Posts Tagged ‘Lumbar’

postheadericon Lumbar Spondylosis and Treatment for Lumbar Spondylosis

According to Ayurvedic principles of curative, the aridness and inelasticity can be checkered by use ghrit- medicated butteroil or cow’s ghee in restraint. The deterioration can cause several of the discs to bulge out and can reason the central cartilage of the discs to protrude through a break in the ring that environs the disc (herniate). The nearby ligaments turn out to be less flexible, and the vertebrae might expand bone spurs. Intermittent, reasonable to severe neck ache and stiffness with a harshly restricted variety of motion (ROM) is trait of ankylosing spondylitis. Irregular low back pain and rigidity and arm pain are generally inferior in the morning or after periods of idleness and are usually reassured after exercise.

Symptoms of cervical spondylitis and depression a. Neck ache that radiate to the shoulder and arms b.

Numbness or tingling feeling or flaw in the arms, hands and fingers c. Headaches that give out to the rear of the head d. Loss of equilibrium, dizziness e. Numbness or flaw in the legs, if lumbar spine are involved and if the spinal cord is dense f. Loss of bladder or bowel manage, if the lumbar vertebrae are concerned and if the spinal cord is dense What not to eat to get Relief from cervical spondylitis and depression a.

The following are some causes that may bring on lumbar spinal canal stenosis:

• Spinal disc herniation
• Spinal degeneration that comes with aging
• Spondylolisthesis, especially along L4 and L5
• Anklylosing spondylitis
• Osteoporosis
• Tumors

A form of arthritis with chronic development, enclosing spondylitis generates calcification of the backbone and of the cost vertebral joints. In time, it causes backbone alkalosis and backbone stiffness or it turns the backbone into the so-called “bamboo spine” – a vertebral column with no flexibility and mobility at all, a thing that will make the patient an invalid. The disease begins by lumbar pains, especially after the patient has been lying for a long time. The pains are caused by inflammation of the sacroiliac articulation; they will progress either to the cervical or to the inguinal region. The alkalosis process may also affect other regions of the osseous system: the coxofemoral articulation, the shoulder and knee articulations.

The clinical picture of enclosing spondylitis is characterized by lumbar and sacral pain and rigidity that persist even during the patient’s rest periods; long-lasting pains, located especially in the lower region; pain and rigidity in the thoracic region; diminished mobility of the backbone and decreased thoracic expansion; asthenia, anorexia, a sub febrile state, loss of weight, nocturnal sweating, irritability (manifested by ocular pains, increased sensitivity to light, eyeball reddening).

Surgery is necessary only in extreme cases. What is spondylolisthesis? In this condition, one vertebra slips forward or subluxates on top of another. This movement narrows the spinal canal through which the spinal cord passes. Although it can occur anywhere along the spine, it most frequently involves the slipping of the bottom lumbar vertebra over the sacrum.

Spondylolisthesis may be the result of trauma, a spinal fracture or arthritis. Its symptoms include mild low back pain, muscle spasm and sciatica, or it may produce no symptoms whatsoever. Practicing good postural habits and strengthening the muscles of the trunk are good preventive measure to take.

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postheadericon Physical exercises For Sciatica pain – Exactly what Will cause Lumbar Pain?

Article by John Lee

Many people don’t understand what sciatica means. You can’t really refer to it an ailment or disease, even if it’s just a diagnosis could let you know the cause of the pain sensation. It’s more like a set of symptoms.

Normally, the name sciatica can be used when you have nuisances from the nerves area of the lower spinal chord or perhaps in cases of irregular compression. There are a selection of conditions that may cause this.

Exercises for Sciatica

While many patients would rather rest while having sex, exercises for sciatica work best solution to start the healing process for sciatica pain. After the patient carries a sciatica access, doctors will most likely recommend a smallish period of rest (a couple of days), but is not more, since being inactive can certainly make the pain worse.

That’s considering that the spinal structure deteriorates further if there is a lack of movement. The result is a weaker support for your back and this can bring a back injury or perhaps spine/muscle strain.

When you exercise the discs, the fluids together are well lubricated and healthy, and they also help strengthen the abdomen muscles plus the back.

You will discover numerous of forms of exercises for sciatica that could bring relief to patients, and they’re different, based on what causes the anguish. Most of them will target certain muscles through stretching exercises.

The fact they are regularly linked to exercises makes all the muscles more efficient and mobile, which insures that this recuperation process increases. A good side-effect is that these kind of incidents are prevented when you need it with the help of exercises.

You may consult a variety of specialists that will help you deal with sciatica pain, including physiatrists, chiropractors, athletic trainers, physiotherapists varieties that handle lower body and back problems.

It is best to exercise within the supervision on the professional, to be certain you’re doing it right. The exercises count on the cause of the pain, so a great diagnosis is essential.

In rare cases, sciatica can be provoked by tumours or infections.1. Sciatica provoked with a herniated disc

2. Spinal stenosis sciatica

3. Sciatica the consequence of degenerative disc disease

4. Sciatica from isthmic spondylolisthesis

5. Piriformis syndrome may cause sciatic pain

6. Sciatic nerve pain caused by a sacroiliac joint dysfunction

7. Hamstring stretching exercises for sciatica

Each condition carries a different form of exercise for doing this, which need to be done the proper way and regularly, usually double each day.

About the Author

Find out what are the best chronic low back pain cures. Also learn more cures for lower back pains.

postheadericon Lumbar Spondylosis and Treatment for Lumbar Spondylosis

Article by Dr. Mital John

According to Ayurvedic principles of curative, the aridness and inelasticity can be checkered by use ghrit- medicated butteroil or cow’s ghee in restraint. The deterioration can cause several of the discs to bulge out and can reason the central cartilage of the discs to protrude through a break in the ring that environs the disc (herniate). The nearby ligaments turn out to be less flexible, and the vertebrae might expand bone spurs. Intermittent, reasonable to severe neck ache and stiffness with a harshly restricted variety of motion (ROM) is trait of ankylosing spondylitis. Irregular low back pain and rigidity and arm pain are generally inferior in the morning or after periods of idleness and are usually reassured after exercise.

Symptoms of cervical spondylitis and depression a. Neck ache that radiate to the shoulder and arms b. Numbness or tingling feeling or flaw in the arms, hands and fingers c. Headaches that give out to the rear of the head d. Loss of equilibrium, dizziness e. Numbness or flaw in the legs, if lumbar spine are involved and if the spinal cord is dense f. Loss of bladder or bowel manage, if the lumbar vertebrae are concerned and if the spinal cord is dense What not to eat to get Relief from cervical spondylitis and depression a.

The following are some causes that may bring on lumbar spinal canal stenosis:

• Spinal disc herniation• Spinal degeneration that comes with aging• Spondylolisthesis, especially along L4 and L5• Anklylosing spondylitis• Osteoporosis• Tumors

A form of arthritis with chronic development, enclosing spondylitis generates calcification of the backbone and of the cost vertebral joints. In time, it causes backbone alkalosis and backbone stiffness or it turns the backbone into the so-called “bamboo spine” – a vertebral column with no flexibility and mobility at all, a thing that will make the patient an invalid. The disease begins by lumbar pains, especially after the patient has been lying for a long time. The pains are caused by inflammation of the sacroiliac articulation; they will progress either to the cervical or to the inguinal region. The alkalosis process may also affect other regions of the osseous system: the coxofemoral articulation, the shoulder and knee articulations.

The clinical picture of enclosing spondylitis is characterized by lumbar and sacral pain and rigidity that persist even during the patient’s rest periods; long-lasting pains, located especially in the lower region; pain and rigidity in the thoracic region; diminished mobility of the backbone and decreased thoracic expansion; asthenia, anorexia, a sub febrile state, loss of weight, nocturnal sweating, irritability (manifested by ocular pains, increased sensitivity to light, eyeball reddening).

Surgery is necessary only in extreme cases. What is spondylolisthesis? In this condition, one vertebra slips forward or subluxates on top of another. This movement narrows the spinal canal through which the spinal cord passes. Although it can occur anywhere along the spine, it most frequently involves the slipping of the bottom lumbar vertebra over the sacrum.

Spondylolisthesis may be the result of trauma, a spinal fracture or arthritis. Its symptoms include mild low back pain, muscle spasm and sciatica, or it may produce no symptoms whatsoever. Practicing good postural habits and strengthening the muscles of the trunk are good preventive measure to take.

About the Author

For more useful information visit <strong>Lumbar Spondylitis</strong> and <strong>lumbar spondylitis treatment</strong>. Also visit more on <strong>lumbar spondylitis symptoms</strong>

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postheadericon Endoscopic surgery lumbar spine (lower back)

canal stenosis

Article by Dr. Shlomo Davidovich

Lower spine problems are common problems in most of the western population and do not discriminate between young and adults. These problems are majority compared to other common spinal problems. Young people suffer from a herniated disc and adults suffer from canal stenosis.In cases of herniated disc, pain radiates along the leg more than in other places; however in cases of canal narrowing (Spinal stenosis) pain is less acute and chronic pains are more experienced, when the patient feels some good and bad periods in his routine. The patient also experiences difficulties in walking (feet fall asleep while walking or standing). Seating, generally make it easier on him. In most cases, over the years there is a gradual deterioration with “shortening” in walking distances. In these age groups, open surgery will involve considerable dangers and endoscopic surgery is significantly better solution.Endoscopic lumbar spine surgery is successful due to a small cut that is made in the back of about 1 cm. This procedure addresses the narrowing of the spinal canal, herniated disc or a combination of both. During the surgery, an expansion of the canal is performed with a filing of partial resection of the disc if there is a need. In most cases the procedure prevents the fixation or open surgery (conventional Leminektomy). The Incision is taped so there’s no need in stitches.Period of hospitalization after surgery in most cases takes less than a day, most patients are walking around two hours after surgery (after awakened from anesthesia) this procedure prevents complications such as pulmonary embolism, and vein thrombosis, especially in the elderly population.

by-Dr. Shlomo Davidovich

Neurosurgeon. Since 1993, during his residency, Dr. Davidovich performed intracranial endoscopy. After becoming a senior, Dr. Davidovich joined Dr. Jho at the Department of Neuroendoscopy at Allegheny General Hospital, Pittsburgh, USA as a non- traditional fellow for a period of three years.During this period Dr. Davidivich participated in over 1000 endoscopic spine and skull base surgeries. Since his return to Israel in 2008, he became the head of endoscopic spine surgery service at the Rabin Medical Center.

Appointments• Senior neurosurgeon, department of neurosurgery, Rabin (Beilinson) Medical center.• Head of the endoscopic spine surgery service at the Rabin Medical Center.• While in Pittsburgh, Dr. Davidovich was a faculty member at several international courses for endoscopic skull base surgery in Allegheny General Hospital which is affiliated with the Drexel University College of Medicine, USA .

Special fields of interest:• Minimally invasive spine and skull base surgery.• Endoscopic surgery for intraventricular pathologies.• Migraine pathophysiology .

Research• Mice olfactory stem cells culture.• Research of hydrocephalus parameters.• Participated in research of Dexanabinol use for head trauma.• Participated in research for treatment of malignant brain gliomas.• Research of migraine pathophysiology.

About the Author

http://www.davidovich.co.il/content.php?id=4

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postheadericon Spine Specialists Center: Full Endoscopic Surgery of the Lumbar and Cervical Spine

canal stenosis

Article by Scott Minteer

Dr. Verapan Kuansongtham, a neurosurgeon specialized in spine surgery, and his partner, Dr. Sompoch Paiboonsirijit, an orthopedic surgeon also specialized in spine surgery, have jointly organized 17th symposium for full-endoscopic surgery of the lumbar and cervical spine with their German partner, Dr. med. Sebastian Ruetten at Bumrungrad International during 22nd to 23rd January 2010. The symposium was a success. Not only doctors from Thailand, but also doctors from Hong Kong, Malaysia, Korea and India attended the symposium. The team has received several invitations from doctors in many countries such as Hong Kong and Malaysia to organize a similar symposium abroad.

Dr. Ruetten, Head of Department of Spine Surgery and Pain Therapy of St. Anna-Hospital Herne, Germany, is a world pioneer who invented a special technique for using an endoscope to operate patients with herniated discs. With his endoscopes produced by Richard Wolf in Germany, a surgical field is minimized to 8 mm. and due to a minimal injury to muscles around the operative area, patients can go home after 24 hours of surgery.

Dr. Verapan and Dr. Sompoch were directly trained by Dr. Ruetten. In 2008, they decided to become partners in training doctors around the world for the full-endoscopic spine and cervical surgery. They organize a symposium for doctors in Germany semi-annually in March and September. For Asia, Thailand will be the only center for training where Dr. Ruetten will fly in with his team from Germany and join Dr. Verapan in organizing a symposium semi-annually in January and June.

Last year, Dr. Verapan and Dr. Sompoch also joined Dr. Ruetten in organizing a special workshop in Chicago for American doctors.

Remarks:

Stenosis (lateral or central canal stenosis) is a lumbar spine disease in which the spinal canal is gradually narrowed due to the degeneration of the facet joints and ligament. Such degeneration causes bone spurs grow into the spinal canal, the facet joints enlarge and the ligaments become stiff. These all contribute to a smaller space for the nerve roots and spinal cords located in the spinal canal. In general, patients with stenosis may suffer from lower back and leg pain and some suffer great leg pain when they walk without any back pain.

http://www.bumrungrad.com/backandneckpain

About the Author

Marketing at Bumrungrad International hospital

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postheadericon Symptoms and Treatment of Lumbar Stenosis

canal stenosis

Article by David Betz

Spinal stenosis is caused by narrowing in the openings of the vertebrae that nerves pass through. When the narrowed area is in the lower back, it is called lumbar stenosis. The symptoms of lumbar stenosis are related to the compression of nerves that go to the hips, legs and feet.

SymptomsThe most common symptom of lumbar stenosis is pain in the legs. Sometimes people will have what’s called “neurogenic claudication” pain, which is heaviness, aching or cramping in your legs when you walk. Claudication pain gets worse if you walk and is relieved by sitting or lying down. It can be caused by impaired circulation to the legs (vascular claudication) or by lumbar stenosis. The claudication pain of lumbar stenosis is usually also relieved by bending over or stooping down.

People with lumbar stenosis can also have “radicular pain,” or pain that radiates down one or both legs, also called sciatica. Other sensory abnormalities caused by lumbar stenosis are tingling, heaviness or numbness in your toes, feet and legs. Motor abnormalities include weakness in one or both legs and difficulty walking.

Rarely, severe lumbar stenosis can cause “caudae equinae syndrome.” The spinal cord itself ends in the lower back and splits into several nerves. Those nerves continue down the spinal canal and exit in pairs between the vertebrae. Lumbar stenosis that compresses the caudae equinae can cause “saddle anesthesia,” or loss of feeling where you would sit on a saddle, bladder or fecal incontinence and sexual dysfunction. It is considered a medical emergency because only a very large disc herniation or other serious problem can cause caudae equinae syndrome.

TreatmentTreatment modalities for lumbar stenosis can be divided into three categories: conservative, alternative and surgical.

Conservative treatment includes anti-inflammatory medications, muscle relaxers and pain medications. Physical therapy is often helpful in improving pain and mobility. If the pain continues, you could receive cortisone or anesthetic injections. Anesthetic injections, or nerve blocks, usually give you some relief from the pain. Cortisone injections seem to be less effective.

Chiropractic, massage and acupuncture are alternative treatments. They provide excellent pain relief for some people.

Surgery is usually a laminectomy, or removal of some of the bone around the spinal canal, to make a larger opening for the nerves. Sometimes a spinal fusion is done, too, to stabilize the vertebrae and keep them from slipping and compressing the nerves.

Many people, especially those who are older or who have other health risks, benefit from minimally invasive surgery for lumbar stenosis. The surgeon views the lumbar spine with a microscopic endoscope and uses microsurgical techniques to make specific repairs. Endoscopic surgery is less invasive and better tolerated than traditional surgery.

About the Author

David Betz is a consultant doing work for Laser Spine Surgery http://www.laserspineinstitute.com andHouston Web Site Design http://www.novatexsolutions.com

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postheadericon Lumbar laminectomy : A Surgery On Spinal Cord

Lumbar laminectomy is a back surgery procedure which is designed to relieve pressure on the spinal cord (or nerve) from herniated discs, spinal stenosis and other related conditions. Laminectomy means removal of the lamina.

Also known as lumbar decompression, this procedure is effectively for most lower back condition such as stenosis or bulging discs. Stenosis occurs when the spinal canal begins to narrow, compressing the spinal nerves. This is usually due to natural aging processes or osteoporosis. Bulging discs or herniated discs occur when the padding between the vertebrae that acts as shock absorbers (the discs) either bulge outward toward the spinal nerves or actually come out, pushing on the spinal nerves.

Today, a lumbar laminectomy may be performed using minimally invasive spine surgery, a treatment that involves small incisions and muscle dilation, allowing the surgeon to gently separate the muscles surrounding the spine rather than cutting them. The goal of a laminectomy is to relieve pressure on the spinal cord or nerve by widening the spinal canal. This is done by removing or trimming the lamina (roof) of the vertebrae to create more room for the nerves. This may be done with or without fusing vertebrae or removing part of a disc. Various devices, such as screws or rods, may be used to obtain a solid fusion and support unstable areas of the spine.
Its depend to the pre-operative condition and age of the patients for ability to return to their normal activity. Normally, the operation patients shall be in the hospital for one to three days and during that times, patients are encouraged to walk directly following the procedure.

For more detail about this surgery procedure and other related information, visit Lumbar Laminectomy website.

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postheadericon Back Pain Cause by Lumbar Stenosis

What is Spinal Stenosis.

Spinal stenosis is condition of narrowing  spinal canal. Spinal canal of  lumbar spine  contain with  multiple nerve roots  of lower extremities ,anal and perinium.

Why spinal stenosis make you pain.

When spinal canal stenosis  space  for nerve root is reduction.  If our working with  motion of spine  nerve roots  in spinal canal absolutlymove with our bodies.Nerve roots inflammation and swelling generate back pain , leg pain ,numpness or burning sensation.

What is specsific symptoms.

Low Back  Pain : The most common symptoms of spinal stenosis. Pain increase by walking ,long standing, climbing  you may sittng down or rest to reduce  pain.

Numbness : Because of spinal stenosis  generated inflammation nerve roots .Numbness  are often symptoms in spinal canal stenosis. Numbness increase and reduce  same as pain.

Burning Sensation: May present in spinal stenosis same as reason with numbness and  pain.

The most important typical  symptom is increased symptoms by walking ,long standing and climbing and  symptoms  reduce by rest or  sittng.

How to management this back pain.

Visit Your Doctor : If you have specific symptoms of spinal stenosis .You need the  examination by doctor and give you more information.

Rest is the most effective to reduce back pain symptom from spinal stenosis.

Avoided the increase pain factors; walking,long standing and climbing.

Drugs :You must consult your doctor about drugs for reduce low back pain from spinal stenosis.

Physical Therapy : Most helpful to reduce your back pain with low complications.

Alternative Treatment : Massage, Acupunceture ,Hypnosis,Chiropractic are search more information.

Surgery is the last choice for back pain from spinal stenosis.


    More Information About Back Pain In Http://www.backpainsblog.com

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postheadericon Lumbar Canal Stenosis Surgery Abroad At Affordable Cost-Spine

Lumbar Canal Stenosis Surgery Abroad Overview

Stenosis means closing in. Spinal stenosis describes a condition in which the nerves in the spinal canal are closed in, or compressed. The spinal canal is the hollow tube formed by the bones of the spinal column. Anything that causes this bony tube to shrink can squeeze the nerves inside…

What part of the back is involved?

1 ] Vertebrae and Spinal Column : – The human spine is made up of 24 spinal bones, called vertebrae. Vertebrae are stacked on top of one another to create the spinal column. The spinal column gives the body its form. It is the body’s main upright support…

2 ] Spinal Canal and Spinal Cord : – The back portion of the spinal column forms a bony ring. When the vertebrae are stacked on top of each other, these bony rings create a hollow tube. This bony tube, called the spinal canal, surrounds the spinal cord as it passes through the spine…

3 ] Intervertebral Disc : – An intervertebral disc fits between each vertebral body and provides a space between the spine bones. The disc normally works like a shock absorber..

Causes of Lumbar Spinal Canal Stenosis

Why do I have this problem?

In the lumbar spine, the spinal canal usually has more than enough room for the spinal nerves. The canal is normally 17 to 18 millimeters around, slightly smaller than a penny. Spinal stenosis develops when the canal shrinks to 12 millimeters or less. When the size drops below 10 millimeters, severe symptoms of lumbar spinal stenosis occur.

There are many reasons why symptoms of spinal stenosis develop. Some of the more common reasons include : -

1 ] Congenital Stenosis : – Some people are born with (congenital) a spinal canal that is narrower than normal. They may not feel problems early in life. However, having a narrow spinal canal puts them at risk for stenosis. ..

2 ] Degeneration : – Degeneration is the most common cause of spinal stenosis. Wear

and tear on the spine from aging and from repeated stresses and strains can cause many problems in the lumbar spine…

3 ] Spinal Instability : – Spinal instability can cause spinal stenosis. Spinal instability means that the bones of the spine move more than they should. Instability in the lumbar spine can develop if the supporting ligaments have been stretched or torn from a severe back injury…

4 ] Disc Herniation : – Spinal stenosis can occur when an intervertebral disc in the low back herniates (ruptures). Normally, the shock-absorbing disc is able to handle the downward pressure of gravity and the strain from daily activities…

Symptoms of Lumbar Spinal Canal Stenosis

What does the spinal stenosis feel like?

Spinal stenosis usually develops slowly over a long period of time. This is because the main cause of spinal stenosis is spinal degeneration in later life.

1 ] Pain and Weakness in Legs : – Patients with stenosis don’t always feel back pain. Primarily, they have pain and weakness in their legs, usually in both legs at the same time…

2 ] Affected Sensation / Slow Reflexes : – Symptoms mainly affect sensation in the lower limbs. Nerve pressure from stenosis can cause a feeling of pins and needles in the skin where the spinal nerves travel…

Diagnosis of Lumbar Spinal Canal Stenosis

How do doctors diagnose the problem ?

Diagnosis begins with a complete history and physical examination. Your doctor will ask questions about your symptoms and how your problem is affecting your daily activities…

1 ] Physical Examination : – The doctor does a physical examination to see which back movements cause pain or other symptoms. Your skin sensation, muscle strength, and reflexes are also tested…

2 ] X-rays : – X-rays can show if the problems are from changes in the bones of the spine. The images can show if degeneration has caused the space between the vertebrae to collapse. X-rays may also show any bone spurs sticking into the spinal canal…

3 ] MRI : – When more information is needed, your doctor may order a magnetic resonance imaging (MRI) scan. The MRI machine uses magnetic waves rather than X-rays to show the soft tissues of the body…

4 ] CT Scan : – Computed tomography (a CT scan) may be ordered. The CT scan is a detailed X-ray that lets your doctor see slices of bone tissue..

5 ] EMG (Electromyogram) : – When the diagnosis is still not clear, doctors may recommend electrical tests of the nerves that go to the legs and feet…

Treatment

What treatment options are available?

Nonsurgical Treatment

1 ] Immobilization : – At first, doctors may prescribe ways to immobilize the spine. Keeping the back still for a short time can calm inflammation and pain…

2 ] Lumbar Support : – A lumbar support belt or corset may be prescribed, though their benefits are controversial. The support can limit pressure in the discs and prevent extra movement in the spine…

3 ] Medications : – Doctors sometimes prescribe medication for patients with spinal stenosis. Patients may be prescribed anti-inflammatory medication such as nonsteroidal anti-inflammatory drugs (NSAIDs) or aspirin…

B ] Surgery of Lumbar Spinal Canal Stenosis

If the symptoms you feel are mild and there is no danger they’ll get worse, surgery is not usually recommended.

The main surgical procedures used to treat spinal stenosis are :

1 ] Lumbar Laminectomy : – The lamina is the covering layer of the bony ring of the spinal column. It forms a roof-like structure over the back of the spinal canal. When the nerves in the spinal canal are being squeezed by a herniated disc or bone spurs, a lumbar laminectomy removes the entire lamina to release pressure on the spinal nerves. This is the primary type of surgery used for lumbar spinal stenosis…

2 ] Posterior Lumbar Fusion : – A posterior lumbar fusion may be needed after a surgeon performs a lumbar laminectomy. The fusion procedure is recommended when a spinal segment has become loose or unstable…

After Surgery

After surgery, surgeons may have their patients work with a physical or occupational therapist. Patients who’ve had fusion surgery normally need to wait two to three months before beginning a rehabilitation program. They will probably need to attend therapy sessions for six to eight weeks and should expect full recovery to take up to six months…

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postheadericon Lumbar Spinal Canal Stenosis Treatment In India At Affordable Low Cost

  Lumbar Spinal Canal Stenosis 

Stenosis means closing in. Spinal stenosis describes a condition in which the nerves in the spinal canal are closed in, or compressed. The spinal canal is the hollow tube formed by the bones of the spinal column. Anything that causes this bony tube to shrink can squeeze the nerves inside…

 

What part of the back is involved?

1 ] Vertebrae and Spinal Column : – The human spine is made up of 24 spinal bones, called vertebrae. Vertebrae are stacked on top of one another to create the spinal column. The spinal column gives the body its form. It is the body’s main upright support…

 

2 ] Spinal Canal and Spinal Cord : – The back portion of the spinal column forms a bony ring. When the vertebrae are stacked on top of each other, these bony rings create a hollow tube. This bony tube, called the spinal canal, surrounds the spinal cord as it passes through the spine…

 

3 ] Intervertebral Disc : – An intervertebral disc fits between each vertebral body and provides a space between the spine bones. The disc normally works like a shock absorber..

 

Causes of Lumbar Spinal Canal Stenosis

 

Why do I have this problem?

In the lumbar spine, the spinal canal usually has more than enough room for the spinal nerves. The canal is normally 17 to 18 millimeters around, slightly smaller than a penny. Spinal stenosis develops when the canal shrinks to 12 millimeters or less. When the size drops below 10 millimeters, severe symptoms of lumbar spinal stenosis occur. 

There are many reasons why symptoms of spinal stenosis develop. Some of the more common reasons include : -

1 ] Congenital Stenosis : – Some people are born with (congenital) a spinal canal that is narrower than normal. They may not feel problems early in life. However, having a narrow spinal canal puts them at risk for stenosis. ..

 

2 ] Degeneration : – Degeneration is the most common cause of spinal stenosis. Wear

and tear on the spine from aging and from repeated stresses and strains can cause many problems in the lumbar spine…

 

3 ] Spinal Instability : – Spinal instability can cause spinal stenosis. Spinal instability means that the bones of the spine move more than they should. Instability in the lumbar spine can develop if the supporting ligaments have been stretched or torn from a severe back injury…

 

4 ] Disc Herniation : – Spinal stenosis can occur when an intervertebral disc in the low back herniates (ruptures). Normally, the shock-absorbing disc is able to handle the downward pressure of gravity and the strain from daily activities…

 

Symptoms of Lumbar Spinal Canal Stenosis

 

What does the spinal stenosis feel like?

Spinal stenosis usually develops slowly over a long period of time. This is because the main cause of spinal stenosis is spinal degeneration in later life.

 

1 ] Pain and Weakness in Legs : – Patients with stenosis don’t always feel back pain. Primarily, they have pain and weakness in their legs, usually in both legs at the same time…

 

2 ] Affected Sensation / Slow Reflexes : – Symptoms mainly affect sensation in the lower limbs. Nerve pressure from stenosis can cause a feeling of pins and needles in the skin where the spinal nerves travel…

 

Diagnosis of Lumbar Spinal Canal Stenosis

 

How do doctors diagnose the problem ?

Diagnosis begins with a complete history and physical examination. Your doctor will ask questions about your symptoms and how your problem is affecting your daily activities…

1 ] Physical Examination : – The doctor does a physical examination to see which back movements cause pain or other symptoms. Your skin sensation, muscle strength, and reflexes are also tested…

 

2 ] X-rays : – X-rays can show if the problems are from changes in the bones of the spine. The images can show if degeneration has caused the space between the vertebrae to collapse. X-rays may also show any bone spurs sticking into the spinal canal…

 

3 ] MRI : – When more information is needed, your doctor may order a magnetic resonance imaging (MRI) scan. The MRI machine uses magnetic waves rather than X-rays to show the soft tissues of the body…

 

4 ] CT Scan : – Computed tomography (a CT scan) may be ordered. The CT scan is a detailed X-ray that lets your doctor see slices of bone tissue..

 

5 ] EMG (Electromyogram) : – When the diagnosis is still not clear, doctors may recommend electrical tests of the nerves that go to the legs and feet…

 

6 ] SSEP (Somatosensory Evoked Potential) : – Doctors may also order a somatosensory evoked potential (SSEP) test to locate more precisely where the spinal nerves are being squeezed…

 

7 ] Blood Tests : – Not all causes of spinal stenosis are from degenerative conditions. Doctors use blood tests to determine whether symptoms are coming from other conditions, such as arthritis or infection….

 

Treatment

 

What treatment options are available?

Nonsurgical Treatment

1 ] Immobilization : – At first, doctors may prescribe ways to immobilize the spine. Keeping the back still for a short time can calm inflammation and pain…

2 ] Lumbar Support : – A lumbar support belt or corset may be prescribed, though their benefits are controversial. The support can limit pressure in the discs and prevent extra movement in the spine…

3 ] Medications : – Doctors sometimes prescribe medication for patients with spinal stenosis. Patients may be prescribed anti-inflammatory medication such as nonsteroidal anti-inflammatory drugs (NSAIDs) or aspirin…

4 ] Injections : – Some patients are given an epidural steroid injection (ESI). The spinal cord is covered by a material called dura. The space between the dura and the spinal column is called the epidural space…

5 ] Therapy and Exercise : – Patients often work with a physical therapist. By evaluating your condition, your therapist can assign positions and exercises to ease your symptoms. Your therapist may suggest using traction. Traction is a common treatment for stenosis. It gently stretches the low back, taking pressure off the spinal nerves…

 

B ] Surgery of Lumbar Spinal Canal Stenosis

If the symptoms you feel are mild and there is no danger they’ll get worse, surgery is not usually recommended.

The main surgical procedures used to treat spinal stenosis are :

1 ] Lumbar Laminectomy : – The lamina is the covering layer of the bony ring of the spinal column. It forms a roof-like structure over the back of the spinal canal. When the nerves in the spinal canal are being squeezed by a herniated disc or bone spurs, a lumbar laminectomy removes the entire lamina to release pressure on the spinal nerves. This is the primary type of surgery used for lumbar spinal stenos
is…

 

2 ] Posterior Lumbar Fusion : – A posterior lumbar fusion may be needed after a surgeon performs a lumbar laminectomy. The fusion procedure is recommended when a spinal segment has become loose or unstable…

 

Rehabilitation

Even if you don’t need surgery, your doctor may recommend that you work with a physical or occupational therapist. Patients are normally seen a few times each week for one to two months. In severe cases, patients may need a few additional weeks of care…

 

After Surgery

After surgery, surgeons may have their patients work with a physical or occupational therapist. Patients who’ve had fusion surgery normally need to wait two to three months before beginning a rehabilitation program. They will probably need to attend therapy sessions for six to eight weeks and should expect full recovery to take up to six months…

 

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