Have you been diagnosed with lumbar spinal stenosis? Are you waiting for it to go away on its own? You may be wondering whether spine surgery is an option. What should you avoid if you have spinal stenosis?
Here’s what you should stop doing to avoid worsening the condition and symptoms. You must also get in touch with your doctor and physical therapist to know about the best ways to manage your condition in the long term.
1. Hoping the Symptoms will Go Away
Most people live under hope that the back pain will go with time. They try to tackle symptoms with home remedies, pain killers, and other methods. However, lumbar spinal stenosis does not behave the same as other causes of back pain. This condition is a progressive condition which worsens if you ignore it. It will NOT just go away.
Spinal stenosis can be taken care of by engaging in a guided exercise program targeted to improving mobility and reduce back and leg pain. The idea is to improve strength and motion range. It is important to walk better with less pain.
Consider spinal stenosis as any other medical condition and work towards managing it.
2. Treating Just the Inflammation
The major cause of spinal stenosis is narrowing of spinal canal. It irritates the nerves travelling down the legs. Symptoms may get worse with walking. Bending forward or sitting down will make the symptoms better. Irritated nerves can get inflamed. Most individuals tend to take anti-inflammatory medication. This is only a temporary treatment option. Relying solely on medication for managing spinal stenosis may worsen the symptoms and affect mobility limitations. Changing biomechanics of spine is the best way to improve the condition. It changes the way your spine moves. Exercises and postural correction under the guidance of an expert will help.
3. Flexion Exercises without Guidance
Individuals with spinal stenosis are usually prescribed flexion exercises. These exercises help bend the spine forward. The position increased diameter of spinal canal and takes pressure off spinal nerves. Additionally, flexion exercises (mainly sustained standing lumbar extension) may benefit from bending backward. The exercise will press against spinal discs while moving them far from spinal nerves and canal to provide them with more space. Speak to your physical therapist about how to do spinal extension exercises correctly.
4. Don’t Think about Surgery
After initial diagnosis of lumbar spinal stenosis, your doctor may have suggested some treatment options. Also referred to as lumbar laminectomy,
spine surgery may be an effective treatment for people with spinal stenosis. However, studies indicate that a physical therapy may have similar long-standing effects to surgery. An experienced and renowned orthopaedic spine surgeon will not suggest surgery without considering other treatment options such as medications, physical therapy, topical solutions, heat/cold therapy, lifestyle changes, etc. A surgery may definitely be an option for some individuals with lumbar spinal stenosis. Once the condition reaches that point, the benefits of surgery outweigh risks.
Before spinal stenosis reaches the point where surgery is absolutely necessary, stop worrying about it. Until then, engage in other treatment options to treat the condition. Your doctor may also consider more invasive treatment options such as surgery or epidural steroid injections when needed.
To Sum Up
Living with lumbar spinal stenosis is not easy. It is a progressive condition. In some cases, the symptoms may be improved with right exercises and physical therapy combined with anti-inflammatory medications. An experienced physical therapist will guide you in this respect. Surgery is an option only once you have exhausted all other options.