Spinal stenosis is a condition whose effects range from mild irritation to unbearable pain and can sometimes cause paralysis. This occurs in the cervical spine of the neck or the lumbar spine in the back. Lumbar stenosis is the most common stenosis and about three-quarters of all cases occur in the lumbar spine. In general, stenosis includes compression of the nerve roots that exit the spinal canal. Depending on the location of the compression, spinal stenosis is of three types. These are foraminal, lateral and central stenosis.
How to Deal With Spinal Stenosis
Cervical stenosis is considered more dangerous than stenosis that occurs in the lumbar spine.
This is due to dense bundles of nerves that are present in the upper part of the spine but ends in the upper part of the lower back. This disorder can be treated in many ways. Generally, there are two types of treatments, either you can opt for natural remedies for cervical stenosis and lumbar stenosis, or you can undergo surgery.
To naturally strengthen the muscle that supports the spine, it is always recommended to do light exercises. For example, forward flexion is one of the practices aimed at the lumbar stenosis. Similarly, isometric exercises are prescribed to patients, those who suffer from the cervical stenosis.
These exercises strengthen the muscles of the neck without stressing the joints. Another treatment is acupressure. It is the best treatment for the relief of pain of many types. In this treatment, physical pressure is applied to the acupressure points to eliminate the blockage of these meridians. It relieves pain for a short time.
Patients should understand that physical therapy with cervical stenosis would not reduce the narrowing of the spinal canal and would not reduce it to a standard size. The goal of physical therapy for cervical stenosis is long-term pain management and increased function that will allow the patient to adequately control pain and function usually without having to undergo surgery. A spinal stenosis physical therapy begins with improving the flexibility of the neck, arms, and legs through stretching exercises.
It is also important to increase circulation and build resistance in the arms and legs through cardiovascular exercises such as swimming and treadmill exercises. Your therapist can also add strengthening exercises to your program. Although most of these exercises are still under professional supervision, your therapist will also provide you with activities that you can perform independently.
Surgery of spinal stenosis
People with severe spinal stenosis are always recommended for surgery. During the initial period, you may be advised to receive a natural treatment, but if the pain persists, it is best to have surgery. There are different types of operations detailed below. Laminectomy and laminotomy: In a laminectomy, the blade that causes the pain is usually removed by making an incision in the middle of the back. The blade is not more than the flat part of the bone that is connected to the vertebrae. Similarly, at the time of laminotomy, the blade portion is removed to eliminate nerve pressure.
Surgery of the spine: In this surgery, surgeons usually fuse two or more bones in your spine permanently. Vertebral fusion in the neck is known as cervical fusion, while surgery on the back is called lumbar fusion. By fusing multiple bones, the pain associated with spinal stenosis can be reduced.
Minimally invasive spine surgery: This surgery allows you to use smaller incisions and reduce blood loss at the time of surgery. Without a doubt, there are several types of operations, but it is always best to consult a doctor before picking it up.
Over-the-counter pain relievers can temporarily relieve pain. Your doctor may recommend antidepressants, opioids, and anticonvulsants for pain relief. Steroid Injections is applied on the irritating or swollen in areas where they are pinched. Corticosteroids are injected into the space surrounding the constriction to help reduce inflammation and some pressure. However, repeated injections can weaken connective tissue and surrounding bones. Therefore, it is advisable to receive as few injections as possible.