Lumbar stenosis

Lumbar Stenosis Overview:

• Lumbar stenosis is a condition where the spinal canal narrows, putting pressure on the spinal cord and nerves in the lumbar (lower) spine.

Causes of Lumbar Stenosis:

• Aging:

  • Degenerative changes, such as thickening of ligaments and bone spurs.

• Herniated Discs:

  • Disc material bulges and compresses the spinal canal.

• Congenital Factors:

  • Abnormalities present at birth that affect spinal canal size.

• Tumors or Injuries:

  • Abnormal growths or trauma leading to spinal canal compression.

Signs and Symptoms:

• Low Back Pain:

  • Often worsened with activity.

• Leg Pain (Claudication):

  • Pain, cramping, or weakness in the legs during walking or standing.

• Numbness and Tingling:

  • In the buttocks, thighs, or calves.

• Difficulty Walking:

  • Impaired balance and coordination.

Diagnosis and Evaluation:

• Clinical Examination:

  • Assessment of symptoms, physical function, and neurological signs.

• Imaging Studies:

  • X-rays, MRI, or CT scans to visualize the degree of stenosis and assess spinal stability.

Treatment Approaches:

• Conservative Measures:

  • Physical therapy and exercises to improve core strength and flexibility.

  • Medications for pain management.

  • Lifestyle modifications, including ergonomic adjustments.

• Interventional Procedures:

  • Epidural steroid injections for pain relief.

  • Facet joint injections to alleviate inflammation.

  • Physical therapy for targeted rehabilitation.

• Surgical Options:

  • Reserved for severe cases or when conservative measures are ineffective.

  • Procedures may include laminectomy or spinal fusion.

NYPMD Specialists for Lumbar Stenosis:

• Specialized evaluation by NYPMD neurosurgeons and orthopedic surgeons outside New York.

• Expertise in managing lumbar stenosis through various treatment modalities.

• Collaborative approach with physical therapists and other specialists for comprehensive patient care.

What You Can Expect at NYPMD for Lumbar Stenosis:

• Thorough assessment to determine the degree of stenosis and associated symptoms.

• Personalized treatment plans based on diagnostic findings and individual needs.

• Conservative or interventional interventions for effective pain relief and management.

• Comprehensive care and support for improved lumbar function and overall well-being.