There's no cure, but there are a variety of nonsurgical treatments and exercises to keep the pain at bay. Most people with spinal stenosis live normal lives.
Surgical treatment
For patients with cervical stenosis with myelopathy, the only effective treatment option is surgery to decompress the spinal cord. One type of this kind of surgery is a posterior cervical laminectomy.
If untreated, this can lead to significant and permanent nerve damage including paralysis and death. Symptoms may affect your gait and balance, dexterity, grip strength and bowel or bladder function. It can cause pain, weakness, or sensory changes in either your arms or legs.
As the condition progresses, weakness of the arms and hands can occur with loss of coordination. Also, in advanced stages of cervical stenosis, problems with bowel and bladder function can result, in addition to weakness and numbness in the legs and feet, which can cause difficulty walking.
But Dr. 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.
Flare ups may be caused by muscle spasms, which can be caused by bending or twisting suddenly. They may be caused by an additional problem such as a slipped disc. Some patients may just reach a tipping point where their stenosis becomes symptomatic without any identifiable cause or event.
Aging and Age-Related Changes in the Spine
They are the most common causes of spinal stenosis. As people age, the ligaments that keep the vertebrae of the spine in place may thicken and calcify (harden from deposits of calcium salts). Bones and joints may also enlarge.
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.
Cervical spine stenosis appears to be very common and it estimated that cervical stenosis is present in: 4.9% of the adult population, 6.8% of the population fifty years of age or older. 9% of the population seventy years of age or older.
Surgical treatment of spinal stenosis is indicated if non-operative care fails or if there is neurologic loss or deficit, especially if the neurologic loss is progressive. Examples of typical neurologic loss or deficit include symptoms of numbness, weakness, loss of coordination or tingling in the arm or leg.
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.
A neurosurgeon may perform a laminectomy with or without fusing vertebrae or removing part of a disk. A spinal fusion with or without spinal instrumentation may be used to enhance fusion and support unstable areas of the spine.
The best sleeping positions for neck pain are usually side sleeping or sleeping on your back. You'll also want your pillow to be the right thickness such that it doesn't cause you to bend your head too far forward if you're sleeping on your back or too far to one side if you're sleeping on your side.
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.
A tightened space can cause the spinal cord or nerves to become irritated, compressed or pinched, which can lead to back pain and sciatica. Spinal stenosis usually develops slowly over time. It is most commonly caused by osteoarthritis or “wear-and-tear” changes that naturally occur in your spine as you age.
Stenosis is considered severe when it causes loss of certain functions or disabilities, or when other treatment options have failed to relieve symptoms. You should consult an expert neurosurgeon to assess your symptoms.
Someone seeking traditional medical treatment for C5-C6 disc bulging is often looking to remedy the pain and discomfort disrupting their daily life. This treatment will likely involve being prescribed medication such as steroids for inflammation, injections, physical therapy, disc surgery, or spinal-fusion surgery.
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.
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.
You may also notice loss of sensation in the affected arm, wrist, and fingers. Stage 4: You may feel less pain in stage 4. Although this might seem welcome, it means that your stenosis has progressed to such a degree that nerve damage has occurred. There may be some lingering pain and other symptoms.
Stage 3 – Stabilization
Bone spurs continue to grow and can narrow the spinal canal, which presses onto the spinal cord or nerve roots. This condition, called spinal stenosis, triggers pressure that can cause limb pain, tingling, and numbness. During this stage, patients may find they lose control of the legs.
Conclusion: Spondylotic VA stenosis can cause hemodynamic TIAs and watershed strokes, especially when contralateral VA insufficiency is combined to specific neck movements.