I have recently been diagnosed with Spinal Stenosis. I've had MRI's done on my whole spine. I have weakness in my legs, along with numbness. My left leg is worse than my right. I have pain that radiates from my knee on the left side DOWN to my ankle and then on top of my foot. On my right leg I have numbness also but only around thee knee, some in my thigh and shin. I feel no back pain at all. I also was told I need knee replacements. But my surgeon is more concerned with the Stenosis. I have an appointment with a spinal surgeon next week. I really hope I don't need surgery. Thank you for explaining what spinal stenosis is and some of the treatments. I'm 63 years old and want to be able to function again.
I’ve been living with this for a year with no relief just bandaids like injections. Insurance is playing the war of attrition to avoid paying for surgery. Great system we have.
I was diagnosed with Spinal Stenosis 12 years ago. Spinal Stenosis does NOT get better only worse, especially when it starts involving the sciatic nerve. I’ve had every procedure performed several times. Epidurals, back surgery, two different SCS devices, Radiofrequency ablations several times, opiates, trigger point injections, PT. Nothing works longer than a couple of months with only a 25% relief if that. Stopped all procedures and opiates five years ago because they were killing me. Medical Marijuana and Advil are the only things keeping me sane?
I'm sorry. Right now, I've had several months of physical therapy, and I'm about to go the spinal injection route. I kinda think it's not going to work for me. I'm just so used to being in pain, that I can't imagine anything working anymore. Sending up prayers for you (and me!)
@@idagenova7519I have had the injections and even if they do work in the beginning, it will only last so long. It would last about 2 1/2 months and I was getting them every 3 months but then it gets to where they start not working as long as I took them for a year and a half until they were only lasted 1 month and they stopped giving them to me. The way it was explained to me was, that your body starts to protect itself and start gaining fat at the injection point and starts traveling up or down the spine and puts more pressure on the nerves so good luck and I hope it goes well for you.
I did the shots!! Did nothing except send me to ER with heart palpitations as I have AFib. Please be aware if you are considering the injections and have AF.
That was the best video I’ve seen. I’m having a MRI in a couple of weeks and this helped me understand so much. Thank you so much. Watching from Roseburg Oregon
I’m having this surgery in 2 weeks. 🙏🏽I have been in more pain since my first surgery for herniated disc last February. Thank you Doctor for such clear explanation .
@@DaVisionOutdoors I had my 2nd surgery in December Implanted LUMBAR DECOMPRESSION & FUSION W/ INSTRUM Lumber Spine • 1164.0160 CAGE 12/08/2022 • SUB BNGF KINEX + BIOACTIVE - 10026067 12/08/2022 • SCREW 5.5X30MM VA ST 12/08/2022 Beside left leg cramps I’m doing great , no more back pain. 🙏🏽
Sitting down is worse for your back due to the increased pressure. I’m 28 and have stenosis and it makes the pain worse. Standing up or laying in bed is better. Luckily I have the surgery next week after waiting for almost a month with pain / numbness.
A very good and informative video. Dr Armaghani has an excellent Rapport. Waiting for back surgery can be a daunting prospect for many. Though his many videos clearly show ALL options available. Thank you
Thank you for the excellent video! A very logical, clear, and well-structured summary. This is the first time I have really understood the root cause of my pain with possible options for treatment. Thank you, excellent!!!!
Dr Armaghani seems like a credible physician with strong qualifications. I was impressed that he did not rush his patients into surgery for stenosis. The other orthopedic surgeon on RUclips, Dr. Lieberman of the Phoenix Spine & Joint, basically said you were foolish if you considered any other procedure except for surgery. Dr. Lieberman even mocked people who attempted to cure themselves through exercise/physical therapy as wasting their time.
@@ArmaghaniSpine hello dr I try to reach your office but you aren’t offering any consultations? The lady told me no. I would love to hear what you think about my spine.
51 year old hockey player here, I have been playing for over 30 years. I have never had a back injury or even soreness or stiffness. In addition to 3 or more hockey games a week, I also strength train sever days a week. I felt like I was in my 20s until a couple of weeks ago. It started with some mild tingling in my feet, then some pain when I stood up, increasing in mornings when I first got out of bed. After some moving and stretching, I was good to go. I would then have pain throughout the day, that would disappear while I was playing hockey, I would usually feel better after that. Bowling was good too. After about a week, I tried to do some curls, I could feel whatever was wrong in my lumbar getting worse with each rep so I stopped. I've been degrading slowly every day since then. During my hockey game the next night, I started to feel sciatic pain, I had to go to the boards a couple of times and hitting the wall put me in more pain. I told my teams I had to stop for a while. Now I'm at the point where I have pain shooting down one or both of my legs so bad when I get up in the morning, that I cannot function. I did see my doctor, got a Xray, still trying to make sense of everything she saw, had to call the office back to repeat some of it. I have Stenosis, possibly in the lumbar region. I also have some SI joint problems, which I have already started therapy for on my own while I wait to see a specialist. Motrin helps some, but I can tell I'm getting worse even with that, though the pain seems more located in the lumbar now and isn't going into my legs as much. She said I had something severe going on with my third and fourth vertebrae, but I dont remember what the medical term was, Im trying to get them to call me back to let me know, or refer me to a specialist. This gives me a little hope, I went from feeling 20 to 80 almost over night.
I have LSS as well. I totally understand your pain brother. I suggest you try to get a prescription for physical therapy. Both of my legs used to shoot in horrible pain every 10-15 minutes at a time, but strengthening my core and legs through therapy really helped me manage the pain. We cannot be cured of this but we can try our best to manage it.
Ive thought for the last week that Ive been experiencing sciatica with pain starting near the hip or buttock and shoots down the leg but after alittle research and this explaination, Im leaning more toward lumbar stenosis as pain gets relieved when i sit and lean forward. I will probably make an appointment for an MRI to be sure. Great info
Thank you for all the useful info. 73 years .Just been diagnosed with C5/C6 and C6/C7 narrowing of interverterbral spaces.Some pain; not much at this stage. Narrowing of anterioratlantoaxial joint too. Treatment or surgery or is it best left alone?
4:00 you missed one of the most common symptoms of spinal stenosis (central stenosis, neurogenic claudication). That is lower limb muscle cramps, especially worse at night and with walking/standing++.
Thank you for the comment. I like to use the word "discomfort" as patients can experience the symptoms of neurogenic claudication in many different ways. Cramping, numbness, tingling, burning, shooting, etc.
Your video is a great source of knowledge and help us to understand our Spinal Stenosis, please if you can suggest physical therapy for Spinal Stenosis.
We are glad to see doctor like you Thank God Sir IAM from India I have a small doubt Please help me I have l5 s1 8 mm canal stenosis is it possible to heal naturally
I am in agony getting out of bed in the morning, my back is so painful, some days I can’t put out my feet on the floor I am in so much pain, the pain is so bad also up my back. In have an injection about every 4 months but it only seems to dull the pain for about 3 weeks, then I am back to square one. don’t know where to go next !!!!!!!
Thank you so much for the great explanation. I suffer with neurogenic claudication symptoms and had a lumbar decompression performed 1 week ago. Is it normal for the symptoms to persist in the same pattern (when standing/walking) while the body is healing from the surgery/inflammation?
Thank you so much - I might add Homeopathy can DISSOLVE Bone Spurs which can also press on the Spinal Nerves so I've heard. I'm going to try a COMBO of that + what you've suggested as mine is getting even worse; Electric Shocks in Lower Lumbar, CONSTANT Sciatic Nerve Pain on LHS, Numbness in random spots, lack of Blood flow to Forearms and Fingers and Toes and of course Pins n Needles just to top it off lol.i lost Power in my Legs lto Stand/Walk last year & my Chiro & Acupuncture helped heaps to Walk again but condition is deteriorating/increasing lately quite rapidly, so fast it's getting worrying so I'm getting PROACTIVE to HEAL Myself 😄😄😄
I wish you had been my doctor! The doctor I saw insisted surgery was my only option. I have regretted having the surgery ever since. I have had ablations, steroid injections, and medication, nothing helped with the pain until recently. I had a trial spinal cord stimulator and for 5 wonderful day I was pain free. Unfortunately the trial had to end but I am an excellent candidate for a permanent spinal cord implant stimulator. The surgery is next month and I can hardly wait!
Dr. Armaghani PLEASE help me. 🙏🏽 It's been Since August 2020 that I've been in 24/7 PAIN from spinal stenosis. I can't take the pain and disability any longer. Please help me! I need an appointment to see you. PLEASE HELP ME. It hurts so bad. I can no longer drive and can barely walk. Please please help me. I have MRI'S.
Thank you sir. I have been having radiating pain down my legs since 2011. At that time it was determined to be a mix of few things. A minor fracture on the L5 and a grade-2 slippage. Losing weight and core training helped a lot. The pain comes and goes but certain position, for example bending forward to do work (tiling a floor) causes back stiffness after a minute or so. The radiating pain now happens a lot less. BUT the pain has shifted to the lower back itself and it tends to radiate to the hip bones on the side and front. The past year has been pretty bad. Waking up it hurts and super stiff. Few months ago it was so bad for 2-3 weeks that I could rate the pain as 7/10. It takes a good hour for things to go to back to a bit of normalcy when I sit or walk but breathing in can hurt. I met a surgeon and we did an MRI. My bottom 3 disks are not health, but the one in the L5-L1 is in a very bad shape. They all started to lose height but the one at the L5-S1 is very thing and it is causing sever nerve root flattening. My surgeon said this is not something that can heal on its own. However if I am not getting numbness, weakness or sciatica pain, the surgery itself might not make any pain resolution. He was just honest and wanted me to make an informed decision and I appreciate that. Basically a disk replacement with fusion on that level. Now my only question for you is related to the nerve damage. Do you recommend surgery to avoid further damage to the nerve once symptoms are not that bad? I mean I have tons of symptoms but the good thing is that I am not getting a lot of radiating pain down the legs, but it seems like once you have a lot of pain, it might be too late to fix it. So the structure is fixed, but the nerves are done for good. Thoughts? I know it differs for each case. The other two disks above the L5-S1 have herniations.
kiwiswat, I can greatly relate to your conditions. I have similar and more. In addition to the L5-S1 Spondylioethesis , I have Spondylosis of the entire spine to the top of my head. Variuos sites of Stenosis (L2, L3, L5-S1; C4-C7 ), many disc bulges and Dextroscoliosis of 25 Degrees. have your SI Joints examined too. A Rheumatologist told me some years ago 9I do have SI Joint chronic Inflammation and OA in the left Hip) is the Ground ero to many spinal problems. My right leg is 1 inch shorter than my left as a result of fracturing my right femur imn 1966 , age 15 playing HS Football. That "Trauma" left unaddressed for many years, has yielded many problems in my spine . hips, knees, etc. This doctor lists many things, unfortunately, I'm The Sub-Set for many of the issues. 6 Surgeon consultations all said No Surgery...Too much Arthritis. keep in Mind, under current strict protocols. Spine / Neuro Surgeomns will NOT operate if the success rate isn't at least 80% (expectancy). It reflects on them and the associated Hospital... I've tried 6 different Chiropractors which did help a little, Acupuncture (45X - very little help), PT at least 7X over the years, but not offering the relief I need from the Chronic Pain and Stiffness. Like you, I need about an hour each morning to find some relief. When there are no real answers ... this SUX Big Time.You should try certain supplements to help with Inflammation (which is Public enemy No. 1): Turmeric, ginger, cinnamon, prolyoetic enzymes, MSM, Hylauronic acid, and many more for the battle. But everybody is different with differrent issues.
Hi Doctor, I was diagnosed with lumbar stenosis 2 years L4 and L5. Doctor said no cure. I only have two options injections or surgery. I tried injections didn’t help. Surgery - Doctor said 50-50 chance of success. I tried alternative medicine didn’t help. I’m taken gabapentin I’m slightly relieved with pain but the tingling and numbness still there. I’d like to see you but how much you charge? I’m 77 years old. Do I have a chance to feel better ?
@@melissasplitt158 I am 36, I have terrible spinal stenosis, degenerative disc's, the works... I have had it for 10 years already, but always hoped it would go away on its own because I was so young. Obviously, it never did. It just progressed over the years. This long in, and seeing the toll it has taken on my life and making me literally disabled and for my age... I am in pain all of the time, I never feel good and essentially have no quality of life, honestly. I don't want to get surgery because of all of the horror stories I've heard about happening when you go messing with your spine. So.... I am on Gabapentin. They keep upping my dosage ever few months, and it has been me asking for it to be done. I have side terrible side effects of muscle contractions, especially if I bend my foot a certain way it really bring it on (a Charlie horse) so I really have to stay mindful of how I move my body around. For me, so far...and I hope I don't regret it later in life...I request an up in the dosage, because even with the side affects and tingling and numbing in the hands, I seem to feel better with it, than without it...so it has been a trade off. It isn't the cure all-be all, but it seems to help. In saying all of this, what is the highest dosage they can prescribe? I asked my doctor, and he said he wasn't even sure, that he would have to look into it.
Try doing Spiral Stabilisation exercises daily, 4-5 sessions per day, see if they work for your body. Also correct walking, if the posture is correct and the skeleton alignment is correct, it can regenerate the spine. Also check if frequencies, morphic fields, subliminals are working for you. If used daily, consistently, you can have some progress. See Sapien Medicine - Spinal Tapper for spine decompression , also subliminal ruclips.net/video/-nJ00miWj1M/видео.html All the best to you, wish you much health 🙏
Hey Everyone! I went through a disc - decompression and spinal fusion surgery about a year and a half ago and I made this video series to hopefully help others going through the same thing! Hope it helps! ruclips.net/p/PL_e_2CeZ89x8elOUwd7cubu_8kqYP71KM
Hi Doctor great video best explanation I have ever seen ! I am only 47 and have diagnosed with SS recently, my doctor mentioned naproxen ( Advil) but I don't want to take anti inflammatory drugs if it's just going to cone back when I stop, should or could the anti inflammatory drugs actually make a permanent physical change if I take the course thanks.
Fantastic question. Pain (in general) is caused by 2 things. Physical compression and the body's reaction to physical compression which is inflammation. Naproxen really helps with inflammation type pain. Sometimes patient's pain may be a mix of both physical compression and inflammation. If there is more inflammation causing pain compared to physical compression, things like epidural injections, naproxen, and other things like physical therapy can certainly help. Sometimes patient's pain is coming all from physical compression because none of the above things help them.
@@ArmaghaniSpine For me, NSAIDS work immediately. But my pinched nerve which exits L5/S1(?) keeps getting reinflamed every time I drive to or from work, which is only 15 minutes. Sitting is my enemy. I've been suffering like this for 4 years. Did the PT, and did several injections with no significant help. Finally the doctor just prescribed NSAIDS and Gabapebten and wished me the best. Gaba is no help and I'm afraid at my age to live on NSAIDS. I'm going to a new doctor next week to ask for his thoughts on a foraminotomy. My physical life sucks.
I have LSS. I used to take a ton of naproxen, but I tried to switch to a more natural pain relief through physical therapy. It really helps you strengthen your muscles and help you manage your pain.
According to the current literature, pain is also influenced psychologically as well. How you feel about your current condition will drastically impact the neural pain response as well.
@@ToanTheNomadIt most certainly will affect one’s response to physical pain if the person suffering cannot sleep. It’s a viscous cycle and if a person is left in long term flight and fright mode it’s utter agony.
I have this exact condition (RL4/5 stenosis with idiopathoc scolitosis after my career as a dental hygienist). Kudos to those still working in that capacity past 40... superwomen! Wow! The injection helped the numbness and leg symptoms, but the axial pain is still there. I did rest after my L4/5 injection. I think my husband... "The spine guy" does not see me as a patient... I'm the "compaining wife"! ☺️ I need to come here to find "real doctor" suggestions.... lol! Cold compresses while resting and wearing a flexible brace during necessary cleaning and chores are great ideas. Thank you! What is your opinion on nerve ablasions? I've done 1000's of hours of PT, 2 facet injections... yet continue to have this super annoying axial pain... Ce la vie.. Btw.. I love how you are exactly calibrated with my husband! Less surgery, give it time and possibly more PT! Wish there were more docs like you guys out there!
I had three epidural injections 4 weeks ago, and the bilateral sciatic pain has gone since, but the axial pain is excruciating at times. I've been a dentist for almost 20 years. Had to stop working a week ago. Are you able to practice? I'm devastated ATM. By the way, my spinal stenosis is congenital, first symptoms December, MRI scan end of Jan., March, I'm out of my job. I hope you are feeling better.
I'm 7 months into this pain. L4 L5 herniation. And stenosis. Decompression tables yoga physiotherapy chiropractor nothing's helping. I Steroid injection but that only gave me about 5 days of relief
I have lumbar spinal stenosis along with degenerative disc disease at L4-S1. My orthopedic surgeon has suggested posterior lumbar fusion (with bolts and screws) to allow more spacing. I also have an upcoming appt with a neurosurgeon to see if he is a better selection for ensure relief from the nerve pain I have been experiencing in my back, buttocks, legs, and feet, after being on Gabapentin for 10 months, having PT, acupuncture, trying steroid injections, all the things I can. Two questions: 1) I feel most pain when sitting, and less when walking or standing. This seems opposite of regular symptoms. Is that unusual? 2) Is a neurosurgeon or orthopedic surgeon better when performing disc and nerve relief surgery? Thanks!
I definitely have spinal stenosis omg the pain is unbearable, and yes I often several times a day I have to lean over to try to relieve the pain and having 7 herniated disc makes it even worse, it's been going on since 2008 when my ex-husband kicked me in my lower back and in 2006 he pushed my legs apart to far and caused me to have a pinched nerve and damage to my right hip wich he kept hitting on over the course of many years,and he hit me so hard it caused herniated disc in my csevicL spine
Currently in my hospital room the CAT & MRI showed Spinal Stenosis I was recommended Lyrica physical therapy and possibly a Cortizone shot. I’ll do anything to improve my quality of life.
Can you please comment on whether someone who also has osteoporosis and osteoarthritis as well as DDD please as I don't think they would get better especially as their doctor has said that the spine bones are very thin and could break at any time. Many thanks.
I had a posterior cervical fusion and stabilization it,s almost three month,s and still not getting any improvement my neck still feeling very weak and unable to walk and balance and as day,s pass by roll by i am feeling heavier although i am trying hard to walk how can i improve my walking ability and decrease heaviness plz suggest me so concept
Hi I have the same sitting standing and at bed all is worst so don’t know if do surgery I am scared is worst. Can I do sports after surgery? My live can go back to normal? Thanks
Hi, I have lipoma myleningocele unsymtomatic. But at age 32 I started getting tingling pins and needles pain due to b12 and d3 deficiency. After taking supplements symptoms got reduced but since yesterday I feel some buzzing like feeling on the back of lumber region right side. Could you please help me
Hello Doctor, my age is 20 yrs and I have been diagnosed with spinal stenosis in L4-L5 . I have been undergoing treatment since last month ( steroids tablets ) and there is some improvement in my condition. Do , I stand a chance to recover without undergoing the surgery?
The good news is based on your age and how long your symptoms have been going on for, there is about a 75% chance you can get through this without surgery. If symptoms persist for more than 3-4 months though, most will benefit with a surgery.
Dr I have degenerative disc changes and facet arthropathy is demonstrated at multiple levels and spinal canal stenosis L4/5,L5/S1 level&impingement on the left L3,bilateral L4 and S1 nerve root in CT scan. When i stands and sit the pain is severe last 2 years walking also very difficult. what can i do? Is it curable?
I have severe back pain with weakness in legs and constant burning in lower legs but especially both fee. I have an implanted stimulator , Chiro treatments and steroid shots in my back with no relief. Will surgery help? I have no quality of life and have been seeing a dr for almost a year. I am 72 years old and have diabetes and high blood pressure.
Doctor, lst week of November I had lumbar back pain down to my right leg only anbd down to my feet I had pregabilin medicine for 45 days already. My condition i mproved but numbness in my right feet is not getting better. Is this spinal stenosis? I was recommended to get an MRI
My whole lower body goes numb after standing for 5 minutes my legs feel like noodles and I have to lean forward onto counter or if I push a cart and lean forward over it I’m ok
Hello! I got lumbar stenosis! Got numbness more on my left leg, 8 days ago, I have footdrop! My doctor said, I have to undergo an operation! What if I don't want an operation, what will happen? Please, if you can advise me! Thanks! Angie from UAE!
Thank you for the great video. My mom is having insane back pain problems lately and shes 64. She had some back surgery over a decade ago and now past few years have been pretty bad for her with sharp pain in the lower back. She went to see the doctors in Finland and they said she has Spinal Stenosis. She was also prescribed pills (I do not know what kind) but she refuses to take pills.. I am trying to reason with her to take the pills but she is stubborn like a child and then cries how bad her back is.. I am so sad and angry.. I dont want her to get another back surgery, she has tried physio etc.. she is also telling her doctor she has taken the pills... I am at a loss.. finally I told her to take the goddamn pills, ask doctor to presribe new ones and tell him that she did not take them although she said she did.. I hope it will help but I cant feed her the pills because she lives in another country most of the time.. she says she is afraid of pills because they will kill her.. Im just at a huge loss of words at this point..
If those pills are opiates then she’s smarter than most! If she has access to medical marijuana she should look into the edibles. When I told my pain management doctor I was going to start using medical marijuana, he said “good, because these things (opiates) will kill you” . I got off those things five years ago and will never, ever take them again!
@@PamB81 she underwent back surgery for stenosis and has been mostly fine although still some mild back pain left but not as severe as it was before surgery.
I had surgery on the spine of my neck. No I have headache, back pain, that goes into my arms and hands. Down my legs into my feet and toes. Can you please tell me what the problem is.
This was an excellent presentation covering Western medicine. I am curious what studies you derived these statistics from. I’d like to add that there are also some complementary adjunctive therapies that may help patients improve. There is a mind body connection holistic approach of personalized biopsychosocial add ons including weight management, nutrition, nutricuiticals, psychological therapy for the challenges, of dealing with pain and certain types of meditation or prayer disciplines such as mindfulness meditation. Outstanding presentation covering conventional treatments. Thank you.
Thank you for the comment. There was a series of level 1 data covering thousands of patients starting in the early 2000s that looked at these specific diagnoses: lumbar disk herniation, stenosis, and spondylolisthesis. It's the best data we have to give general statistics to patients. If you are interested it is called the SPORT trial and all the articles are free to read. I certainly agree with you that complementary adjunctive therapies can go a very far way in terms of helping patients both before surgery and after but also sometimes eliminating the need totally for surgery. The great thing about most of those is that they almost certainly cannot hurt the patient and can only help.
That is exactly me. I have had 3 disc fused & double laminectomy. Bone infection from laminectomy which now a large area of scar tissue. Surgeries 1. Double laminectomy 2 years ago. 2. Bone infection surgery 1 week later 3. Double fusion 1 year ago 4. 6 months ago, 2 test done for oblation didn't help 7. 1 month ago the burn is in buttocks now burns down both legs hamstring area and out side of both calls. 8. Burn so intense that I fell 4 times at work. Currently taking A. Percocet 7.5 325 twice daily B. Pregablin C. Methocarbamol I'm 55 years old excellant health in all aspects except My back and 7.9 A1c diabetic. Work about 55 hours at office jservice director so no lifting at work. I have tried treadmill to keep metabolism up for my sugar issues but the burn prevents. All of this is about defeated me but trying. To top all of this. The year before laminectomy. I had 3 disc fused in my neck. I could use a little advise. Thank you
Thank you for this video doctor. I was diagnosed with Secondary Central Canal Stenosis. MRI says c5-c6 disk mildly impinging the cord hence causing it. However no obvious features of compressibe myelopathy. I'm 22 and I've been taking the medicines and the pain has improved a lot. My question is will it get worse with age? Cause I'm only 22. And can it be cured permanently. It would be a great help doctor. Thanks in advance
i've had 2 back fusion's and a neck fusion. so what do you do? i have stenosis leg butt neuropathy 7 knee surgery's so now what do i do? any advice would be helpful. i've had a mri and locating a neurosurgeon since mine has left the area. where are you located? thank you so much. i'm in extreme pain. i've seen a pain management doc for 20 years but no pain meds and only one kidney. any advice would be helpful
doctor i am about 75y i suffer from burning and numbness at both feet ,leggs and hands.i do have spondolythysis and stenosis at neck and low back ,i am diabetic for about 15 years, some doctors relates my complaints to stenosis others to diabetes’s how can my condition be verified ? i am not in us i have the mri images and reports . i will appreciate any help to guide me .
Hi doctor! I am just 31 and I have lumbar spinal stenosis at L2 causing sharp pain all over my legs and buttock.. Back pain is severe,, what will be the best treatment for me?
I recommend seeing a physical therapist. Either that or do your own research to learn about the kinds of exercises you need to be doing to manage this issue.
How does paralysis occur with lumbar stenosis? And, is it a gradual loss of strength, or can it be abrupt? If abrupt, does it need a traumatic injury to precede it?
for spinal stenosis it is almost never abrupt. Abrupt paralysis can rarely occur with disk herniations. with spinal stenosis the symptoms are almost always related to standing and walking and improve with sitting down. weakness is rare.
@Armaghani Spine Thank you sooo much, I've been scared to death with my MRI results of "critically severe spinal stenosis at L4/L5." Scared to do anything until I meet with spinal neurosurgeon that I've been referred to
Hi doctor. What happens if I don’t do anything to treat lower back pain? If I only exercise fo example. I am 29 years and I have been suffering from lower back pain only I don’t have pain in my legs but I was wondering if I only exercise/ stretch will it be enough ?
![State of Play | September 24, 2024 [ENGLISH]](http://i.ytimg.com/vi/fVs0suPHAX8/mqdefault.jpg)
I have recently been diagnosed with Spinal Stenosis. I've had MRI's done on my whole spine. I have weakness in my legs, along with numbness. My left leg is worse than my right. I have pain that radiates from my knee on the left side DOWN to my ankle and then on top of my foot. On my right leg I have numbness also but only around thee knee, some in my thigh and shin. I feel no back pain at all. I also was told I need knee replacements. But my surgeon is more concerned with the Stenosis. I have an appointment with a spinal surgeon next week. I really hope I don't need surgery. Thank you for explaining what spinal stenosis is and some of the treatments. I'm 63 years old and want to be able to function again.
This was the clearest explanation I’ve seen/heard.
thank you so much!
This doctor does absolutely the BEST spine videos on RUclips. His explanations and illustrations are fantastic.
Thanks so much for this clear explanation. Stenosis is such a pain, literally.
Glad it was helpful!
I’ve been living with this for a year with no relief just bandaids like injections. Insurance is playing the war of attrition to avoid paying for surgery. Great system we have.
I was diagnosed with Spinal Stenosis 12 years ago. Spinal Stenosis does NOT get better only worse, especially when it starts involving the sciatic nerve. I’ve had every procedure performed several times. Epidurals, back surgery, two different SCS devices, Radiofrequency ablations several times, opiates,
trigger point injections, PT. Nothing works longer than a couple of months with only a 25% relief if that. Stopped all procedures and opiates five years ago because they were killing me. Medical Marijuana and Advil are the only things keeping me sane?
I'm sorry. Right now, I've had several months of physical therapy, and I'm about to go the spinal injection route. I kinda think it's not going to work for me. I'm just so used to being in pain, that I can't imagine anything working anymore. Sending up prayers for you (and me!)
@@idagenova7519I have had the injections and even if they do work in the beginning, it will only last so long. It would last about 2 1/2 months and I was getting them every 3 months but then it gets to where they start not working as long as I took them for a year and a half until they were only lasted 1 month and they stopped giving them to me. The way it was explained to me was, that your body starts to protect itself and start gaining fat at the injection point and starts traveling up or down the spine and puts more pressure on the nerves so good luck and I hope it goes well for you.
This man is a great educator. I am sure he is a great surgeon as well.
Thank you so much for the kind words, Pat.
I did the shots!! Did nothing except send me to ER with heart palpitations as I have AFib. Please be aware if you are considering the injections and have AF.
That was the best video I’ve seen. I’m having a MRI in a couple of weeks and this helped me understand so much. Thank you so much. Watching from Roseburg Oregon
Glad it was helpful!
I’m having this surgery in 2 weeks. 🙏🏽I have been in more pain since my first surgery for herniated disc last February.
Thank you Doctor for such clear explanation .
How did it go? Any relief? If so how soon did u get relief after the surgery?
@@DaVisionOutdoors I had my 2nd surgery in December Implanted
LUMBAR DECOMPRESSION & FUSION W/ INSTRUM
Lumber Spine
• 1164.0160 CAGE 12/08/2022
• SUB BNGF KINEX + BIOACTIVE - 10026067 12/08/2022
• SCREW 5.5X30MM VA ST 12/08/2022
Beside left leg cramps I’m doing great , no more back pain. 🙏🏽
ALLAH sehat da apko
@@SafdarHussain-cn3fr amen 🙏🏽🕊️🕊️🕊️
How you feeling?
i have stenosis but sitting doesnt help, in fact it causes my main butt pain.
Same with me
@@farhannaadnan159 what are your symptoms and how do you manage it? have a good day.
How does it affect your sex life
Same for me. It causes my pelvic area to lock up and not be able to stand upright. It keeps me up all night.
Sitting down is worse for your back due to the increased pressure. I’m 28 and have stenosis and it makes the pain worse. Standing up or laying in bed is better. Luckily I have the surgery next week after waiting for almost a month with pain / numbness.
A very good and informative video. Dr Armaghani has an excellent Rapport. Waiting for back surgery can be a daunting prospect for many. Though his many videos clearly show ALL options available. Thank you
You're most welcome thank you for the kind words
Thank you for the excellent video! A very logical, clear, and well-structured summary. This is the first time I have really understood the root cause of my pain with possible options for treatment. Thank you, excellent!!!!
Dr Armaghani seems like a credible physician with strong qualifications. I was impressed that he did not rush his patients into surgery for stenosis. The other orthopedic surgeon on RUclips, Dr. Lieberman of the Phoenix Spine & Joint, basically said you were foolish if you considered any other procedure except for surgery. Dr. Lieberman even mocked people who attempted to cure themselves through exercise/physical therapy as wasting their time.
That is troubling to hear...
Brilliant presentation!
Thank you so much!
@@ArmaghaniSpine hello dr I try to reach your office but you aren’t offering any consultations? The lady told me no. I would love to hear what you think about my spine.
Thanks so much. You teachings brings lots of clarity to this things
Thanks
Thank you for this super educative and clear video. Greatly appreciated.
Glad you enjoyed it!
Thank you very informative and clearly said
Excellent presentation. So clear and helpful!
Glad it helped!
51 year old hockey player here, I have been playing for over 30 years. I have never had a back injury or even soreness or stiffness. In addition to 3 or more hockey games a week, I also strength train sever days a week. I felt like I was in my 20s until a couple of weeks ago. It started with some mild tingling in my feet, then some pain when I stood up, increasing in mornings when I first got out of bed. After some moving and stretching, I was good to go. I would then have pain throughout the day, that would disappear while I was playing hockey, I would usually feel better after that. Bowling was good too. After about a week, I tried to do some curls, I could feel whatever was wrong in my lumbar getting worse with each rep so I stopped. I've been degrading slowly every day since then. During my hockey game the next night, I started to feel sciatic pain, I had to go to the boards a couple of times and hitting the wall put me in more pain. I told my teams I had to stop for a while. Now I'm at the point where I have pain shooting down one or both of my legs so bad when I get up in the morning, that I cannot function. I did see my doctor, got a Xray, still trying to make sense of everything she saw, had to call the office back to repeat some of it. I have Stenosis, possibly in the lumbar region. I also have some SI joint problems, which I have already started therapy for on my own while I wait to see a specialist. Motrin helps some, but I can tell I'm getting worse even with that, though the pain seems more located in the lumbar now and isn't going into my legs as much. She said I had something severe going on with my third and fourth vertebrae, but I dont remember what the medical term was, Im trying to get them to call me back to let me know, or refer me to a specialist. This gives me a little hope, I went from feeling 20 to 80 almost over night.
Good luck, Noah. Hopefully when you hear back you can search this channel and find some more information regarding it.
I have LSS as well. I totally understand your pain brother. I suggest you try to get a prescription for physical therapy. Both of my legs used to shoot in horrible pain every 10-15 minutes at a time, but strengthening my core and legs through therapy really helped me manage the pain. We cannot be cured of this but we can try our best to manage it.
@@mittakono9681 Thanks for your courage to me who suffer of it
@@mittakono9681 such a shame that you need priscription for physiotherapy in US in all other countries it is a primary healthcare provider.
Ive thought for the last week that Ive been experiencing sciatica with pain starting near the hip or buttock and shoots down the leg but after alittle research and this explaination, Im leaning more toward lumbar stenosis as pain gets relieved when i sit and lean forward. I will probably make an appointment for an MRI to be sure. Great info
This is hope-giving.
Thank you Sir 🙏🏾
Thank you for all the useful info. 73 years .Just been diagnosed with C5/C6 and C6/C7 narrowing of interverterbral spaces.Some pain; not much at this stage. Narrowing of anterioratlantoaxial joint too. Treatment or surgery or is it best left alone?
4:00 you missed one of the most common symptoms of spinal stenosis (central stenosis, neurogenic claudication).
That is lower limb muscle cramps, especially worse at night and with walking/standing++.
Thank you for the comment. I like to use the word "discomfort" as patients can experience the symptoms of neurogenic claudication in many different ways. Cramping, numbness, tingling, burning, shooting, etc.
Thank you for the well explained presentation.
Glad it was helpful!
Your video is a great source of knowledge and help us to understand our Spinal Stenosis, please if you can suggest physical therapy for Spinal Stenosis.
I have these problem.. after long time I know about my disease . MRI show same problem ... Thanx sir
Very interestiny and edu ational, especially as i have had surgery.
thank you!
We are glad to see doctor like you
Thank God
Sir IAM from India
I have a small doubt
Please help me
I have l5 s1 8 mm canal stenosis is it possible to heal naturally
Thanks for the informative video my mother is struggling with this right now
Thank you for sharing very informative...❤
Great video thank you!
You are most welcome
what a explaination ..hats off !
Thank you for sharing valuable information, I got a better idea of what I have ❤
Great channel, keep the good work.
Much appreciated!
I am in agony getting out of bed in the morning, my back is so painful, some days I can’t put out my feet on the floor I am in so much pain, the pain is so bad also up my back. In have an injection about every 4 months but it only seems to dull the pain for about 3 weeks, then I am back to square one. don’t know where to go next !!!!!!!
thanks for your work doc. good .
You're most welcome!
Thank you so much for the great explanation. I suffer with neurogenic claudication symptoms and had a lumbar decompression performed 1 week ago. Is it normal for the symptoms to persist in the same pattern (when standing/walking) while the body is healing from the surgery/inflammation?
Thank you so much - I might add Homeopathy can DISSOLVE Bone Spurs which can also press on the Spinal Nerves so I've heard. I'm going to try a COMBO of that + what you've suggested as mine is getting even worse; Electric Shocks in Lower Lumbar, CONSTANT Sciatic Nerve Pain on LHS, Numbness in random spots, lack of Blood flow to Forearms and Fingers and Toes and of course Pins n Needles just to top it off lol.i lost Power in my Legs lto Stand/Walk last year & my Chiro & Acupuncture helped heaps to Walk again but condition is deteriorating/increasing lately quite rapidly, so fast it's getting worrying so I'm getting PROACTIVE to HEAL Myself 😄😄😄
EXCELLENT PRESENTATION
thank you so much
Very informative. Thank you!
Very elegant presentation,
Thanks a lot
THANK U VERY MUCH 💓 YOUR INFO IS VERY IMPORTANT & INFORMATIVE. RESPECTFULLY CR
Great content! Thank you doctor!
Thank you!
Very informative
Thank you!
Well explained video presentation..
Thank you 🙂
Great Doc !,well explained
Glad you liked it!
I wish you had been my doctor! The doctor I saw insisted surgery was my only option. I have regretted having the surgery ever since. I have had ablations, steroid injections, and medication, nothing helped with the pain until recently. I had a trial spinal cord stimulator and for 5 wonderful day I was pain free. Unfortunately the trial had to end but I am an excellent candidate for a permanent spinal cord implant stimulator. The surgery is next month and I can hardly wait!
good luck!
Hello Dr. do you have any videos of what surgery you think is good for a lumber slippage?
Dr. Armaghani PLEASE help me. 🙏🏽 It's been Since August 2020 that I've been in 24/7 PAIN from spinal stenosis. I can't take the pain and disability any longer. Please help me! I need an appointment to see you. PLEASE HELP ME. It hurts so bad. I can no longer drive and can barely walk. Please please help me. I have MRI'S.
thank you
Welcome!
Great video,great information.
Pls what about kkt treatment?
Hello Doctor, doesn't a herniated disc causes spinal lumbar stenosis?
yes it can contribute
Thank you sir. I have been having radiating pain down my legs since 2011. At that time it was determined to be a mix of few things. A minor fracture on the L5 and a grade-2 slippage. Losing weight and core training helped a lot. The pain comes and goes but certain position, for example bending forward to do work (tiling a floor) causes back stiffness after a minute or so. The radiating pain now happens a lot less. BUT the pain has shifted to the lower back itself and it tends to radiate to the hip bones on the side and front. The past year has been pretty bad. Waking up it hurts and super stiff. Few months ago it was so bad for 2-3 weeks that I could rate the pain as 7/10. It takes a good hour for things to go to back to a bit of normalcy when I sit or walk but breathing in can hurt. I met a surgeon and we did an MRI. My bottom 3 disks are not health, but the one in the L5-L1 is in a very bad shape. They all started to lose height but the one at the L5-S1 is very thing and it is causing sever nerve root flattening. My surgeon said this is not something that can heal on its own. However if I am not getting numbness, weakness or sciatica pain, the surgery itself might not make any pain resolution. He was just honest and wanted me to make an informed decision and I appreciate that. Basically a disk replacement with fusion on that level. Now my only question for you is related to the nerve damage. Do you recommend surgery to avoid further damage to the nerve once symptoms are not that bad? I mean I have tons of symptoms but the good thing is that I am not getting a lot of radiating pain down the legs, but it seems like once you have a lot of pain, it might be too late to fix it. So the structure is fixed, but the nerves are done for good. Thoughts? I know it differs for each case. The other two disks above the L5-S1 have herniations.
Make a appointment with the doctor
L
kiwiswat, I can greatly relate to your conditions. I have similar and more. In addition to the L5-S1 Spondylioethesis , I have Spondylosis of the entire spine to the top of my head. Variuos sites of Stenosis (L2, L3, L5-S1; C4-C7 ), many disc bulges and Dextroscoliosis of 25 Degrees. have your SI Joints examined too. A Rheumatologist told me some years ago 9I do have SI Joint chronic Inflammation and OA in the left Hip) is the Ground ero to many spinal problems. My right leg is 1 inch shorter than my left as a result of fracturing my right femur imn 1966 , age 15 playing HS Football. That "Trauma" left unaddressed for many years, has yielded many problems in my spine . hips, knees, etc. This doctor lists many things, unfortunately, I'm The Sub-Set for many of the issues. 6 Surgeon consultations all said No Surgery...Too much Arthritis. keep in Mind, under current strict protocols. Spine / Neuro Surgeomns will NOT operate if the success rate isn't at least 80% (expectancy). It reflects on them and the associated Hospital... I've tried 6 different Chiropractors which did help a little, Acupuncture (45X - very little help), PT at least 7X over the years, but not offering the relief I need from the Chronic Pain and Stiffness. Like you, I need about an hour each morning to find some relief. When there are no real answers ... this SUX Big Time.You should try certain supplements to help with Inflammation (which is Public enemy No. 1): Turmeric, ginger, cinnamon, prolyoetic enzymes, MSM, Hylauronic acid, and many more for the battle. But everybody is different with differrent issues.
Hi Doctor, I was diagnosed with lumbar stenosis 2 years L4 and L5. Doctor said no cure. I only have two options injections or surgery. I tried injections didn’t help. Surgery - Doctor said 50-50 chance of success. I tried alternative medicine didn’t help. I’m taken gabapentin I’m slightly relieved with pain but the tingling and numbness still there. I’d like to see you but how much you charge? I’m 77 years old. Do I have a chance to feel better ?
@@melissasplitt158 I am 36, I have terrible spinal stenosis, degenerative disc's, the works... I have had it for 10 years already, but always hoped it would go away on its own because I was so young. Obviously, it never did. It just progressed over the years. This long in, and seeing the toll it has taken on my life and making me literally disabled and for my age... I am in pain all of the time, I never feel good and essentially have no quality of life, honestly. I don't want to get surgery because of all of the horror stories I've heard about happening when you go messing with your spine. So.... I am on Gabapentin. They keep upping my dosage ever few months, and it has been me asking for it to be done. I have side terrible side effects of muscle contractions, especially if I bend my foot a certain way it really bring it on (a Charlie horse) so I really have to stay mindful of how I move my body around. For me, so far...and I hope I don't regret it later in life...I request an up in the dosage, because even with the side affects and tingling and numbing in the hands, I seem to feel better with it, than without it...so it has been a trade off. It isn't the cure all-be all, but it seems to help.
In saying all of this, what is the highest dosage they can prescribe? I asked my doctor, and he said he wasn't even sure, that he would have to look into it.
Medical marijuana is for you.
Try doing Spiral Stabilisation exercises daily, 4-5 sessions per day, see if they work for your body. Also correct walking, if the posture is correct and the skeleton alignment is correct, it can regenerate the spine. Also check if frequencies, morphic fields, subliminals are working for you. If used daily, consistently, you can have some progress. See Sapien Medicine - Spinal Tapper for spine decompression , also subliminal ruclips.net/video/-nJ00miWj1M/видео.html
All the best to you, wish you much health 🙏
@@melissasplitt158 take it at bedtime to minimize side effects
Regeneration is possible
So don't lose hope.
Mother nature always works.....
Lifestyle and diet play vital role in regeneration.
Hey Everyone! I went through a disc - decompression and spinal fusion surgery about a year and a half ago and I made this video series to hopefully help others going through the same thing! Hope it helps! ruclips.net/p/PL_e_2CeZ89x8elOUwd7cubu_8kqYP71KM
Hi Doctor great video best explanation I have ever seen ! I am only 47 and have diagnosed with SS recently, my doctor mentioned naproxen ( Advil) but I don't want to take anti inflammatory drugs if it's just going to cone back when I stop, should or could the anti inflammatory drugs actually make a permanent physical change if I take the course thanks.
Fantastic question. Pain (in general) is caused by 2 things. Physical compression and the body's reaction to physical compression which is inflammation. Naproxen really helps with inflammation type pain. Sometimes patient's pain may be a mix of both physical compression and inflammation. If there is more inflammation causing pain compared to physical compression, things like epidural injections, naproxen, and other things like physical therapy can certainly help. Sometimes patient's pain is coming all from physical compression because none of the above things help them.
@@ArmaghaniSpine For me, NSAIDS work immediately. But my pinched nerve which exits L5/S1(?) keeps getting reinflamed every time I drive to or from work, which is only 15 minutes. Sitting is my enemy. I've been suffering like this for 4 years. Did the PT, and did several injections with no significant help. Finally the doctor just prescribed NSAIDS and Gabapebten and wished me the best.
Gaba is no help and I'm afraid at my age to live on NSAIDS. I'm going to a new doctor next week to ask for his thoughts on a foraminotomy. My physical life sucks.
I have LSS. I used to take a ton of naproxen, but I tried to switch to a more natural pain relief through physical therapy. It really helps you strengthen your muscles and help you manage your pain.
According to the current literature, pain is also influenced psychologically as well. How you feel about your current condition will drastically impact the neural pain response as well.
@@ToanTheNomadIt most certainly will affect one’s response to physical pain if the person suffering cannot sleep. It’s a viscous cycle and if a person is left in long term flight and fright mode it’s utter agony.
I have stage 4 kidney disease so corticosteroids and NSAIDS are prohibited.
I have this exact condition (RL4/5 stenosis with idiopathoc scolitosis after my career as a dental hygienist).
Kudos to those still working in that capacity past 40... superwomen! Wow!
The injection helped the numbness and leg symptoms, but the axial pain is still there. I did rest after my L4/5 injection. I think my husband... "The spine guy" does not see me as a patient... I'm the "compaining wife"! ☺️
I need to come here to find "real doctor" suggestions.... lol! Cold compresses while resting and wearing a flexible brace during necessary cleaning and chores are great ideas. Thank you!
What is your opinion on nerve ablasions?
I've done 1000's of hours of PT, 2 facet injections... yet continue to have this super annoying axial pain...
Ce la vie..
Btw.. I love how you are exactly calibrated with my husband! Less surgery, give it time and possibly more PT! Wish there were more docs like you guys out there!
I had three epidural injections 4 weeks ago, and the bilateral sciatic pain has gone since, but the axial pain is excruciating at times. I've been a dentist for almost 20 years. Had to stop working a week ago. Are you able to practice? I'm devastated ATM. By the way, my spinal stenosis is congenital, first symptoms December, MRI scan end of Jan., March, I'm out of my job.
I hope you are feeling better.
I'm 7 months into this pain. L4 L5 herniation. And stenosis. Decompression tables yoga physiotherapy chiropractor nothing's helping. I Steroid injection but that only gave me about 5 days of relief
I have lumbar spinal stenosis along with degenerative disc disease at L4-S1. My orthopedic surgeon has suggested posterior lumbar fusion (with bolts and screws) to allow more spacing. I also have an upcoming appt with a neurosurgeon to see if he is a better selection for ensure relief from the nerve pain I have been experiencing in my back, buttocks, legs, and feet, after being on Gabapentin for 10 months, having PT, acupuncture, trying steroid injections, all the things I can.
Two questions: 1) I feel most pain when sitting, and less when walking or standing. This seems opposite of regular symptoms. Is that unusual?
2) Is a neurosurgeon or orthopedic surgeon better when performing disc and nerve relief surgery?
Thanks!
Thank u for the information....
you're most welcome!
I definitely have spinal stenosis omg the pain is unbearable, and yes I often several times a day I have to lean over to try to relieve the pain and having 7 herniated disc makes it even worse, it's been going on since 2008 when my ex-husband kicked me in my lower back and in 2006 he pushed my legs apart to far and caused me to have a pinched nerve and damage to my right hip wich he kept hitting on over the course of many years,and he hit me so hard it caused herniated disc in my csevicL spine
Leave him.
😢so sorry, I’m hoping that you are no longer with such horrible person. Hope you are doing better now. 🙏🏽
I cried while reading this... devil in the form of human
Currently in my hospital room the CAT & MRI showed Spinal Stenosis I was recommended Lyrica physical therapy and possibly a Cortizone shot. I’ll do anything to improve my quality of life.
best of luck!
Hi the thing is, there is a difference between improvement and cure.
5 years of pt shots meds ...surgery here i come. and surgery works!
Can spinal stenosis cause foot drop? If so, does this ever heal without surgery?
what about severe spinal stenosis? is there solution?
Can you please comment on whether someone who also has osteoporosis and osteoarthritis as well as DDD please as I don't think they would get better especially as their doctor has said that the spine bones are very thin and could break at any time. Many thanks.
I had a posterior cervical fusion and stabilization it,s almost three month,s and still not getting any improvement my neck still feeling very weak and unable to walk and balance and as day,s pass by roll by i am feeling heavier although i am trying hard to walk how can i improve my walking ability and decrease heaviness plz suggest me so concept
Simply outstanding. I just stared and thought, "I really track with this man's presentation! Many, many thanks.
Glad you enjoyed it!
Hi I have the same sitting standing and at bed all is worst so don’t know if do surgery I am scared is worst. Can I do sports after surgery? My live can go back to normal? Thanks
Hi,
I have lipoma myleningocele unsymtomatic. But at age 32 I started getting tingling pins and needles pain due to b12 and d3 deficiency. After taking supplements symptoms got reduced but since yesterday I feel some buzzing like feeling on the back of lumber region right side. Could you please help me
What is the difference between ciática and lumber stenosis ?
Hello Doctor, my age is 20 yrs and I have been diagnosed with spinal stenosis in L4-L5 . I have been undergoing treatment since last month ( steroids tablets ) and there is some improvement in my condition. Do , I stand a chance to recover without undergoing the surgery?
The good news is based on your age and how long your symptoms have been going on for, there is about a 75% chance you can get through this without surgery. If symptoms persist for more than 3-4 months though, most will benefit with a surgery.
Thank you so much, Doctor.
@@shristidubey7977,hey how are you doing now?
Dr I have degenerative disc changes and facet arthropathy is demonstrated at multiple levels and spinal canal stenosis L4/5,L5/S1 level&impingement on the left L3,bilateral L4 and S1 nerve root in CT scan. When i stands and sit the pain is severe last 2 years walking also very difficult. what can i do? Is it curable?
I have severe back pain with weakness in legs and constant burning in lower legs but especially both fee. I have an implanted stimulator , Chiro treatments and steroid shots in my back with no relief. Will surgery help? I have no quality of life and have been seeing a dr for almost a year. I am 72 years old and have diabetes and high blood pressure.
Doctor, lst week of November I had lumbar back pain down to my right leg only anbd down to my feet I had
pregabilin medicine for 45 days already. My condition i mproved but numbness in my right feet is not getting better. Is this spinal stenosis? I was recommended to get an MRI
My whole lower body goes numb after standing for 5 minutes my legs feel like noodles and I have to lean forward onto counter or if I push a cart and lean forward over it I’m ok
take care!
Thank you!
Hello! I got lumbar stenosis! Got numbness more on my left leg, 8 days ago, I have footdrop! My doctor said, I have to undergo an operation! What if I don't want an operation, what will happen? Please, if you can advise me! Thanks! Angie from UAE!
Thank you for the great video. My mom is having insane back pain problems lately and shes 64. She had some back surgery over a decade ago and now past few years have been pretty bad for her with sharp pain in the lower back. She went to see the doctors in Finland and they said she has Spinal Stenosis. She was also prescribed pills (I do not know what kind) but she refuses to take pills.. I am trying to reason with her to take the pills but she is stubborn like a child and then cries how bad her back is.. I am so sad and angry.. I dont want her to get another back surgery, she has tried physio etc.. she is also telling her doctor she has taken the pills... I am at a loss.. finally I told her to take the goddamn pills, ask doctor to presribe new ones and tell him that she did not take them although she said she did.. I hope it will help but I cant feed her the pills because she lives in another country most of the time.. she says she is afraid of pills because they will kill her.. Im just at a huge loss of words at this point..
If those pills are opiates then she’s smarter than most! If she has access to medical marijuana she should look into the edibles. When I told my pain management doctor I was going to start using medical marijuana, he said “good, because these things (opiates) will kill you” . I got off those things five years ago and will never, ever take them again!
@@PamB81 she underwent back surgery for stenosis and has been mostly fine although still some mild back pain left but not as severe as it was before surgery.
central canal stenosis and spinal stenosis, both are same ?
That’s what I have!!! I’m getting my injection this Monday in October. 2022!
Good luck!
Hello, Did it work?
I had surgery on the spine of my neck. No I have headache, back pain, that goes into my arms and hands. Down my legs into my feet and toes. Can you please tell me what the problem is.
This was an excellent presentation covering Western medicine. I am curious what studies you derived these statistics from. I’d like to add that there are also some complementary adjunctive therapies that may help patients improve. There is a mind body connection holistic approach of personalized biopsychosocial add ons including weight management, nutrition, nutricuiticals, psychological therapy for the challenges, of dealing with pain and certain types of meditation or prayer disciplines such as mindfulness meditation. Outstanding presentation covering conventional treatments. Thank you.
Thank you for the comment. There was a series of level 1 data covering thousands of patients starting in the early 2000s that looked at these specific diagnoses: lumbar disk herniation, stenosis, and spondylolisthesis. It's the best data we have to give general statistics to patients. If you are interested it is called the SPORT trial and all the articles are free to read. I certainly agree with you that complementary adjunctive therapies can go a very far way in terms of helping patients both before surgery and after but also sometimes eliminating the need totally for surgery. The great thing about most of those is that they almost certainly cannot hurt the patient and can only help.
That is exactly me. I have had 3 disc fused & double laminectomy. Bone infection from laminectomy which now a large area of scar tissue. Surgeries
1. Double laminectomy 2 years ago.
2. Bone infection surgery 1 week later
3. Double fusion 1 year ago
4. 6 months ago, 2 test done for oblation didn't help
7. 1 month ago the burn is in buttocks now burns down both legs hamstring area and out side of both calls.
8. Burn so intense that I fell 4 times at work.
Currently taking
A. Percocet 7.5 325 twice daily
B. Pregablin
C. Methocarbamol
I'm 55 years old excellant health in all aspects except
My back and 7.9 A1c diabetic.
Work about 55 hours at office jservice director so no lifting at work. I have tried treadmill to keep metabolism up for my sugar issues but the burn prevents. All of this is about defeated me but trying. To top all of this. The year before laminectomy. I had 3 disc fused in my neck. I could use a little advise.
Thank you
I hope you got some good advice and are feeling better!
You are a true pain warrior. Right on!
Thank you for this video doctor. I was diagnosed with Secondary Central Canal Stenosis. MRI says c5-c6 disk mildly impinging the cord hence causing it. However no obvious features of compressibe myelopathy. I'm 22 and I've been taking the medicines and the pain has improved a lot.
My question is will it get worse with age? Cause I'm only 22. And can it be cured permanently.
It would be a great help doctor. Thanks in advance
Dr you well spoken & even my simple brain can understand- I have one MS lesion at C4 C5 ..
Thank you!
Don't deprecate yourself re:ery complicated subj:a very comic
Really beautiful. Thanks. I have this. I did not get better yet but I am getting shot soon.
You're most welcome. Most people get better with conservative measures. Good luck!
i've had 2 back fusion's and a neck fusion. so what do you do? i have stenosis leg butt neuropathy 7 knee surgery's so now what do i do? any advice would be helpful. i've had a mri and locating a neurosurgeon since mine has left the area. where are you located? thank you so much. i'm in extreme pain. i've seen a pain management doc for 20 years but no pain meds and only one kidney. any advice would be helpful
Contact Dr. Jeffery Beane at Emergortho in Greensboro NC he’s a good dr
I feel really badly for you.
Wish I could help. The doc who did my spinal.surgy was fabulous. I am.in hamilton, Ontario, Canada Dr. Mark Pahuta.
I was diagnosed lumbar and cervical stenosis 2 years ago and I can fully sympathize with you.
I have mild canal stenosis in c5 and c6
What to do
I have spinal stenosis, I just did MRI and x rays, doctor wants to do surgery, I would like to have second opinion
Get as many opinions as you need to find a surgeon that you are comfortable with. Good luck!
doctor i am about 75y i suffer from burning and numbness at both feet ,leggs and hands.i do have spondolythysis and stenosis at neck and low back ,i am diabetic for about 15 years, some doctors relates my complaints to stenosis others to diabetes’s how can my condition be verified ? i am not in us i have the mri images and reports . i will appreciate any help to guide me .
Informative
Hi doctor! I am just 31 and I have lumbar spinal stenosis at L2 causing sharp pain all over my legs and buttock.. Back pain is severe,, what will be the best treatment for me?
I recommend seeing a physical therapist. Either that or do your own research to learn about the kinds of exercises you need to be doing to manage this issue.
Rubbish/ don't kid yourself it's not going away.T800Aust
Is pedicle lengthening a good solution for stenosis ?
How does paralysis occur with lumbar stenosis? And, is it a gradual loss of strength, or can it be abrupt? If abrupt, does it need a traumatic injury to precede it?
for spinal stenosis it is almost never abrupt. Abrupt paralysis can rarely occur with disk herniations. with spinal stenosis the symptoms are almost always related to standing and walking and improve with sitting down. weakness is rare.
@Armaghani Spine Thank you sooo much, I've been scared to death with my MRI results of "critically severe spinal stenosis at L4/L5." Scared to do anything until I meet with spinal neurosurgeon that I've been referred to
Hi doctor. What happens if I don’t do anything to treat lower back pain? If I only exercise fo example. I am 29 years and I have been suffering from lower back pain only I don’t have pain in my legs but I was wondering if I only exercise/ stretch will it be enough ?
Core and lower back strengthening exercises will the best treatment. Good luck!
Awesome
Thank you!