When is surgery needed for spinal stenosis?

Spinal stenosis surgery helps to reopen your spinal canal, the channel in your backbone that houses your spinal cord and other nerves. A doctor does the surgery when the space in the canal narrows because of arthritis, bone spurs, or other problems. When that happens, the nerves can be pinched or squeezed.

Is spinal stenosis surgery Necessary?

And it's usually not needed unless you have other back problems along with spinal stenosis. Some surgeons are doing newer, less invasive procedures. They are inserting small metal devices—called interspinous process devices—between the bones of the spine, near where the nerve roots leave the spinal cord.

Does spinal stenosis always lead to surgery?

Spinal stenosis is most commonly caused by wear-and-tear changes in the spine related to osteoarthritis. In severe cases of spinal stenosis, doctors may recommend surgery to create additional space for the spinal cord or nerves.

What happens if you don't have surgery for spinal stenosis?

Not having a surgery to treat your lumbar spinal stenosis can mean you will continue to live with daily pain. Symptoms like a lack of bladder control, numbness, trouble walking, and weakness, are unlikely to get better on their own.

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.

Minimally Invasive Spine Surgery for Spinal Stenosis

When Is spinal stenosis an emergency?

If you have any of these symptoms, you need to get medical attention right away: Loss of bowel or bladder control. Severe or increasing numbness between your legs, inner thighs, and back of the legs. Severe pain and weakness that spreads into one or both legs.

Does spinal stenosis hurt all the time?

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.

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 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.

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.

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 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.

How long is the hospital stay for spinal stenosis surgery?

A hospital stay of 1 to 4 days is typically required following a lumbar laminectomy surgery. During this period, the patient is monitored by the hospital staff for any complications. Typically, a physical therapist works with the patient during the hospital stay to help with a guided rehabilitation program.

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 type of surgeon is best for spinal stenosis?

Orthopedic Surgeons

Orthopedists specialize in the diagnosis and treatment of almost all bone and joint disorders, such as: Spinal disorders.

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.

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.

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.

How can you tell if your spinal stenosis is getting worse?

Call your provider if you have symptoms of spinal stenosis. More serious symptoms that need prompt attention include: Difficulty or poor balance when walking. Worsening numbness and weakness of your limb.

Does gabapentin help with 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.

How does spinal stenosis affect the legs?

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. Lumbar stenosis can make it difficult to walk and often feels better when you lean forward and relieve the pressure on your lower vertebrae.

Is 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 ...

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.