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What is spinal stenosis?
مقاله تخصصی

What is spinal stenosis?

3 months ago
263 بازدید
Dr. Mahmoud Yazdan Panahi

Dr. Mahmoud Yazdan Panahi

Tehran

Neurosurgeon and spine and disc surgeon

تنگی کانال نخاعی چیست؟. As the age increases, various tissues and structures of the body undergo degradation and destruction.. Vertebrae and intervertebral discs are no exception to this rule.. When the discs degenerate, the distance between the vertebrae decreases and the vertebrae get closer to each other, and as a result, the intervertebral holes on the roots become smaller. It becomes in person... types Spinal canal stenosis... Any part of the spinal canal can be narrowed. There are usually two types of spinal canal stenosis: - تنگی کانال نخاع گردنی - Lumbar spinal canal stenosis Each of these causes a series of **neurological symptoms**, which we will talk about later.... About the types of spinal canal stenosis *Dr. > "Spinal canal stenosis is usually divided into two types: cervical stenosis in the neck region and lumbar stenosis in the lumbar region, which is the most common type. Symptoms of spinal stenosis in the back The symptoms of spinal stenosis in the back may sometimes be similar to other problems.. For example, many people in the early stages of this disease confuse it with the pain caused by a back sprain.... But the difference in the type, severity and location of the symptoms can help to make an accurate diagnosis... - Back pain; This is the most common symptom that may remain constant or spread to the hips and legs... - Weakness in the legs... Pressure on the nerves can impair muscle function and make it difficult to stand and walk... - Numbness or tingling in the legs; Compression of the nerve reduces the sensation or tingling sensation in the lower limbs... - Difficulty walking or maintaining balance... Sufferers usually suffer from imbalance when walking for long periods of time or standing for long periods of time... - Cramps or pain in the leg when standing for long periods of time.. In very severe cases, severe compression of the spinal cord may lead to incontinence that requires immediate medical intervention... Keep in mind that many people with spinal stenosis may be asymptomatic and diagnosed only through imaging. Spinal canal stenosis includes: 1... neck pain; Chronic or sharp pain in the back of the neck that may spread to the shoulders and arms... 2... numbness in the arms... tingling or numbness especially from the neck to the hands... 3... weakness in the arms; Decreased muscle strength due to disruption in the transmission of nerve signals... 4... Disturbance in balance; Difficulty in coordination of limbs and instability in movement... 5... radiation of pain; shooting pain from the neck to the arm and shoulder .... 6 ... difficulty in walking; In advanced cases due to muscle weakness or nervous disorder .... 7 .... muscle spasm; Cramps in neck and shoulder muscles .... 8 .... Change in bladder or bowel function; In rare and very severe cases.... 9... Difficulty in breathing; Pressure on the nerves related to respiratory function...symptoms of spinal stenosis in women **Spinal canal stenosis in women** may be accompanied by symptoms such as worsening back pain during menstruation due to hormonal changes, increased risk of osteoporosis and spine fractures, worsening of symptoms during menopause due to decreased bone density and in some cases, pelvic floor dysfunction such as urinary incontinence or pelvic nerve pain related to pressure on the pelvis.. Stenosis?.. Spinal canal stenosis is more common in people over 60 years old, but the factors Others can also increase this risk. History of surgery or damage to the spine, suffering from diseases such as osteoporosis, kidney diseases or malignancies, and abnormalities such as kyphosis are among these factors. More cases are examined in the table below.. Simple pain and numbness compared to more serious disorders such as muscle weakness, difficulty walking, incontinence of urine and feces, and in rare cases paralysis of the lower limbs depending on the severity of nerve compression and the location of the spinal cord involvement. Usually, these complications occur if there is no timely and effective evaluation, although in most cases, the symptoms of the disease are known before the diagnosis of the disease. According to studies, about *20% of people over 60 years of age have some degree of spinal canal stenosis, less than *5% of them suffer serious neurological complications such as urinary incontinence or paralysis. Referral is in the suprasternal-stral area.. Higher rate is associated with permanent spinal cord injury... Diagnosis of spinal canal stenosis. Spinal stenosis diagnosis methods include clinical examination, imaging tests such as MRI, CT scan, and sometimes nerve and muscle tape. MRI, as the most effective diagnostic method, accurately shows the location and severity of spinal stenosis in more than 90% of cases and helps the doctor determine the best treatment plan. CT scan is usually used when acne acne is less available. Clinical and neurological tests are also important to evaluate the symptoms and extent of neurological involvement, but MRI imaging plays a key role in definitive diagnosis. Treatment of spinal stenosis The process of treating spinal stenosis usually begins with non-surgical methods such as strengthening and stretching exercises to reduce the pressure on the nerves and increase the flexibility of the spine. In cases where the symptoms are more severe or non-invasive treatments are not enough, more advanced methods such as laser therapy are used to reduce inflammation and improve the space of the spinal canal. Weakness, incontinence or unbearable pain. Surgery is recommended as the final option to open the spinal canal and reduce pressure from the nerves. Be... ### Spinal stenosis surgery Spinal stenosis surgery is recommended when non-surgical methods such as exercise and drug therapy are not effective, or the patient has severe symptoms such as muscle weakness, incontinence, or constant pain. The purpose of surgery is to reduce pressure on the spinal cord and nerves by opening the spinal canal and removing compressing tissues. Depending on the severity and location of the surgery, there are different methods, each of which has an advantage. Limitations... Spinal stenosis, laminectomy is known as the most effective method.. Studies have shown that about 80* to 90% of patients after laminectomy experience a significant improvement in reducing pain and improving their motor function.... By removing parts of the bone that puts pressure on the spinal cord and nerves, this method opens the space of the spinal canal and reduces the patient's symptoms effectively... ### Spinal stenosis exercise Exercise can be effective in controlling the symptoms and reducing the pain of spinal stenosis... For example, in lumbar spinal stenosis, you can lie on the floor, raise your knee towards your chest and wrap your hands around it, then hold it for *10 seconds* and repeat this movement with the opposite leg *3 to 5 times stenical* and in cernal in the form of stical.. Take your chin towards your chest, then bend your neck to the left and hold it *20 seconds* and Repeat the same movement to the right *3 to 5 times*.... These simple exercises help improve mobility and reduce pressure on the nerves.... ### Treatment of spinal canal stenosis with laser Laser spine and spinal canal surgery is a minimally invasive surgical procedure in which high-energy laser beams are used to treat various diseases of the spine, including spinal stenosis. From surgery, MRI is used to determine the location and severity of narrowing of the canal. These images help the surgeon. Specialized and uses a thin laser fiber to access the spinal canal through a small incision. emits unhealthy.. 4... decompression: laser energy can be used to destroy or vaporize part of the disc material, bone spurs or other structures that contribute to spinal stenosis.. thereby reducing the pressure of the nerve space... ### Comparison of surgical and non-surgical methods for treating spinal stenosis According to a published study, patients who undergo surgery have a lower mortality rate compared to patients who receive non-surgical treatment.. For example, in patients with only spinal stenosis, the mortality rate was 3.7% for non-surgical treatment and 2.5% for laminectomy.. The latest statistics of spinal stenosis in 2025.. In 2025, spinal canal stenosis has been one of the most important research topics in the health field. According to new statistics, spinal canal stenosis is more common in people over 200 to 50 years old. 500,000 people in the United States have the disease. New research shows that cervical spinal stenosis affects 1 in 100,000 people, while lumbar spinal stenosis affects 5 in 100,000... Impact of spinal stenosis on quality of life Spinal stenosis has a significant impact on the quality of life by causing symptoms such as pain, muscle weakness, numbness and balance problems, especially in the elderly and women with various risk factors. Although in many cases this disease is asymptomatic or can be controlled with non-surgical treatments and exercise, but in severe cases and without proper treatment, it can lead to serious complications including the use of diagnostic methods and as a result the use of treatment methods such as disability in time. Surgery or exercise.. plays a key role in maintaining the quality of life of patients and requires careful follow-up and specialized management...
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