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Lumbar Spinal Stenosis FAQs

Taking an active role in managing your condition is key to better care. Avoid high-impact activities, such as running, jumping, or contact sports. This can worsen spinal stenosis by adding stress to the spine.

While spinal stenosis is often caused by the aging process and cannot be entirely prevented, you can take steps to maintain spinal health and potentially reduce your risk or slow its progression. These include eating a nutritious diet rich in calcium for strong bones, maintaining a healthy weight, avoiding or quitting smoking to support circulation and healing, practicing good posture, and exercising regularly to strengthen your back and core muscles.

As the spinal canal narrows, it puts pressure on the spinal cord and nerves traveling through the lower back and legs, leading to pain, numbness, and tingling. This can make walking difficult. As the condition progresses, walking may become more painful and challenging, causing a limp or instability. In severe cases, spinal stenosis can make standing, climbing stairs, or even traveling short distances on foot difficult.

The best treatment for lumbar spinal stenosis would be a laminectomy, which is a surgery involving the removal of bone spurs and the bone walls of the vertebrae. Undergoing this procedure helps open up the spinal column, thus removing the pressure on the nerves.

  • Patients can help manage their pain by walking on level ground instead of walking on a downhill angle, this can increase lumbar lordosis.
  • Symptoms may be less severe when walking uphill or riding a bike, this is due to spine flexion.

Recovery time after surgery is influenced by multiple factors and varies from patient to patient. Studies have shown longer wait times before surgery can negatively affect short-term recovery.

References:

  • Deng GH. Causal relationship between smoking and spinal stenosis: Two-sample Mendelian randomization. Medicine (Baltimore). 2024;103(38):e39783. doi:10.1097/MD.0000000000039783
  • Lurie J, Tomkins-Lane C. Management of lumbar spinal stenosis. BMJ. 2016;352:h6234. Published 2016 Jan 4. doi:10.1136/bmj.h6234
  • Munakomi S, Foris LA, Varacallo M. Spinal Stenosis and Neurogenic Claudication. In: StatPearls. Treasure Island (FL): StatPearls Publishing; August 13, 2023.
  • Zaina F, Tomkins-Lane C, Carragee E, Negrini S. Surgical versus non-surgical treatment for lumbar spinal stenosis. Cochrane Database Syst Rev. 2016;2016(1):CD010264. Published 2016 Jan 29. doi:10.1002/14651858.CD010264.pub2
  • Deer TR, Grider JS, Pope JE, et al. Best Practices for Minimally Invasive Lumbar Spinal Stenosis Treatment 2.0 (MIST): Consensus Guidance from the American Society of Pain and Neuroscience (ASPN). J Pain Res. 2022;15:1325-1354. Published 2022 May 5. doi:10.2147/JPR.S355285
  • Jentzsch T, Sundararajan K, Rampersaud YR. The clinical course of symptoms during wait time for lumbar spinal stenosis surgery and its effect on postoperative outcome: a retrospective cohort study. Spine J. 2024;24(4):644-649. doi:10.1016/j.spinee.2023.11.006
At A Glance

Dr. Kern Singh

  • Minimally invasive and endoscopic spine surgeon
  • Inventor and surgeon innovator with multiple patents in spinal surgery and instrumentation
  • Author of more than 10 textbooks in minimally invasive spinal surgery
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