What is the difference between lumbar stenosis and spinal stenosis?

The two types of spinal stenosis are lumbar stenosis and cervical stenosis. Lumbar spinal stenosis is the more common of the two, but cervical spinal stenosis is often more dangerous since it involves compression of the spinal cord.


What are the two types of spinal stenosis?

Foraminal stenosis occurs when something compresses a nerve exiting the spinal column through the neuroforamen. Central canal stenosis occurs when something compresses nerves in the spinal canal.

Is lumbar spinal stenosis serious?

Lumbar spinal stenosis can cause mild to serious symptoms, affecting daily life. While nonsurgical treatments are tried first, the patient may decide to have surgery if the symptoms are severe and cause significant dysfunction.


What is the best treatment for lumbar spinal stenosis?

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 most common cause of lumbar stenosis?

The most common cause of spinal stenosis is wear-and-tear changes in the spine related to arthritis. People who have severe cases of spinal stenosis may need surgery. Surgery can create more space inside the spine. This can ease the symptoms caused by pressure on the spinal cord or nerves.


Lumbar Spinal Stenosis - Everything You Need To Know - Dr. Nabil Ebraheim



What should you avoid doing if you have spinal stenosis?

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.

Does lumbar stenosis ever go away?

Spinal stenosis can't be cured but responds to treatment.

"Unfortunately, nothing can stop the progression of spinal stenosis, since it is due to daily wear and tear," said Dr. Hennenhoefer. "The symptoms of spinal stenosis typically respond to conservative treatments, including physical therapy and injections."

Is walking good for lumbar spinal stenosis?

Walking is a good exercise for spinal stenosis. It's low impact, and you control the pace and distance.


What happens if lumbar 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.

What causes spinal stenosis to flare up?

Factors that can trigger a spinal stenosis flare-up include: Prolonged periods of walking or standing. Poor posture. Excessively bending, twisting, or otherwise straining the spine.

Can lumbar spinal stenosis cripple you?

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.


Can chiropractors help with lumbar 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.

Why is lumbar stenosis so painful?

The narrowing of the spaces in the spine puts extreme pressure not only on the spinal cord but also on the nerve roots that exit each point in the vertebrae. Spinal Stenosis pain often manifests as a feeling of numbness, weakness, a tingling sensation, or the loss of control over bladder/bowel functions.

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.


How do you fix spinal stenosis without surgery?

Nonsurgical Treatment Options for Spinal Stenosis
  1. Steroid Injections. Epidural steroid injections are commonly used to provide long-term pain relief. ...
  2. DRX9000. ...
  3. Medication. ...
  4. Physical Therapy. ...
  5. Correcting Posture. ...
  6. Permanent Lifestyle Changes. ...
  7. Facet Blocks. ...
  8. Radiofrequency Ablation.


What are the 3 types of spinal stenosis?

The location of the stenosis defines the type of stenosis. There are three main types: central spinal stenosis, lateral recess stenosis, and foraminal stenosis, each of which can happen in any region of the spine (i.e. cervical, thoracic, or lumbar).

When is it time for surgery 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.


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.


Can you live with spinal stenosis without surgery?

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.

What is the best sleeping position for spinal stenosis?

Many people with spinal stenosis find the most comfort sleeping on their side in “fetal position” — that is, with knees curled up toward the abdomen. Another alternative is to sleep in an adjustable bed or recliner that allows the head and knees to remain elevated.


Can sitting make spinal stenosis worse?

Finally, even if sitting doesn't directly cause a spinal ailment, it can exacerbate an already existing spinal condition, intensifying the pain with lasting, potentially permanent, consequences.

Can lumbar stenosis heal without surgery?

Can spinal stenosis be treated without surgery? Yes. In fact, less than 5% of patients with a spinal disorder ever require spine surgery. There is a wide variety of medications available to relieve inflammation, pain, and muscle spasm.

What is the best doctor to treat spinal stenosis?

Who Treats Spinal Stenosis?
  • Family or primary care doctors.
  • Neurologists, who treat disorders and diseases of the spine, brain, and nerves.
  • Neurosurgeons, who perform surgery for disorders and diseases of spine, brain, and nerves.
  • Orthopaedists, who treat and perform surgery for bone and joint diseases.


What is the prognosis of lumbar spinal stenosis?

Research indicates that 60% to 90% of patients experience relief of symptoms after nonsurgical or surgical treatment for lumbar spinal stenosis. Treatment usually relieves leg pain more than back pain. Back pain may continue to persist even after treatment if pre-existing degenerative arthritis is present.

How quickly does lumbar 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.
Previous question
Why do vegans not go to zoos?