The nutritional supplements glucosamine and chondroitin have been recommended as nutritional supplements for osteoarthritis, but recent studies have been disappointing. Lumbar spinal stenosis can cause cauda equine syndrome, which needs medical attention right away.
Call your healthcare provider if you have:. Health Home Conditions and Diseases. What causes lumbar spinal stenosis? Besides osteoarthritis, other conditions or circumstances can cause spinal stenosis: Narrow spinal canal Injury to the spine Spinal tumor Certain bone diseases Past surgery of the spine Rheumatoid arthritis What are the symptoms of lumbar spinal stenosis? Symptoms may include: Pain in the back Burning pain going into the buttocks and down into the legs sciatica Numbness, tingling, cramping, or weakness in the legs Loss of sensation in the feet A weakness in a foot that causes the foot to slap down when walking "foot drop" Loss of sexual ability Pressure on nerves in the lumbar region can also cause more serious symptoms known as cauda equine syndrome.
If you have any of these symptoms, you need to get medical attention right away: Loss of bowel or bladder control Severe or increasing numbness between your legs, inner thighs, and back of the legs Severe pain and weakness that spreads into one or both legs. This makes it hard to walk or get out of a chair How is lumbar spinal stenosis diagnosed? These tests help make a diagnosis: X-rays of your lumbar spine.
Imaging tests. Other studies. Your healthcare provider might order a bone scan, myelogram a CT taken after injecting dye , and EMG an electrical test of muscle activity.
How is lumbar spinal stenosis treated? Physical therapy may include exercises to strengthen your back, stomach, and leg muscles. Learning how to do activities safely, using braces to support your back, stretching, and massage may also be helpful. Medicines may include nonsteroidal, anti-inflammatory medicines that relieve pain and swelling, and steroid injections that reduce swelling. Surgical treatments include removing bone spurs and widening the space between vertebrae.
The lower back may also be stabilized by fusing together some of the vertebrae. Acupuncture and chiropractic care may also be helpful for some people. What can I do to prevent lumbar spinal stenosis?
Here are some ways to keep your spine healthy: Get regular exercise. Exercise strengthens the muscles that support your lower back and helps keep your spine flexible. Aerobic exercises like walking, swimming, cycling, and weight training are all good for your back. Maintain good posture. The severity and duration of the symptoms can fluctuate, but will become progressively worse over time ultimately causing pain to the foot as well. For many people, the pain can become debilitating and greatly diminish the ability to perform simple activities.
Tingling, weakness or numbness that radiates from the lower back to the buttocks and legs is also common. In many cases, you can treat lumbar spinal stenosis non-surgically however; severe cases often require lumbar spinal stenosis surgery.
Non-operative treatments include activity modification, physical therapy, and a targeted program of spinal stenosis modified exercises. Non-steroidal anti-inflammatory medicines such as ibuprofen can be effective in reducing inflammation. Cortisone injections into the epidural space can decrease inflammation, swelling and pain however patients should not receive more than three injections over a twelve month period of time.
Minimally invasive surgical procedures may be an option for patients whose quality of life is greatly compromised by the pain.
This content does not have an Arabic version. Overview Spinal stenosis Open pop-up dialog box Close. Spinal stenosis Spinal stenosis occurs when the space within the spinal canal or around the nerve roots becomes narrowed. Multilevel spinal stenosis Open pop-up dialog box Close.
Multilevel spinal stenosis Spinal stenosis can occur at one level or multiples levels at the same time. Request an Appointment at Mayo Clinic. Herniated disk and bone spurs on spine Open pop-up dialog box Close. Herniated disk and bone spurs on spine As your spine ages, it's more likely to experience bone spurs or herniated disks. Share on: Facebook Twitter. Show references Spinal stenosis.
Accessed March 7, Goldman L, et al. Mechanical and other lesions of the spine, nerve roots and spinal cord. In: Goldman-Cecil Medicine. Philadelphia, Pa. Frontera WR. Lumbar spinal stenosis.
Cervical stenosis, myelopathy and radiculopathy. North American Spine Society. Levin K. Lumbar spinal stenosis: Treatment and prognosis. Kim K, et al. Nonsurgical Korean integrative treatments for symptomatic lumbar spinal stenosis: A three-armed randomized controlled pilot trial protocol. Evidence-Based Complementary and Alternative Medicine.
Dasenbrock HH, et al. The impact of provider volume on the outcomes after surgery for lumbar spinal stenosis. Rochester, Minn.
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