Many people with mild spinal stenosis find that nonsurgical treatments such as pain medication and physical therapy relieve symptoms and help them remain active.
Exercises which flex, stretch or strengthen the back and neck can help to open up the spine, alleviating compression symptoms. Canes and walkers can also be used to walk in a forward flexed manner and provide some stability.
Disability: In severe cases of spinal stenosis, a patient can end up permanently disabled. This may be through paralysis, or weakness so severe that it is impossible to stand and move as normal. It is not unreasonable to expect severe stenosis to lead to a person being bound to a wheelchair.
Spinal stenosis can't be cured but responds to treatment.
Hennenhoefer says you can live a normal life with a spinal stenosis diagnosis and can work on improving your mobility and comfort. "Unfortunately, nothing can stop the progression of spinal stenosis, since it is due to daily wear and tear," said Dr.
If nonsurgical treatment and therapeutic injections have not eased the pain caused by spinal stenosis, doctors at NYU Langone may recommend surgery to relieve pressure on nerves or the spinal cord. Browse our specialists and get the care you need.
Most people have good results from surgery and are able to return to a normal lifestyle after they heal. People tend to have less leg pain and can walk better afterward. However, surgery doesn't cure arthritis or other conditions that might have caused the spinal canal to narrow in the first place.
Most patients with cervical or lumbar spinal stenosis respond well to non-surgical treatments (such as medication), so you may not need spine surgery. However, there are situations when you may want to go ahead with spine surgery.
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. The flexed position “opens up” the spinal column, enlarging the spaces between vertebrae at the back of the spine.
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.
Stem cell therapy involves taking samples of a person's healthy cells, isolating them, and injecting them into the required area. According to a 2021 review, stem cell therapy shows encouraging results for treating conditions such as spinal stenosis.
If you have lumbar spinal stenosis, you may have trouble walking distances or find that you need to lean forward to relieve pressure on your lower back. You may also have pain or numbness in your legs. In more severe cases, you may have difficulty controlling your bowel and bladder.
There's no formal age limit for spinal stenosis surgery.
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.
A decompression laminectomy is the gold standard of surgery for treating spinal stenosis. This surgery removes the bony spurs and buildup of bone in the spinal canal, giving more room for the spinal cord and nerves.
People with spinal stenosis may experience numbness, weakness or cramping in legs, pain going down the leg, abnormal bowel or bladder function, and loss of sexual function. In severe cases, spinal stenosis may cause partial or complete leg paralysis that requires emergency medical treatment.
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. Some people also have back pain.
Spinal stenosis is generally not progressive. The pain tends to come and go, but it usually does not progress with time. The natural history with spinal stenosis, in the majority of patients, is that of episodic periods of pain and dysfunction.
As a result, climbing stairs reduces the amount of space in the spinal canal. This temporarily exacerbates the effects of spinal stenosis, potentially leading to worsened pain and other symptoms. If you've been diagnosed with spinal stenosis, it's wise to keep climbing stairs to a minimum.
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 a spinal stenosis diagnosis will stay with you for life, many patients with spinal stenosis live life in the absence of pain or with minimal symptoms, thanks to a variety of treatment options.
“If back pain is interfering with quality of life, your ability to work or isn't responding to standard treatments, then surgery may be called for.”
Contact sports like basketball, football, soccer, and martial arts are exercises to avoid with spinal stenosis. These activities can involve sudden trauma to the spine, which may lead to further injury. Activities that involve jumping, such as jumping rope, should be avoided with spinal stenosis.