Lumbar Spinal Stenosis - What is the cause and how will I get better?
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- Опубликовано: 19 июн 2024
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Hello friends, today I'm bringing you a video overview the most common spinal conditions in adults, spinal stenosis. Spinal stenosis is another word for narrowing of the space where the nerves live and that can cause both back and leg pain.
I'm a board certified orthopedic spine surgeon proudly serving the people of the Bradenton/Sarasota/Lakewood Ranch, FL area in a multi-specialty orthopedic group called 360 Orthopedics (www.360-orthopedics.com).
Timestamps:
00:00 - Intro
00:54 - Anatomy and Overview
03:58 - Symptoms, Causes, Treatments
10:27 - Conclusion
For A Consultation:
- Please call 360 Orthopedics at 941-360-2233 and ask for Dr. Armaghani
- Go to www.ArmaghaniSpine.com and click "Book An Appointment"
Office Locations - 360 Orthopedics
1. 5985 Silver Falls Run, Suite 101
Lakewood Ranch, FL, 34202
2. 2750 Bahia Vista St, Suite 100
Sarasota, FL, 34239
Other Related Videos:
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Lumbar Laminectomy (Decompression) - • Step by step how to pe...
TLIF (Transforaminal Lumbar Interbody Fusion) - • How I perform a TLIF (...
ALIF (Anterior Lumbar Interbody Fusion) - • Anterior lumbar interb...
OLIF (Oblique Lumbar Interbody Fusion) - • OLIF (Oblique Lateral ...
Websites:
www.ArmaghaniSpine.com
www.360-orthopedics.com/sheya...
Other Platforms:
Twitter: / armaghanispine
Facebook: / armaghanispine
The content on this RUclips video and channel, including, but not limited to, the text, graphics, images, links, and other materials are for informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment, and does not constitute medical or other professional advice. Dr. Armaghani does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the website. Reliance on any information provided herein is solely at your own risk. The information provided on all websites associated with Dr. Armaghani, including www.ArmaghaniSpine.com, is designed to support, not replace, the relationship that exists between patient/site visitor and his/her physician. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on this RUclips page or on www.ArmaghaniSpine.com. 
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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 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!)
Thanks so much for this clear explanation. Stenosis is such a pain, literally.
Glad it was helpful!
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.
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!!!!
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!
Thanks for the informative video my mother is struggling with this right now
what a explaination ..hats off !
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 sharing valuable information, I got a better idea of what I have ❤
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...
Thank you for sharing very informative...❤
Very informative. Thank you!
Super explanation...❤...Give more videos sir...Similarly for physiotherapy Conditions...
Thank you for the well explained presentation.
Glad it was helpful!
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.
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.
excellent video, thank you!
Glad it was helpful!
Thank you for this super educative and clear video. Greatly appreciated.
Glad you enjoyed it!
Thank you very informative and clearly said
Great channel, keep the good work.
Much appreciated!
Excellent presentation. So clear and helpful!
Glad it helped!
thanks for your work doc. good .
You're most welcome!
Great content! Thank you doctor!
Thank you!
Great video thank you.
Great video thank you!
You are most welcome
Great video,great information.
Pls what about kkt treatment?
Great Doc !,well explained
Glad you liked it!
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 🙏🏽🕊️🕊️🕊️
EXCELLENT PRESENTATION
thank you so much
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!
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 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.
Very elegant presentation,
Thanks a lot
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
Very informative
Thank you!
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 u for the information....
you're most welcome!
Well explained video presentation..
Thank you 🙂
This is me to the tee, back, butt and leg pain.
thank you
Welcome!
Do you have facilities for online consultation?
Informative
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.
For a non surgical approach, please consider Rehab Your Own Spinal Stenosis - now available on Audible.
Thank you Doctor.This video really helps me to know more about the disease.This week my doctor recommended me to go through surgery.But my question is about the risk of removing the bones to operate the thickened ligament that compress the the nerve roots canal.Especially in my case the problem happened on l3/l4 andl4/l5 spots consecutively.
Removing the ligament in consecutive levels rarely causes a problem long term. If you have pressure on your nerves and pain going down the legs with standing and walking, the removal has been shown to help patients with that condition.
@@ArmaghaniSpine hey have pain on my left side hip straight down my foot I do and mri can i show you the results and you can tel me what to do sir please reply and say if you can help me
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.
Is pedicle lengthening a good solution for stenosis ?
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!
central canal stenosis and spinal stenosis, both are same ?
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?
What is the difference between ciática and lumber stenosis ?
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 !!!!!!!
I have mild canal stenosis in c5 and c6
What to do
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!
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.
Hi #doctor 😍
my mum at age 72 felt a sudden severe pain on backbone while stepping staircase . Now pain is increasing she is in bed rest , it has become 5 days.. please suggest medicine or injection or appropriate suggestion. #please
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.
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.
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.
take care!
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
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
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.
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
Does Lordosis and a double scoliosis cause this?
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.
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 .
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!
Simply outstanding. I just stared and thought, "I really track with this man's presentation! Many, many thanks.
Glad you enjoyed it!
Can ms be miss diagnost as stenosis
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.
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'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
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!
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 am 20yrs old and I have lumbar spinal stenosis in l4 l5 bones. Also I don't want to opt for surgery at such young age. Can I get cure by doing exercises?
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.
That’s what I have!!! I’m getting my injection this Monday in October. 2022!
Good luck!
Hello, Did it work?
Thank you for the video. Can lumbar stenosis cause sharp sciatica type pain in both buttocks?
Could be SI joint pain
Awesome
Thank you!
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.
Hi the thing is, there is a difference between improvement and cure.
Many thanks for a great explanation. However I wonder if you can help with my problem. Am approaching 84 with lumbar stenosis, and have tried conservative and epidural but pain still slowly increasing. Would surgery be unwise at my age, even minimally invasive?
Also a medial branch block has been suggested. Is that likely to help? Would be very grateful for your comments.
All excellent questions, Henry. Age truly is just a number and there are 84 year olds who are as healthy as some of my 64 year olds. Some of the things we consider is what is the amount of surgery necessary to maximize outcomes and minimize risk. At your age, in general, smaller, single level, minimally invasive surgeries give the best mix of maximizing outcome and minimizing risk. Sometimes this isn't always possible though. As for the pain procedures, medial branch blocks will only really help with back pain, not pain going down the legs. For patients of your age, or any patient for that matter, if you have much more back pain than leg(s) pain, I highly discourage surgery.
Thanks so much. Very helpful.
@@ArmaghaniSpine thank you very much doctor!!!
I still have back pain and numbness in the area after completing 12 days of physical therapy. I've been doing recommended physical stretching at home.
Question: Do you think I still need steroid injection?
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
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!
Is there contact info for your new office. The receptionist said you moved offices
321-843-5851. They will be taking appointments for me starting on 5/6 so I wouldn't call until then.
5 years of pt shots meds ...surgery here i come. and surgery works!
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
Think I have stenosis
I've had sciatica symptoms now for 4 months and chiropractor has not helped so I just rested for few weeks off work a and symptoms improve however when I'm walking I have to keep stopping and bend over to stop pins and needles down my leg
May have to seek an evaluation if you have tried some conservative measures on your own. Nothing wrong with just gathering information about your condition. Good luck.
Wow this is exactly what I have. I remember my chiropractor telling me this. I got 2 injections in the back of my legs whenI was 21. I don’t remember what it was but now I’m 25 and the pain is back. I need to get shots again they work for me
shots do very well at your age for this condition
Hello Doctor, doesn't a herniated disc causes spinal lumbar stenosis?
yes it can contribute
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!
I have serious Lumber stenosis in several areas but worst in the L1, L2 area. Is it dangerous for me to play golf? What is the worst that could happen?
When you look at thousands and thousands of patients who have spinal stenosis, the chance of a catastrophic injury such as paralysis from daily activities is near zero.
Is it necessary to us anti-adhesion glue in microdisectomy?
There have been all sorts of things tried to close the hole after a microdiskectomy but none have shown to work. That's why we limit activity for 6 weeks and allow the body to scar over that hole and then lift restrictions. Lifetime chance for a reherniation is about 10%.
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!
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.
What I experiece is pain on my buto KS & numbness of foot.please help me.
It is common for patients who have sciatica to have pain as you described and that usually comes from compression of the nerves within the spinal canal as explained in the video you viewed.
Hi, I am 48 and diagnosed with lumber stenosis. I am having these symptoms for about 7/8 years, I am really confused should I go for surgery or just rely on the exercises am doing at the moment as it’s not relieving the symptoms. What’s the surgery success rates. Thanks
Great questions. In general, there is an 85% patient satisfaction rate with surgeries to treat this condition, meaning that 1 year after surgery, 85% of patients are happy they went through with the surgery and would do it again. That does leave about 15% who aren't satisfied and we haven't quite figured out how to predict who those patients are. I always suggest getting a couple opinions and weighing your options closely. I find that an educated patient almost always makes the correct decision regarding their care. Good luck!
@@ArmaghaniSpine thank you for your reply 👍
Great presentation explaining it all. However, one question. How did you know that patients who did surgery did better than who opted for non-surgical methods. To get this data you have to survey non-surgical patients. Most likely they do not come back to give feedback or went somewhere else. I see its hard to get stats/data on patients who never came back to the clinic.
Thank you for that question. That exact study was done in the 2000s and was called the SPORT Trial which evaluated patients who underwent surgery and those who opted to not have surgery and they followed them for an extended period of time measuring their pain levels and outcome scores. That is probably the best data we have available and where much of our decision making comes from which is why we ask patients to exhaust non-operative options before considering surgery.