What is the best treatment for spinal stenosis at L4 and L5?

Most commonly, it involves the L4 slipping over the L5 vertebra. It is usually treated with the same non-surgical (“conservative”) and surgical methods as lumbar spinal stenosis. Degenerative scoliosis occurs most frequently in the lower back and more commonly affects people aged 65 and older.

What is the newest treatment for spinal stenosis?

Interspinous spacers are a new approach to treating spinal stenosis that work gently and in a targeted way by opening the spinal canal to create room and reduce pressure on crowded nerves. A spinous process is the part of your vertebra that projects backward from your vertebral arch.

What is the most common treatment for spinal stenosis?

Surgery to decompress the area of stenosis is the most definitive way to try to resolve symptoms of spinal stenosis. Research shows that spine surgeries result in fewer complications when done by highly experienced surgeons. Don't hesitate to ask about your surgeon's experience with spinal stenosis surgery.

What are three treatments for spinal stenosis?

Spinal stenosis is commonly treated with medication, both over-the-counter and prescription. Nonsteroidal anti-inflammatory drugs (NSAIDs) reduce pain and inflammation. Examples of over-the-counter NSAIDs include aspirin, naproxen (Aleve), and ibuprofen (Advil, Motrin).

Can spinal stenosis get better without surgery?

In fact, most cases of spinal stenosis improve without the need for surgery. Often, finding an effective solution for spinal stenosis requires a combination of therapies, such as medication combined with physical therapy.

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What activities should be avoided with spinal stenosis?

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.

What are the symptoms of L4 L5 nerve damage?

Common symptoms and signs include: Sharp pain, typically felt as a shooting and/or burning feeling that originates in the lower back and travels down the leg in the distribution of a specific nerve, sometimes affecting the foot. Numbness in different parts of the thigh, leg, foot, and/or toes.

What does a neurosurgeon do for spinal stenosis?

The most common surgery for lumbar stenosis is a decompressive laminectomy. In this procedure, an incision is made in the back and the lamina (back part of the bone over the spinal canal) is removed to create more space for the nerves.

Who is the best doctor to treat spinal stenosis?

Mayo Clinic doctors trained in spine conditions (neurologists) and spine surgery (neurosurgeons and orthopedic surgeons) have experience in evaluating and treating people with all types of spinal stenosis.

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.

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.

How do you prevent spinal stenosis from getting worse?

Having good posture and practicing proper body mechanics are some of the best ways to prevent stenosis from progressing and to ensure the health of your back. Good posture and body mechanics should be practiced all the time—whether you're sitting, standing, lifting a heavy object, or even sleeping.

Does injection help spinal stenosis?

An epidural steroid injection (ESI) is a minimally invasive procedure that can help relieve neck, arm, back, and leg pain caused by inflamed spinal nerves due to spinal stenosis or disc herniation.

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.

What happens if you let spinal stenosis go untreated?

Rarely, untreated severe spinal stenosis may progress and cause permanent: Numbness. Weakness. Balance problems.

Is it better to see a neurosurgeon or orthopedic surgeon?

While an orthopedic surgeon is a better choice if you need a new hip, knee, shoulder, or have a severely broken bone, anything related to the spine is best treated by a skilled neurosurgeon. If you have a back issue or severe back pain, seek out a neurosurgeon for their evaluation and diagnosis for proper treatment.

Does a neurologist treat spinal stenosis?

If you suffer from a spinal condition such as disc herniation or degeneration, spinal fractures, spinal stenosis, spondylolisthesis, or other types of spinal injuries or pain, both a neurologist and an orthopedic doctor are equipped to treat these spinal conditions.

Is gabapentin good for spinal stenosis?

Gabapentin is an antiepileptic drug originally intended for seizures. It's most effective for treating neuropathic back pain caused by disk herniation and consequent sciatica, as well as spinal stenosis, diabetic neuropathy, and postherpetic neuralgia.

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.

How should I sleep with L4-L5 pain?

Can L4-L5 be cured?

Regardless of the cause, an L4-L5 spinal segment is treatable without surgery or injection. The key to recovery is accurate diagnosis followed by corrective treatments that focus on the problem's root cause.

Is sitting good for spinal stenosis?

Bending forward or sitting will relieve the pain because these positions help to open up the spinal canal, but the symptoms recur if you stand straight again. Numbness and tingling can also affect you while weakness is less common.

Is Climbing stairs good for spinal stenosis?

In essence, walking uphill and doing stairs decreases the space in your already-narrowed spinal channels. With spinal stenosis, you may also have pain when you're walking normally—but generally, that's when you're walking a longer distance (as in longer than from your car to the house).

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.