![]() Ĭervical spinal stenosis can be far more dangerous by compressing the spinal cord. In lumbar stenosis, the spinal nerve roots in the lower back are compressed which can lead to symptoms of sciatica (tingling, weakness, or numbness that radiates from the low back and into the buttocks and legs). Thoracic spinal stenosis, at the level of the mid-back, is much less common. The most common forms are lumbar spinal stenosis, at the level of the lower back, and cervical spinal stenosis, which are at the level of the neck. The first modern description of the condition is from 1803 by Antoine Portal, and there is evidence of the condition dating back to Ancient Egypt. Males and females are affected equally often. It occurs most commonly in people over the age of 50. Spinal stenosis occurs in as many as 8% of people. Surgery is typically only done if other treatments are not effective, with the usual procedure being a decompressive laminectomy. ![]() Limiting certain activities may be recommended. Stretching and strengthening exercises may also be useful. Medications may include NSAIDs, acetaminophen, anticonvulsants (gabapentinoids) or steroid injections. Treatment may involve medications, bracing, or surgery. Diagnosis is generally based on symptoms and medical imaging. Lumbar stenosis is the most common, followed by cervical stenosis. It can be classified by the part of the spine affected into cervical, thoracic, and lumbar stenosis. Ĭauses may include osteoarthritis, rheumatoid arthritis, spinal tumors, trauma, Paget's disease of the bone, scoliosis, spondylolisthesis, and the genetic condition achondroplasia. Severe symptoms may include loss of bladder control, loss of bowel control, or sexual dysfunction. Symptoms are typically gradual in onset and improve with leaning forward. ![]() Symptoms may include pain, numbness, or weakness in the arms or legs. ![]() Spinal stenosis is an abnormal narrowing of the spinal canal or neural foramen that results in pressure on the spinal cord or nerve roots. NSAIDs, acetaminophen, steroid injections Medications, exercises, bracing, surgery. Osteoarthritis, rheumatoid arthritis, spinal tumors, trauma, Paget's disease of the bone, scoliosis, spondylolisthesis, achondroplasia īased on symptoms and medical imaging Ĭauda equina syndrome, osteomylitis, peripheral vascular disease, fibromyalgia Loss of bladder control, loss of bowel control, sexual dysfunction Pain, numbness, or weakness in the arms or legs ![]()
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