What is considered severe spinal stenosis?

Symptoms of Severe Spinal Stenosis
When spinal stenosis progresses to the severe stage, that means there has been substantial narrowing of the spinal canal. This can occur due to several different factors, but is most commonly caused by degeneration of the discs, vertebrae and spinal ligaments.
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What are severe symptoms of spinal stenosis?

Symptoms
  • Numbness or tingling in a hand, arm, foot or leg.
  • Weakness in a hand, arm, foot or leg.
  • Problems with walking and balance.
  • Neck pain.
  • In severe cases, bowel or bladder dysfunction (urinary urgency and incontinence)
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What are the levels of spinal 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).
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What are the final stages of spine stenosis?

Spinal stenosis, often an end stage of the spine degenerative process, is characterized by leg pain with walking. Pain will go away with rest but you may have to specifically sit down to ease the leg pain.
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What is the prognosis for severe spinal stenosis?

Spinal stenosis can result in significant morbidity. Severe disability and death may result from the association of cervical stenosis with even minor trauma resulting in the central cord syndrome. Both upper (cervical) and lower (lumbar) spinal stenosis may result in motor weakness and chronic pain.
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What is Spinal Stenosis? - Lumbar Spinal Stenosis - DePuy Videos



What is the life expectancy of someone with spinal stenosis?

Answer: Yes, you do have to live with it for the rest of your life. However, many patients with spinal stenosis live life in the absence of pain or with minimal symptoms.
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Will I end up in a wheelchair with spinal stenosis?

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.
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Is severe spinal stenosis a disability?

Fortunately, lumbar spinal stenosis is one of the few back conditions recognized by the Social Security Administration (SSA) with an official impairment listing, meaning that those with documented cases of severe lumbar spinal stenosis are automatically granted disability benefits—if you can meet the SSA's tough ...
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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.
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How does spinal stenosis lead to death?

Cervical spinal stenosis is the medical condition in which the spinal canal within the neck region becomes too narrow. Any stricture within the spinal canal places pressure on the branching nerves of the spine cord. If the stenosis is severe it can cause paralysis, quadriplegia or death.
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How many mm is severe spinal stenosis?

A sagittal diameter of 12 mm is considered as narrow (relative stenosis) and a diameter of 10 mm or less is considered a severely narrowed (absolute stenosis) according to Verbiest.
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How many mm is severe cervical stenosis?

Spinal stenosis occurs when the canal narrows to 13 millimeters or less. When the size drops to 10 millimeters, severe symptoms of myelopathy occur.
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What does L3 L4 affect?

The L3-L4 spinal motion segment, positioned in the middle of the lumbar spine, plays an important role in supporting the weight of the torso and protecting the cauda equina (nerves that descend from the spinal cord).
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Does severe spinal stenosis require surgery?

Spinal Decompression and Spinal Fusion: Will You Need Surgery for Spinal Stenosis? Most patients with cervical or lumbar spinal stenosis respond well to non-surgical treatments (such as medication), so you may not need spine surgery. However, there are situations when you may want to go ahead with spine surgery.
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What activities should be avoided with spinal stenosis?

What Is Spinal Stenosis?
  • Avoid Excessive Back Extension. ...
  • Avoid Long Walks or Running. ...
  • Avoid Certain Stretches and Poses. ...
  • Avoid Loading a Rounded Back. ...
  • Avoid Too Much Bed Rest. ...
  • Avoid Contact Sports.
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What does pain from spinal stenosis feel like?

Symptoms of lower back (lumbar) spinal stenosis include: Pain in the lower back. Pain is sometimes described as dull ache or tenderness to electric-like or burning sensation. Pain can come and go.
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What can make spinal stenosis worse?

Diet and exercise

Diet and exercise can be considered for patients that have spinal stenosis who are also overweight. Because additional fat in the body presses down on the spine and makes it support more weight, it aggravates spinal stenosis and may even lead to the condition developing.
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When is surgery needed for spinal stenosis?

Why might your doctor recommend surgery for lumbar spinal stenosis? Your doctor might recommend surgery if: Your pain and weakness are bad enough to get in the way of your normal activities and have become more than you can manage.
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Is walking good for spinal stenosis?

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

Lumbar stenosis can hinder your ability from performing any kind of job. Because of the severe pain and mobility issues, you cannot work construction, drive heavy machinery, or work for a utility company.
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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.
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Does spinal stenosis cause leg and foot cramps?

Cervical spinal stenosis can also cause chronic neck pain that comes and goes or worsens during a particular activity. With lumbar stenosis, it's common to feel numbness or tingling in one leg or foot, weakness in your leg, and pain or cramping after standing for long periods of time.
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Does spinal stenosis cause hip and leg pain?

And patients with spinal stenosis will often get pain down the leg, sometimes below the knee. There are often neurologic symptoms like numbness and tingling and some weakness feeling but, believe it or not, hip patients can have these symptoms as well.
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How do you sleep with 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.
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Does spinal stenosis affect bowel movements?

An untreated injury can lead to an infection. Make sure to call your doctor if you have any numbness, pain, or other symptoms of spinal stenosis, especially trouble balancing or difficulty urinating or having a bowel movement.
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