Symptoms like aching, cramping, tingling, heaviness and occasional weakness in the legs are usually brought on by walking or standing. They can be eased by sitting or leaning forward.
Exercises which flex, stretch or strengthen the back and neck can help to open up the spine, alleviating compression symptoms. Canes and walkers can also be used to walk in a forward flexed manner and provide some stability.
If your spinal stenosis is pinching your sciatic nerve – a nerve that originates in your lower (lumbar) spine – you might feel pain or have numbness, tingling or muscle weakness along this nerve's pathway from your lower back, down your leg to your foot. This condition is known as sciatica.
Spinal stenosis symptoms tend to worsen the more you walk without treating it since the leading cause is a contraction of the spinal cord, which irritates the leg nerves. The irritation of the terms causes inflammation, and so this should be part of the treatment.
Contact sports like basketball, football, soccer, and martial arts are exercises to avoid with spinal stenosis. These activities can involve sudden trauma to the spine, which may lead to further injury. Activities that involve jumping, such as jumping rope, should be avoided with spinal stenosis.
Lumbar interspinous distraction decompression
The procedure is a type of keyhole surgery that a surgeon performs on a person under general anesthesia. One 2021 study reports a 5-year success rate of 68% for this procedure compared to a success rate of 56% for older decompression procedures.
Acetaminophen (eg, Tylenol), aspirin, ibuprofen (eg, Motrin, Advil), and naproxen (eg, Aleve) are examples of OTC analgesics that your doctor may recommend for spinal stenosis.
In spinal stenosis, people typically experience less pain with leaning forward, and especially with sitting. Studies of the lumbar spine show that leaning forward can increase the space available for the nerves. Pain is usually made worse by standing up straight and walking.
Exercises such as biking, yoga, stretching, swimming, and tai chi can help ease your pain from spinal stenosis. Try avoiding activities that irritate the back like lifting or walking for a long distance is also important. In some cases, ice or heat therapy can help with spinal stenosis back pain.
Symptoms of spinal stenosis in the lower back can include: Pain in the lower back. Burning pain or ache that radiates down the buttocks and into the legs, that typically worsens with standing or walking and gets better with leaning forward (flexion).
The primary symptom of stenosis at any site is pain and fatigue resulting from pressure on the spinal cord or nerves.
If you have lumbar spinal stenosis, you may have trouble walking distances or find that you need to lean forward to relieve pressure on your lower back. You may also have pain or numbness in your legs. In more severe cases, you may have difficulty controlling your bowel and bladder.
These four stages are the Dysfunction Stage, the Dehydration Stage, the Stabilization Stage, and the Collapsing Stage.
People with spinal stenosis may experience numbness, weakness or cramping in legs, pain going down the leg, abnormal bowel or bladder function, and loss of sexual function. In severe cases, spinal stenosis may cause partial or complete leg paralysis that requires emergency medical treatment.
Yes! Walking is a good exercise for spinal stenosis. It's low impact, and you control the pace and distance. If you're able to walk without symptoms, incorporate this activity into your routine.
Pain medications may be helpful with relieving spinal stenosis-related back pain, depending on what type of medication it is. Many over-the-counter drugs like ibuprofen work well, but there are prescription medications as well, such as Voltaren (diclofenac) and Naproxin (naproxen).
Stenosis is considered severe when it causes loss of certain functions or disabilities, or when other treatment options have failed to relieve symptoms. You should consult an expert neurosurgeon to assess your symptoms.
The two main surgical procedures to treat lumbar spinal stenosis are laminectomy and spinal fusion. Laminectomy: This procedure involves removal of the bone, bone spurs, and ligaments that compress the nerves. Spinal fusion: In this procedure, two or more vertebrae are permanently fused together.
Acupuncture is remarkably effective in providing successful pain relief associated with lumbar spinal stenosis.
Flare ups may be caused by muscle spasms, which can be caused by bending or twisting suddenly. They may be caused by an additional problem such as a slipped disc. Some patients may just reach a tipping point where their stenosis becomes symptomatic without any identifiable cause or event.
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.
As a result, climbing stairs reduces the amount of space in the spinal canal. This temporarily exacerbates the effects of spinal stenosis, potentially leading to worsened pain and other symptoms. If you've been diagnosed with spinal stenosis, it's wise to keep climbing stairs to a minimum.