Q:

What are the treatments for lumbar spondylosis and spinal stenosis?

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Quick Answer

There are two ways to treat lumbar spondylosis and stenosis: surgical and nonsurgical treatments. Nonsurgical treatments include anti-inflammatory medication; epidural injections; physical therapy involving exercise, massage, heat or ice packs; and electrical stimulation. The surgical methods are decompression and stabilization procedures such as spinal fusion or laminectomy, as detailed by SpineUniverse.

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Full Answer

Spondylosis describes any degeneration of the spine in the cervical neck, thoracic and lower lumbar back, and the legs. Spinal stenosis directly refers to narrowing of the spinal canal or neural foramen and exertion of pressure on the spinal cord, space and nerves, states Patient.co.uk

Treatment options depend on the severity and duration of symptoms. Diagnosis is done using a lumbar spine X-ray, MRI and CT scan. A neurological examination is also carried out to check reflexes, muscle strength, other nerve changes and pain load. Nonoperative methods often work, and patients do not require surgery. Other surgical methods are foraminotomy, laminotomy or invasive spine surgery.

The prevalent symptoms of spondylosis and stenosis are numbness, tingling, weakness and cramping in the leg, neurogenic claudication, and bladder and bowel problems, including the inability to control urination, as detailed by Spine-health.

The significant cause of spondylosis and stenosis is old age, as most patients are 60 years and older. It can also be congenital or when a person suffers from osteoarthritis or related diseases such as hyperparathyroidism, according to Patient.co.uk.

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