Stenosis Of The Spine
Lumbar Canal Stenosis Surgery Abroad At Affordable Cost-Spine
Lumbar Canal Stenosis Surgery Abroad
Overview
Stenosis means closing in. Spinal stenosis describes a condition in which the nerves in the spinal canal are closed in, or compressed. The spinal canal is the hollow tube formed by the bones of the spinal column. Anything that causes this bony tube to shrink can squeeze the nerves inside…
What part of the back is involved?
1 ] Vertebrae and Spinal Column : – The human spine is made up of 24 spinal bones, called vertebrae. Vertebrae are stacked on top of one another to create the spinal column. The spinal column gives the body its form. It is the body’s main upright support…
2 ] Spinal Canal and Spinal Cord : – The back portion of the spinal column forms a bony ring. When the vertebrae are stacked on top of each other, these bony rings create a hollow tube. This bony tube, called the spinal canal, surrounds the spinal cord as it passes through the spine…
3 ] Intervertebral Disc : – An intervertebral disc fits between each vertebral body and provides a space between the spine bones. The disc normally works like a shock absorber..
Causes of Lumbar Spinal Canal Stenosis
Why do I have this problem?
In the lumbar spine, the spinal canal usually has more than enough room for the spinal nerves. The canal is normally 17 to 18 millimeters around, slightly smaller than a penny. Spinal stenosis develops when the canal shrinks to 12 millimeters or less. When the size drops below 10 millimeters, severe symptoms of lumbar spinal stenosis occur.
There are many reasons why symptoms of spinal stenosis develop. Some of the more common reasons include : -
1 ] Congenital Stenosis : – Some people are born with (congenital) a spinal canal that is narrower than normal. They may not feel problems early in life. However, having a narrow spinal canal puts them at risk for stenosis. ..
2 ] Degeneration : – Degeneration is the most common cause of spinal stenosis. Wear
and tear on the spine from aging and from repeated stresses and strains can cause many problems in the lumbar spine…
3 ] Spinal Instability : – Spinal instability can cause spinal stenosis. Spinal instability means that the bones of the spine move more than they should. Instability in the lumbar spine can develop if the supporting ligaments have been stretched or torn from a severe back injury…
4 ] Disc Herniation : – Spinal stenosis can occur when an intervertebral disc in the low back herniates (ruptures). Normally, the shock-absorbing disc is able to handle the downward pressure of gravity and the strain from daily activities…
Symptoms of Lumbar Spinal Canal Stenosis
What does the spinal stenosis feel like?
Spinal stenosis usually develops slowly over a long period of time. This is because the main cause of spinal stenosis is spinal degeneration in later life.
1 ] Pain and Weakness in Legs : – Patients with stenosis don’t always feel back pain. Primarily, they have pain and weakness in their legs, usually in both legs at the same time…
2 ] Affected Sensation / Slow Reflexes : – Symptoms mainly affect sensation in the lower limbs. Nerve pressure from stenosis can cause a feeling of pins and needles in the skin where the spinal nerves travel…
Diagnosis of Lumbar Spinal Canal Stenosis
How do doctors diagnose the problem ?
Diagnosis begins with a complete history and physical examination. Your doctor will ask questions about your symptoms and how your problem is affecting your daily activities…
1 ] Physical Examination : – The doctor does a physical examination to see which back movements cause pain or other symptoms. Your skin sensation, muscle strength, and reflexes are also tested…
2 ] X-rays : – X-rays can show if the problems are from changes in the bones of the spine. The images can show if degeneration has caused the space between the vertebrae to collapse. X-rays may also show any bone spurs sticking into the spinal canal…
3 ] MRI : – When more information is needed, your doctor may order a magnetic resonance imaging (MRI) scan. The MRI machine uses magnetic waves rather than X-rays to show the soft tissues of the body…
4 ] CT Scan : – Computed tomography (a CT scan) may be ordered. The CT scan is a detailed X-ray that lets your doctor see slices of bone tissue..
5 ] EMG (Electromyogram) : – When the diagnosis is still not clear, doctors may recommend electrical tests of the nerves that go to the legs and feet…
Treatment
What treatment options are available?
Nonsurgical Treatment
1 ] Immobilization : – At first, doctors may prescribe ways to immobilize the spine. Keeping the back still for a short time can calm inflammation and pain…
2 ] Lumbar Support : – A lumbar support belt or corset may be prescribed, though their benefits are controversial. The support can limit pressure in the discs and prevent extra movement in the spine…
3 ] Medications : – Doctors sometimes prescribe medication for patients with spinal stenosis. Patients may be prescribed anti-inflammatory medication such as nonsteroidal anti-inflammatory drugs (NSAIDs) or aspirin…
B ] Surgery of Lumbar Spinal Canal Stenosis
If the symptoms you feel are mild and there is no danger they’ll get worse, surgery is not usually recommended.
The main surgical procedures used to treat spinal stenosis are :
1 ] Lumbar Laminectomy : – The lamina is the covering layer of the bony ring of the spinal column. It forms a roof-like structure over the back of the spinal canal. When the nerves in the spinal canal are being squeezed by a herniated disc or bone spurs, a lumbar laminectomy removes the entire lamina to release pressure on the spinal nerves. This is the primary type of surgery used for lumbar spinal stenosis…
2 ] Posterior Lumbar Fusion : – A posterior lumbar fusion may be needed after a surgeon performs a lumbar laminectomy. The fusion procedure is recommended when a spinal segment has become loose or unstable…
After Surgery
After surgery, surgeons may have their patients work with a physical or occupational therapist. Patients who’ve had fusion surgery normally need to wait two to three months before beginning a rehabilitation program. They will probably need to attend therapy sessions for six to eight weeks and should expect full recovery to take up to six months…
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