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.
Weill Cornell Medicine Pain Management offers a new technology to treat spinal stenosis and minimize the painful symptoms. Vertiflex superion is a device that is implanted into the area of the spine causing pain and relieves pressure on the affected nerves.
Although spinal stenosis patients often don't require surgery, prompt treatment is essential to recovering from this condition. Patients generally need a combination of conservative therapies, such as physical therapy, anti-inflammatory medications, lifestyle changes, and steroid shots, to recover.
The two main surgical procedures to treat lumbar spinal stenosis are laminectomy and spinal fusion. Laminectomy: This procedure involves removal of the bone, bone spurs, and ligaments that compress the nerves. Spinal fusion: In this procedure, two or more vertebrae are permanently fused together.
You may want to have surgery if you have tried other treatments for a few months and your pain or other symptoms are still so bad that you can't do your normal activities. Back surgery has some risks, including infection, nerve damage, and the chance that the surgery won't relieve your symptoms.
Spinal stenosis symptoms tend to worsen the more you walk without treating it since the leading cause is a contraction of the spinal cord, which irritates the leg nerves. The irritation of the terms causes inflammation, and so this should be part of the treatment.
With severe spinal stenosis, the spinal canal has narrowed to a considerable degree. As a result, patients with the severe form of this condition may experience a significant loss of function, potentially including bladder and/or bowel function.
Many people with mild spinal stenosis find that nonsurgical treatments such as pain medication and physical therapy relieve symptoms and help them remain active.
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.
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).
Endoscopic Decompression: The least invasive option available, this advanced technique requires only the tiniest of incisions (7 mm, or less than a quarter of an inch).
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.
Water keeps the spinal discs full of fluid so they can properly cushion the spine during movement. Water prevents the surrounding muscles from developing lactic acid, which can cause inflammation and lead to nerve compression.
The best vitamins for spinal stenosis include vitamin B12, vitamin B9, vitamin C, vitamin D, magnesium, and omega-3 fatty acids. Vitamin supplementation can be used as part of your spinal stenosis self-care strategy, but check with your physician before starting any new supplement.
Degenerative changes of the spine are seen in up to 95% of people by the age of 50. Spinal stenosis most often occurs in adults over 60. Pressure on the nerve roots is equally common in men and women.
In the final stages, you will lose control of the bladder and/or bowel, be unable to walk or stand and experience extreme pain or numbness in the lower parts of the body. Your doctor will grade the severity of your spinal stenosis.
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.
Most people with spinal stenosis cannot walk for a long period without having significant pain. More serious symptoms include: Difficulty or poor balance when walking. Problems controlling urine or bowel movements.
Standing in one position, such as in line at a checkout will also make their symptoms worse. Some people also develop numbness or tingling in their legs. Lying down or bending backwards also can make their symptoms worse.
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.
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.
Typically you will experience pain for a few weeks after surgery and you may need over-the-counter or prescription pain medications. Your spine surgeon may also prescribe a course of physical therapy to help you regain strength in your abdomen and back and promote a better recovery.
You'll be encouraged to walk and move around the day after surgery and it's likely you'll be discharged 1 to 4 days afterwards. It will take about 4 to 6 weeks for you to reach your expected level of mobility and function (this will depend on the severity of your condition and symptoms before the operation).