Treatment of lumbar spinal stenosis

There are several options for conservative (noninvasive) treatment for lumbar stenosis, which are discussed in more detail below.

                           

Non-surgical treatment for lumbar spinal stenosis

Traditional treatments for lumbar spinal stenosis include one or a combination of the following:

• Modification of the activity. Patients are usually more comfortable when they are flexible front. For example, many patients can relieve pain and discomfort in the leg when walking, leaning forward on a walking stick, walker or basket.
• Exercise. This treatment is recommended in the treatment of most people with lumbar spinal stenosis. A specific program of spinal stenosis exercises with the guidance of a physiotherapist or a physician can prevent further weakening resulting from inactivity. Shift exercises can be done to ensure patient comfort. For example, stationary cycling may be a beneficial treatment option because patients are seated and placed in a forward bent position during exercise.
• Epidural injections. These injections are given on an outpatient basis and generally take 15 to 30 minutes to complete. The doctor guides the needle into the epidural space (found in the spinal canal between the sheet and the pouch around the nerve root called the dura, or the dura). Once the needle is in the correct position, the epidural steroid solution is slowly injected. Epidural injections of steroids using as an anti-inflammatory agent and a fast-acting local anesthetic often include temporary relief of pain.
• Non-steroidal anti-inflammatory drugs (NSAIDs). As inflammation is a common component of spinal stenosis, anti-inflammatory drugs such as ibuprofen (eg, Advil), naproxen (such as Aleve) or Cox-2 inhibitors (eg Celebrex) may be an effective treatment for stenosis lumbar.

Options for spinal stenosis surgery

Surgery for lumbar spinal stenosis should be considered if the patient's ability to participate in daily activities is reduced unacceptably and a concerted effort to relieve symptoms by non-surgical means was unproductive.

For most patients, lumbar spinal stenosis surgery is mostly a lifestyle. For example:

• If patients had to give up many activities, you may want to consider surgery for lumbar spinal stenosis or
• If patients still work quite well, it is not necessary to take the risk of surgery

In addition, for most, there is no window of opportunity that the patient will not fail if they wait in surgery for lumbar spinal stenosis. They usually undergo surgical stenosis later work as well as undergo more immediate surgery to spinal lumbar stenosis.

lumbar laminectomy

For those who choose surgery for lumbar spinal stenosis, the good news is that lumbar laminectomy, the most common surgery for spinal stenosis has a high success rate (most of the literature puts the success rate of about 80% ). In most cases, lumbar decompression surgery allows people to return to a more active and pain-free lifestyle.

Other surgical options for spinal stenosis

While laminectomy is by far the most common type of surgery for spinal stenosis, there are other surgical options available, including:

• wereinotomy
• laminotomy
• Interspecific spacer process
• microendoscopy decompression