medications can provide some temporary relief of discomfort, pain and inflammation.
Using a topical pain reliever (one that is applied directly to the skin) is another popular treatment for lumbar spinal stenosis. These creams or gels relieve pain through ingredients like salicylate, capsaicin, and menthol and are sold under brand names such as Bengay, Aspercreme, and Icy Hot.
Walking, standing, or extending the lumbar area of the spine can cause symptoms to worsen. Sitting or flexing the lower back or neck may relieve symptoms.
Treatments for back pain caused by spinal stenosis include: Medicines to help relieve back pain. A type of talk therapy called cognitive behavioral therapy to help you better understand your pain and teach you how to manage back pain.
High-impact activities: Activities that involve high-impact, such as jumping, running, or contact sports, should be avoided as they can cause further injury to the spine. Heavy lifting: Heavy lifting can put a lot of stress on your spine and exacerbate your symptoms.
Spinal stenosis is a narrowing of the lumbar or cervical spinal canal. The narrowing can cause compression on nerve roots resulting in pain or weakness of the legs. Medications or steroid injections are often administered to reduce inflammation.
Lifestyle changes: Don't underestimate the power of a firm mattress, good posture, and proper lifting techniques. Alternative therapies: Some patients may get some pain relief by working with a chiropractor or by trying acupuncture or biofeedback.
Medications such as cyclobenzaprine (Amrix, Flexeril) can calm the muscle spasms that sometimes occur with spinal stenosis.
While anti-inflammatory medications may ease symptoms, in the long run, you may be better off changing your posture and the way you move. Surgery is a good option for some people with lumbar spinal stenosis. But, for some people, physical therapy can often achieve good results with fewer risks.
Acupuncture has been a staple of Eastern medicine for thousands of years. Recent evidence has shown that benefits for spinal stenosis are strong.
In spinal stenosis, people typically experience less pain with leaning forward, and especially with sitting. Studies of the lumbar spine show that leaning forward can increase the space available for the nerves. Pain is usually made worse by standing up straight and walking.
Running is a high-impact activity that causes repeated impacts on the spine. This can worsen back pain and neurological symptoms from spinal stenosis. While short walks are considered a good option for exercise with spinal stenosis, it's wise to avoid prolonged walks.
Spinal Stenosis
With this condition, it may be preferable to sleep on the sides with the knees curled up (in the fetal position). This helps relieve pressure on the nerve root. Sleeping in a reclining chair or an adjustable bed that allows the head and knees to remain elevated can also relieve pressure on the nerve.
Spinal stenosis in the lower back can cause pain or cramping in one or both legs. This happens when you stand for a long time or when you walk. Symptoms get better when you bend forward or sit.
Spinal stenosis can't be cured but responds to treatment.
But Dr. Hennenhoefer says you can live a normal life with a spinal stenosis diagnosis and can work on improving your mobility and comfort.
Numbness in your genital region and/or loss of bladder or bowel control is another indication that you suffer from severe spinal stenosis. It's a rare but very serious complication that requires immediate attention. “For severe stenosis, surgery is generally recommended,” Dr.