What are my options for spinal stenosis?

Spinal stenosis is commonly treated with medication, both over-the-counter and prescription. Nonsteroidal anti-inflammatory drugs (NSAIDs) reduce pain and inflammation. Examples of over-the-counter NSAIDs include aspirin, naproxen (Aleve), and ibuprofen (Advil, Motrin).


What is the best treatment for stenosis of the spine?

Treatment
  • Nonsteroidal anti-inflammatory drugs (NSAIDs). If common pain relievers don't provide enough relief, prescription NSAIDs might be helpful.
  • Antidepressants. Nightly doses of tricyclic antidepressants, such as amitriptyline, can help ease chronic pain.
  • Anti-seizure drugs. ...
  • Opioids.


What is the newest procedure for spinal stenosis?

What are interspinous spacers? Interspinous spacers are a new approach to treating spinal stenosis that work gently and in a targeted way by opening the spinal canal to create room and reduce pressure on crowded nerves.


What is the latest treatment for spinal stenosis 2022?

The Vertiflex procedure for spinal stenosis (also called the Superion® implant) is a new way to increase the space between the vertebrae — space that may collapse as spinal stenosis progresses. This new procedure uses a small spacer inserted between the spinous processes (those bumps you can feel on your back).

Is there an alternative to surgery for spinal stenosis?

Many people with mild spinal stenosis find that nonsurgical treatments such as pain medication and physical therapy relieve symptoms and help them remain active. NYU Langone spine specialists work with experts in pain management, rehabilitation, and orthotics to create a treatment plan.


Lumbar Spinal Stenosis : Diagnosis and Treatment Options



How do people live with spinal stenosis without surgery?

The most common non-surgical pain solutions for spinal stenosis related back pain include:
  • Muscle relaxers.
  • Pain medication (nonsteroidal anti-inflammatory medications or NSAIDs)
  • Physical therapy.
  • Back brace.


Can you avoid surgery with spinal stenosis?

There are several non-surgical options your doctor may recommend to treat your spinal stenosis. Often, treatment combines more than one type of therapy. For example, medication may be combined with physical therapy. Let's review a few of the non-surgical therapies one by one.

What will a neurosurgeon do for severe spinal stenosis?

The most common surgery for lumbar stenosis is a decompressive laminectomy. In this procedure, an incision is made in the back and the lamina (back part of the bone over the spinal canal) is removed to create more space for the nerves.


What is considered severe spinal stenosis?

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.

How do you prevent spinal stenosis from getting worse?

What can I do to prevent lumbar spinal stenosis?
  1. Get regular exercise. Exercise strengthens the muscles that support your lower back and helps keep your spine flexible. ...
  2. Maintain good posture. Learn how to safely lift heavy objects. ...
  3. Maintain a healthy weight.


Can a chiropractor fix spinal stenosis?

Chiropractic adjustments are a natural, non-invasive way to help stenosis that's aggravated or caused by a spinal misalignment. Manual adjustments can correct vertebral misalignment and disc displacement so that the facet joints, ligaments, back muscles, and bones experience less stress.


What happens if spinal stenosis is left untreated?

If left untreated, spinal stenosis can result in permanent damage to the spinal cord. This could cause bowel and bladder incontinence as well as paralysis.

How many hours is spinal stenosis surgery?

A traditional spinal fusion surgery with general anesthesia takes about four hours and requires a hospital stay of three to four days as well as IV painkillers. The awake spine surgery takes half the time and typically has patients out of the hospital within 24 hours.

How do you stop stenosis from progressing?

Having good posture and practicing proper body mechanics are some of the best ways to prevent stenosis from progressing and to ensure the health of your back. Good posture and body mechanics should be practiced all the time—whether you're sitting, standing, lifting a heavy object, or even sleeping.


When is surgery needed for spinal stenosis?

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.

Is spinal stenosis a big deal?

Spinal stenosis can lead to the slow but steady loss of strength in the legs. The severe pain caused by this condition can be quite disabling, even if you have no muscle weakness, since it greatly affects your ability to work and enjoy life. The natural course of the disease is one of slow progression over time.

What is stage 3 spinal stenosis?

Stage 3 – Stabilization

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. Some patients will also lose the ability to close their eyes and know whether one of their limbs is raised or lowered.


What can make spinal stenosis worse?

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.

How do I know if my spinal stenosis is severe?

Signs and Symptoms of Severe Spinal Stenosis
  1. Numbness/tingling/weakness in a hand or arm.
  2. Loss of balance if the spinal cord itself is compressed (myelopathy)
  3. Neck pain and thoracic pain.
  4. Bowel or bladder problems.


What type of surgeon is best for spinal stenosis?

Both neurosurgeons and orthopedic surgeons specializing in spine surgery are skilled in taking care of disc herniations, disc degenerations, spinal stenosis, fractures of the spine, slippage of the spine (spondylolisthesis), scoliosis, bone tumors of the spine, etc.


Should I keep walking with spinal stenosis?

Walking is a suitable exercise for you if you have spinal stenosis. It is low-impact, and you can easily vary the pace as needed. Consider a daily walk (perhaps on your lunch break or as soon as you get home).

Does gabapentin help spinal stenosis?

The most significant clinical symptom in patients with LSS is neurologic intermittent claudication (NIC). Gabapentin, which has been used in the treatment of neuropathic pain, may be effective in the treatment of symptoms associated with LSS.

How fast does spinal stenosis progress?

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.


Is a massage good for spinal stenosis?

Massage therapy can also be an effective treatment for the pain and stiffness caused by stenosis. While it doesn't focus on the spine itself, there are numerous different modalities of massage that focus on the back and back muscles.

How long are you down after spinal stenosis surgery?

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).