- Surgical Management of Spinal Stenosis
- Pinched Nerve - Health Encyclopedia - University of Rochester Medical Center
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A healthy lifestyle that includes not smoking and eating well may also reduce the risk for a pinched nerve. Medicines like nonsteroidal anti-inflammatory drugs NSAIDs , corticosteroids, or stronger narcotic medicines help reduce nerve swelling and relieve pain. Corticosteroids may also be given as an injection, which will also reduce inflammation and pain allowing the nerve to heal. Losing weight, if needed, will help relieve pressure on the joints. Physical therapy may use specialized exercises to strengthen and stretch the back or neck muscles.
A physical therapist may suggest wearing a soft collar or using traction to help the neck muscles rest and heal. Your healthcare provider may suggest a home exercise program that you can do on a routine basis. These measures also relieve pressure on the nerve. Your healthcare provider may be able to suggest self-care steps to help prevent or treat a pinched nerve.
Sudden onset of numbness, weakness, or paralysis of an arm or leg that does not go away. A pinched nerve radiculopathy is caused by a disk or bone in the spine that presses on a nerve root coming out of the spinal cord. A pinched nerve can often be helped with medicines, physical therapy, weight loss, and rest, although more involved treatments might be needed in some cases. Bring someone with you to help you ask questions and remember what your provider tells you.
Surgical Management of Spinal Stenosis
At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you. Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are. Know what to expect if you do not take the medicine or have the test or procedure. If you have a follow-up appointment, write down the date, time, and purpose for that visit. Pinched Nerve What is a pinched nerve? What causes a pinched nerve? What are the symptoms of a pinched nerve? Symptoms of a pinched nerve in the lower back include: A sharp pain in the back that may travel all the way to your foot—pain may become worse with certain activities like sitting or coughing Numbness of the skin in areas of the leg or foot Weakness in the leg Symptoms of pinched nerve in the neck include: A sharp pain in the arm Pain in the shoulder A feeling of numbness or pins and needles in the arm Weakness of the arm Worsening pain when you move your neck or turn your head How is a pinched nerve diagnosed?
You may also have pain or numbness in your legs.
Pinched Nerve - Health Encyclopedia - University of Rochester Medical Center
In more severe cases, you may have difficulty controlling your bowel and bladder. There is no cure for lumbar spinal stenosis, but you have many treatment choices. The most common cause of spinal stenosis is osteoarthritis, the gradual wear and tear that happens to your joints over time. That's why most people who develop symptoms of spinal stenosis are 50 or older.
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Women have a higher risk of developing spinal stenosis than men. Early lumbar spinal stenosis may have no symptoms. In most people, symptoms develop gradually over time. Symptoms may include:. 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:. If you have lumbar spinal stenosis, many types of healthcare professionals can help you, such as arthritis specialists, nerve specialists, surgeons, and physical therapists.
Treatment can include physical therapy, medicine, and sometimes surgery. Except in emergencies, such as cauda equina syndrome, surgery is usually the last resort. But you may be able to lower your risk. Here are some ways to keep your spine healthy:. The best way to manage lumbar spinal stenosis is to learn as much as you can about your disease, work closely with your medical team, and take an active role in your treatment.
Keep your lower back as healthy as possible by maintaining a healthy weight, practicing good body mechanics, and getting regular exercise. Simple home remedies like an ice bag, heating pad, massage, or a long, hot shower can help. 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:. Home Health Home Conditions and Diseases. What causes lumbar spinal stenosis? John Green. Evelyn J Biluk. Dictionary of Dermatology. Students' Academy. The Art of HVT. David Lintonbon DO. Chiari Malformation: Causes, Symptoms and Treatments. Angie Gennaro. Back Pain Relief. Timothy B. An Informative Guide About Ataxia.
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