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sunshine88 08-31-2013 11:44 AM

Advice needed spinal stenosis and the like
 
Hi,

I have been diagnosed with spinal stenosis. I have numbness from the knees down in both legs and arms. I had an abnormal Emg stating lumbar sacral polyradiculopathy and now have vibrations between my legs. I can't sit, stand, for more than 10 minutes without my feet going numb. I can't walk more than a block without being in pain. I recently had so much inflammation that it rendered me immobile. Dr gave me 15mg of mobic and Percs and I've been home from work. I also have lumbar lordosis and several herniated discs. My question is, do u think that surgery would help me? I have had injections and I am terrified of surgery! But am finding it difficult to live this way. I have been dealing with back pain since I've been a teenager. I am 50 years old wife and mother of 3. Any advice would be appreciated.

teteri66 09-01-2013 07:43 AM

Re: Advice needed spinal stenosis and the like
 
Generally speaking, stenosis is one of the structural problems that is more easily resolved through surgery...but it depends on what else may also be going on. If nerves are badly compressed, it is important that they not be left that way indefinitely, as the risks for greater damage increase as time goes by.

Your symptoms are puzzling to me, however. I don't know what would account for your arms being numb, and it is somewhat odd to have numbness in both sides at the same time. Have you also been checked out for cervical problems??

No one is eager to have spine surgery...but sometimes it is the best choice.

sunshine88 09-01-2013 08:51 AM

Re: Advice needed spinal stenosis and the like
 
Hi and thank you for the reply, I have a herniated disc in my cervical spine that I had an epidural injection a year ago and I am assuming is acting up again. What type of surgery is generally performed for stenosis? Is it a lumbar fusion? The pain is really terrible both of my legs from the knees down are going numb and the pain is in the back of legs my butt my groin and knees and my legs are really really weak. I am really scared and fear I will be not able to function like I used to.

teteri66 09-01-2013 10:41 AM

Re: Advice needed spinal stenosis and the like
 
When there is nerve compression in the cervical spine, there could be a spinal nerve that is irritated or compressed or it can press into the spinal canal and affect the nerves of the spinal cord. When the cord is affected, the person can have pain, numbness, etc. anywhere below the level where it is impacted.

If it is a spinal nerve that is affected in the cervical area, it will affect the upper limbs.

If it impacts the lumbar spine, the pain and numbness, etc. will only affect the lower limbs. So, I have to assume that it is the cervical disc that is causing your arm numbness and could be affecting legs, or yoou may have compression in both areas. If surgery is necessary, the surgeon would operate first on the area that is the worst. They will not operate on both areas at one time.

They will do whatever is necessary to get the pressure off the nerve. If it is in the central canal, they can do just like the plumbers do with clogged pipes -- a "roto-rooter" type thing. If stenosis is in the foramen, they can go in and scrape them out to open up the space. If it is a disc that has gone out beyond the disc space and is pressing on the central canal or foramina, they can do a discectomy to free te nerve. Fusion would be done in addition to some type of decompression if the area of the spine is unstable. The spine specialist will have to make these evaluations.

Sounds like you can't function like you used to at the moment either. If conservative measures are tried and fail, and you want to try to ameliorate the situation, there aren't any other good choices.

sunshine88 09-01-2013 11:15 AM

Re: Advice needed spinal stenosis and the like
 
Thank you so very much for your reply, you are correct, unfortunately, I have multiple issues going on at the same time. I cannot get into my pain mgt specialist until the 12th of sept. so I am stuck home until then because I can't drive or work right now.

Thank you for your time.. I really do appreciate it

sunshine88 09-01-2013 11:19 AM

Re: Advice needed spinal stenosis and the like
 
Thank you so very much for your reply, you are correct, unfortunately, I have multiple issues going on at the same time. I cannot get into my pain mgt specialist until the 12th of sept. so I am stuck home until then because I can't drive or work right now.

Thank you for your time.. I really do appreciate it

sunshine88 09-04-2013 10:00 AM

Re: Advice needed spinal stenosis and the like
 
Hi teteri66,

I wanted to share with you my MRI results from 2011, I had to dig them out of my files while I wait for approval from insurance company for a second one.

It says that I have broad bulge at l4 l5 with stenosis
broad bulge at l5 s1 with central herniation with annual tear
Diffuse degenerative disc disease exaggerated by lumbar lordosis

I am assuming that in 2 years that this could only have gotten worse.

Have u ever heard of lordosis? I did some research and it seems that this may also be contributing to my pain also.

Thanks again... And best wishes to you!!

teteri66 09-04-2013 03:40 PM

Re: Advice needed spinal stenosis and the like
 
lORDOSIS just refers to the spinal curve in the lower back and neck. If it is excessive, it is sometimes called by the common name "sway back." As with any of these things, it can curve a very small amount, which most people have, or it can be to a greater degree, in which case, it can sometimes cause pain. It always goes along with other issues.


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