Lumbar spinal stenosis is a condition characterized by the narrowing of the spinal canal in the lumbar region, which can lead to pain and other symptoms due to the compression of the spinal cord and nerves. This condition tends to develop gradually as a result of age-related spinal degeneration and is most prevalent in individuals over the age of 50.
Nonsurgical treatments for lumbar spinal stenosis typically include a combination of methods such as physical therapy, the use of nonsteroidal anti-inflammatory drugs (NSAIDs), and potentially electrical spinal cord stimulation. These initial treatments aim to alleviate pain and improve mobility without the need for surgical intervention.
In situations where conservative measures do not provide sufficient relief, patients may be advised to consider surgical options. Spinal decompression surgeries, such as laminotomy, conventional laminectomy, and minimally invasive techniques, are common procedures for treating lumbar spinal stenosis. When stenosis is accompanied by a herniated disc, a laminectomy may be performed alongside a discectomy.
The course of treatment for spinal stenosis at Rush is determined by various factors, including the location and cause of stenosis, as well as the patient’s overall health, age, and the severity of symptoms. If conservative treatments such as NSAIDs, heat or ice applications, and physical therapy fail to significantly reduce pain or improve mobility, surgery may be recommended.
For those diagnosed with scoliosis, which is identified when the spinal curve exceeds 10 degrees, treatment may also involve addressing any coexisting lumbar spinal stenosis. Adult patients often seek treatment when the curvature exceeds 30 degrees, and the physical exam and imaging are used to assess for stenosis.
When it comes to surgical care for lumbar spinal stenosis, laminotomy is a common procedure performed after less invasive treatments have been exhausted. It is indicated for patients experiencing symptoms that interfere with daily life, such as numbness, weakness, and balance issues. The procedure is detailed at laminotomy.
For comprehensive information on the surgical options for lumbar stenosis, including targeted laminotomy, conventional laminectomy, and minimally invasive techniques, as well as details on nonsurgical treatments, the following resources can provide further insight: scoliosis and lumbar spinal stenosis.
