Lumbar Stenosis

What is Lumbar Spinal Stenosis?
Lumbar spinal stenosis is a condition in which the spinal canal narrows in the lower back (lumbar spine), putting pressure on the nerves and spinal cord. This can cause pain, numbness, tingling, and weakness in the legs and lower back.

Causes:

  • Age-related degeneration of the spine

  • Arthritis, including osteoarthritis and rheumatoid arthritis

  • Herniated or bulging discs

  • Thickened ligaments

  • Bone spurs

  • Congenital (born with a narrow spinal canal)

Symptoms:

  • Lower back pain

  • Numbness or tingling in the legs or feet

  • Weakness in the legs

  • Pain that worsens with standing or walking and improves with sitting or bending forward

  • Difficulty with balance

Diagnosis:
A healthcare provider may diagnose lumbar spinal stenosis using:

  • Medical history and physical examination

  • Imaging tests such as X-rays, MRI, or CT scans

Treatment Options:

  1. Conservative (Non-Surgical) Treatments:

    • Physical therapy to strengthen muscles and improve flexibility

    • Medications such as anti-inflammatory drugs or pain relievers

    • Epidural steroid injections to reduce inflammation

    • Lifestyle modifications, including weight management and posture improvement

  2. Surgical Treatments:

    • If conservative treatments do not provide relief, surgery may be considered.

    • Common procedures include laminectomy (removal of part of the vertebra to relieve pressure) or spinal fusion (joining two vertebrae together for stability).

Self-Care & Prevention:

  • Maintain a healthy weight

  • Engage in regular exercise, including walking and stretching

  • Practice good posture

  • Use supportive shoes and ergonomic seating

When to See a Doctor:

  • Persistent or worsening pain despite treatment

  • Difficulty walking or significant weakness in the legs

  • Loss of bladder or bowel control (seek emergency care)

For further questions or concerns, consult your healthcare provider.