NARROWING OF THE SPINAL CANAL

What is Narrowing of The Spinal Canal(Lumbar Spinal Stenosis) ?

Narrowing of the spinal canal, medically referred to as "spinal stenosis," occurs when the spinal canal, the hollow space within the vertebrae that houses the spinal cord and nerve roots, becomes constricted. This narrowing can compress the spinal cord and nerve roots, leading to various symptoms such as pain, numbness, weakness, and other neurological issues.

Spinal canal narrowing is commonly associated with the aging process but can also be congenital.

Herniated discs can also narrow the spinal canal.

When there is narrowing of the spinal canal, symptoms such as leg pain, leg numbness, leg weakness, and loss of balance can occur. The severity of the narrowing can shorten the distance patients can walk, causing them to lean forward and develop a stooped posture as they walk.

It is important for patients with these symptoms to seek specialist advice.

How is Narrowing of The Spinal Canal Treated?

The treatment for spinal canal narrowing varies depending on the severity of symptoms, the cause of the narrowing, and the patient's overall health.

Conservative Treatment:

• Medications: Pain relievers, anti-inflammatory drugs, and muscle relaxants can help alleviate symptoms.
• Physical therapy: Physical therapy programs aim to strengthen muscles and increase flexibility.
• Epidural steroid injections: Injecting steroid medications around the spinal cord can temporarily relieve symptoms.

Surgical Treatment: The goal is to widen the narrowed spinal canal. This involves removing bone or tissue compressing the spinal cord. Using endoscopic or microsurgical methods is crucial for patient comfort and should be the first choice.

In some cases, a procedure known as fusion surgery, which involves widening the spinal canal and stabilizing the spine, may be performed. However, it should not be the first treatment option.

There are many surgical techniques available for treating spinal canal narrowing, but a specialist should determine whether surgery is necessary and, if so, which method should be used.