Spine Conditions
Lumbar Spinal Stenosis
Lumbar Spinal Stenosis is the medical term for narrowing of the spaces in the spine through which the spinal cord and nerves roots pass. An estimated 400,000 Americans may be afflicted with spinal stenosis.
Cause
In most cases, Spinal Stenosis is caused by the normal wear and tear associated with aging.
Symptoms
As the spaces in the spine become narrow, there's is less room left for the nerves. Because there is less room for the nerves, the nerves become impinged, inflamed and ultimately very painful, making it difficult to walk. If you have this condition, you may find walking easier when leaning on a shopping cart. Leaning forward actually increases the size of the open spaces in the spinal column thereby making more room for the nerves. This decreases the impingement of the nerve and relieves pain in the lower extremities.
Diagnosis
The diagnosis is typically made taking an image of the spine through the use of magnetic resonance imaging (MRI). On an MRI, your doctor may determine if the spaces in the spine have narrowed and if that is affecting your nerves.
Treatment
Treatment typically begins with non-steroidal medications then progresses to steroidal medicine by mouth, epidural steroid injections ("epidural") means in the space that protects the spinal cord) and physical therapy to maintain strength and agility. Surgery may be recommended if conservative treatment options fail to provide relief from pain and limited mobility. The surgery consists of removing the bone buildup to restore space in the spine for the nerves to pass freely. Speak with your doctor to learn more about treatment options most suitable for you.
