Causes of Back Pain - Stenosis
Cliff Russell is a Registered East Grinstead Osteopath with years of experience helping people with Stenosis.
Spinal stenosis is a medical condition that occurs when the spaces within the spinal column narrow, putting pressure on the nerves that travel through it. This pressure can lead to pain, numbness, and weakness in the arms, legs, and back. In this article, we will discuss spinal stenosis in detail, including its causes, symptoms, diagnosis, and treatment options.
Causes: The most common cause of spinal stenosis is age-related degeneration of the spine. As we age, our spine undergoes changes, such as the formation of bone spurs and thickening of ligaments, which can narrow the spinal canal. Other causes of spinal stenosis include:
Herniated disc: A herniated disc occurs when the inner portion of a disc in the spine pushes through the outer ring, pressing on the spinal cord or nerves.
Tumors: Spinal tumors can grow within the spinal canal, compressing the spinal cord or nerves.
Trauma: Injuries to the spine, such as fractures or dislocations, can cause spinal stenosis.
Paget's disease: This is a rare condition that causes abnormal bone growth, which can lead to spinal stenosis.
Congenital spinal stenosis: This is a condition that some people are born with, in which the spinal canal is narrower than normal.
Symptoms: The symptoms of spinal stenosis can vary depending on the severity and location of the stenosis. The most common symptoms include:
Pain in the back, neck, arms, or legs
Numbness or tingling in the arms, hands, legs, or feet
Weakness in the arms, hands, legs, or feet
Loss of balance or coordination
Incontinence or difficulty with bowel or bladder control
Diagnosis: The diagnosis of spinal stenosis usually begins with a physical examination, where the doctor will check for any weakness, numbness, or other symptoms. They may also perform imaging tests, such as X-rays, CT scans, or MRI scans, to get a better view of the spine and identify any narrowing or compression of the spinal canal.
Treatment: The treatment of spinal stenosis depends on the severity of the stenosis and the underlying cause. Conservative treatment options may include:
Medications: Non-steroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation in the affected area.
Physical therapy: Exercises can help improve strength and flexibility, and may also help reduce pain.
Corticosteroid injections: These can help reduce inflammation and relieve pain.
Bracing: A brace can help support the spine and reduce pain.
If conservative treatments do not provide relief, surgery may be necessary. The most common surgical procedure for spinal stenosis is a laminectomy, which involves removing part of the vertebral bone to create more space in the spinal canal. Other surgical options may include spinal fusion, where two or more vertebrae are fused together, or a laminotomy, which involves removing a small part of the vertebral bone to relieve pressure on the nerves.
In conclusion, spinal stenosis is a condition that can cause pain, numbness, and weakness in the arms, legs, and back. It can be caused by age-related degeneration of the spine, herniated discs, tumors, trauma, Paget's disease, or congenital spinal stenosis. The symptoms can vary depending on the severity and location of the stenosis, and the diagnosis usually involves physical examination and imaging tests. The treatment options depend on the severity and underlying cause of the stenosis.
Overall, spinal stenosis can have a significant impact on a person's quality of life. However, with appropriate treatment and management, many people with spinal stenosis are able to manage their symptoms and maintain an active lifestyle. It is important to work closely with a healthcare provider to develop a treatment plan that is appropriate for your individual needs and goals.
Come and see me for your back pain problem at Osteostudio in Ashurst Wood, East Grinstead.
