Spinal Stenosis-Dr.Kirpa Johar - HariDaan Laser Wellness

Spinal Stenosis

Spinal stenosis is a narrowing of the open spaces within your spine, which can put pressure on your spinal cord and the nerves that travel through the spine. Spinal stenosis occurs most often in the neck and lower back.

                                                                                    SPINAL_STENOSIS
                                                                             
Difference between normal and stenosis affected spine

Symptoms include pain, numbness, paraesthesia, and loss of motor control. The location of the stenosis determines which area of the body is affected. 
Spinal stenosis is most commonly caused by wear-and-tear changes in the spine related to aging.


Symptoms

Symptoms vary, depending on the location of the stenosis:

bullets1 In the Neck
Narrowing in the upper (cervical) spine can cause numbness, weakness or tingling in a leg, foot, arm or hand. In severe cases, nerves to the bladder or bowel may be affected, leading to incontinence.
bullets1 In the Lower Back Compressed nerves in your lower (lumbar) spine can cause pain or cramping in your legs when you stand for long periods of time or when you walk. The discomfort usually eases when you bend forward or sit down.
 
                                                                                                   SPINAL_STENOSIS1
                                                                                                                
Spinal stenosis pain

Causes

Spinal stenosis occurs when something happens to reduce the amount of space available within the spine. Causes of spinal stenosis may include:

  
 bullets1 Disk Degeneration
    bullets1 Thickening of the Ligaments
    bullets1 Osteoarthritis
    bullets1 Herniated or Bulging Discs
    bullets1 Bony Growths (spurs)
    bullets1 Facet Joint wearing or overgrowth
    bullets1 Scar Tissue
    bullets1 Bone Slippage (Spondylolisthesis)
    bullets1 Spinal Tumors
    bullets1 Trauma to the spine, Fractures


Diagnosis

Diagnosis is done with help of medical history, physical examination, MRI and CT myelogram


Treatment

The type of treatment you receive for spinal stenosis may vary, depending on the location of the stenosis and the severity of your signs and symptoms. 


Medications 
To control pain associated with spinal stenosis, your doctor may prescribe:
  
 bullets1 NSAIDs
    bullets1 Muscle relaxants
    bullets1 Antidepressants
    bullets1 Anti-seizure drugs
    bullets1 Opioids


Therapy 
Physical therapy may help to:
 
   bullets1 Build up your strength and endurance
    bullets1 Maintain the flexibility and stability of your spine
    bullets1 Improve your balance


Steroid injections 
Surgery


Low Level Laser Therapy Treatment for Spinal Stenosis

Low Level Laser Therapy (LLLT) is the application of red and near infrared light over injuries to stimulate cellular repair.


bullets1 The laser device is held over the area to be treated, against the skin, and the low-level lasers emit penetrating light in the visible red and near infra-red spectrum (380/400nm-1000nm) deep into the tissues. 

bullets1 The energy is absorbed in the tissues and converted into biochemical energy, thus stimulating the activity of the cells in the damaged area and promoting connective tissue repair process. 


LLLT has a beneficial anti-inflammatory and pain attenuation effect. 

The main benefit of LLLT is that it is relatively non-invasive and has the ability to treat nerve injuries without surgical intervention thus making it a desirable treatment option.

LLLT has no known side effects, is safe and effective.