Dr. Abhijit Tayade
Dr. Abhijit Tayade is an Orthopedic Surgeon offering world class Surgeries in Trauma, Arthroscopy, Replacements and Spine at Leading Hospitals in New Delhi.
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Treatment of Spinal Stenosis for people Residing in Delhi
Spinal stenosis simply refers to a situation in which there is compression of the spinal canal and reduced space for the spinal cord and nerves. When the problem of spinal stenosis reaches this level of seriousness, the spinal cord and its nerves are compressed or squeezed.
What are the reasons for Spinal Stenosis?
Spinal stenosis is a condition characterized by the narrowing of the spinal canal, which can lead to compression of the spinal cord and nerves. It can be caused by several factors, including:
- Age-related Degeneration : Natural wear and tear on the spine, leading to osteoarthritis and disc degeneration.
- Herniated Discs : Discs can bulge or rupture, compressing the spinal cord or nerves.
- Bone Spurs : Overgrowth of bone can narrow the spinal canal, often due to osteoarthritis.
- Thickened Ligaments : Ligaments can thicken over time, causing narrowing.
- Spinal Injuries : Traumas can cause dislocations or fractures, impacting the spinal canal.
Symptoms of Spinal Stenosis
The symptoms of spinal stenosis depend on where this condition takes place and the extent of severity.
- When the compression affects the spinal cord giving rise to myelopathy it includes such things as loss of bowel, or bladder, worsening in balance, inability to drop an object.
- When there is lumbar spine stenosis, the symptoms range from back and leg pain, numbness, tingling and weakness in legs and feet and myelopathy.
- When there is cervical spinal stenosis (stenosis of neck), the symptoms include numbness and tingling sensations and myelopathy of the arms and hands.
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Treatment of Spinal Stenosis
Some of the treatment include:
Medical Treatment
The initial management includes use of nonsteroidal anti-inflammatory drugs such as ibuprofen or naproxen. It is the kind of medicine that assists in decreasing inflammation and swelling around the nerves that experiences compression. Epidural steroid injection can also be administered in order to lessen the inflammation caused at the location of nerve compression.
Physical Therapy
It also assists in toning the muscles that cover the column and hence shift some of the weight off the spine.
Surgery
As for the surgical intervention, it is prescribed when the patient fails to obtain adequate relief from the non-surgical treatment. There are various types of surgeries of spinal stenosis; but the aim of all surgeries is to gain more space for the compressed spinal cord or nerves. The various surgeries include the process of the removal of the bone and or tissues, which is putting pressure on the spinal nerves in the lower back and this is referred to as decompression. All such surgeries must be followed by effective management of the postoperative period. The procedure entails both the open surgery and minimally invasive surgery depending on the circumstances and the patient’s condition.