Lumbar Canal Stenosis

Back pain is a common complaint. Four out of five people in the United States will experience low back pain at least once during their lives. It's one of the most common reasons spinal stenosispeople go to the doctor or miss work. On the bright side, you can prevent most back pain. If prevention fails, simple home treatment and proper body mechanics will often heal your back within a few weeks and keep it functional for the long haul. Surgery is rarely needed to treat back pain When back pain does not subside, and the injury or illness that caused it has had sufficient time to heal, it is termed chronic back pain. Chronic back pain usually lasts more than three months and may be mild or severe. Amongst the common causes for your back pain may be facet joint or herniated intervertebral disc (slipped disc).

Causes may be

  • Bulging Or herniated (slipped disc)
  • Sciatica - Herniated disc pressing over the nerve going to your leg causing sharp shooting pain the back & leg
  • Arthritis - It can lead to narrowing of the space around the spinal cord called spinal canal stenosis. This can cause back & leg pain.
  • Structural irregularity - Your spine may have abnormal curvature either side to side or excessive curve in front/ back.
  • Osteoporosis can cause vertebra fracture & can cause back pain. common in old age.
  • Rare causes include Cancer, infection, cauda equina syndrome.

Contact your physician immediately when you have constant unrelieved pain, pain going in legs specially below knee, causing weakness & numbness, or loss of bowel / bladder control, follows fall or trauma, associated with abdominal pain or fever or associated with unexpected weight loss.

Commonly done tests are X-rays, MRI, Nerve conduction studies, Bone scan, blood tests. Treatment includes medicines, physical therapies for the first 4 weeks. Injections for spine pain like epidural steroid injections, facet joint or its nerve block, radiofrequency ablation (RFA), if disc is thought to be the cause of pain then Provocative discography, Dekompressor / ozone discectomy, and few patients may need Transforaminal Endoscopic Discectomy and foraminoplasty, or Open surgery with screw and plate fixation.

Surgery for spine pain is the last resort therapy and can be avoided in majority of patients with interventional pain procedures.

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Basra, Iraq

Syed Ali al-Moussawi Street
Near a hospital Musawi