I was recently diagnosed with spinal stenosis. What are the treatment options for spinal stenosis?
Lower back pain?
Added 1 Apr 2010:
My doctor said that it is congenital and that he talked to a surgeon who said that surgery would make things worse. I also have arthritis in my hips, knees and neck. I am lucky to be married to a wonderful understanding woman who understands what I am going through.
Have you tried faced(sp) injections? What they consist of is steriods. I am currently trying them. I have only had one series. It takes a while because they can only put so much in at a time. My next series is April 20th. If it works, I will let you know. Best of luck to you... kim
You have maybe four options.The surgery that was mentioned fusing of the vertabrae is a scary one for me and I think it is primarily for bulging & herniated discs, I have cervical stenosis among other things and have known about this since my auto accident. My sister had the neck surgery and the pain has stayed the same or maybe is a little worse. Therapy but this really is for the soft tissue. The bone is not going to change (open up) on its own and the older we get may get worse. And I had to discontinue my therapy cause it just made it worse(the electrical feelings and pain just got worse) Medicines (pain relief) which must be done forever... I never was very religious but the pain has me praying for relief. But your situation is Your situation be proactive and if you can, try to get several Drs. diagnosis. I wish you well.
I agree, stay proactive until you have this under control and are satisfied with your treatment. Spinal stenosis is tricky as it is difficult to get at it surgically. I have spinal stenosis above L4-5 where I had a herniation years ago. I have had L4-5 fused and I have over a long time had pain reduction as the area naturally stiffens.
Exercise is a huge factor here and you should see a physiotherapist and get the proper exercises. Diet is also important and you need to look into that. I know that a lot of people fall into taking a pill and thinking this should solve the problem. Chronic pain is rarely solved through opiate use but it does have it's place and should be used sparingly. I hope you feel better and get some relief soon... Dave
All of the above answers are good ones! Be proactive and find the remedies that work best for you. Stenosis is another word for narrowing of the spinal canal. If you have the Facet injections, try to keep them limited as they will eventually turn your disc(s) to a wood-like substance. Discuss EVERY option with your doctor and don't let him make you feel rushed. Come to the office prepared. Write down notes, concerns, medication questions and their side effects etc. One treatment that worked well for me was the RFT Radio Frequency Thermocoagulation. It does involve injections, but in a different part of the spine (closer to the nerve root) using a different medication. It lasted about 6 months for me. Each person has different reactions and relief. Wishing you a PAIN FREE DAY AND GOOD LUCK ON FINDING THE SOLUTION THAT WORKS FOR YOU!
Have had spinal stenosis for a while now. First, there is the physical therapy aspect of it. I did that for 3 years and it didn't do me much good, but many people find some relief. Then there are surgical procedures that can be done. The first one is lamenectomy It is also called "rooftop" surgery because the surgeon removes bone spurs and anything else that can "open up" the area between the vertebrae. The other surgical option is fusion, but that has been shown to be sooo overused with disappointing results. I have had a lamenectomy, and it worked for a while, especially with respect to nerve activity in my feet. But alas, it was not to last. I am now in pain management and the ONLY thing that I find helpful is facet joint injections. At least I can walk down stairs like a human being instead of taking them one at a time. My wife says I look like an old widow trying to walk across an icy street when it comes time for a new facet joint injection. You have my sincere best wishes with your condition, and I hope you find lasting pain relief soon!
Bob (aka Rogue7)
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