Now that I am aware of lumbar spinal stenosis and had to answer a series of questions from my doctor, I've realized I actually started with sciatic pain at age 8; my mom called it growing pains. Through the years it flared up occasionally but not badly enough to inhibit activity but for a day or so. Fast forward to 10 years ago and the pain has increased in intensity and frequency to constant. It is now just constant pain in one side of my buttock muscle. Sitting is very helpful but I'm gaining weight in my middle as I am in too much pain to do much walking or standing. Ibuprofen has been helping but not so much anymore. I'm getting my first epidural this week. I hope it helps! I don't have big expectations though. This is as frustrating as I have been physically active my whole life. From what I've read, I don't think I want surgery that the doctor has suggested.
I had x-rays taken after several yrs of extreme hip and leg pain and difficulty standing, walking and laying down. x-rays are showing mild narrowing of L4/L5 space and complete loss of interspace at L5- S1. Also straightening of the lumbar spine. Vertebre are all lined up ok. I have no difficulty bending forward to the floor but can not bend backwards. I am more than a month away from a MRI to get a better look. I have psoriatic and rheumatoid arthritis but it is well controlled by Enbrel. There is Bilateral sacroiliitis noted more prominent on the right side. No evidence of fusion or erosions noted. (this has been there 20yrs and has not gotten worse.) While I am waiting for the MRI, is there a type of exercise that can help my mobility? Chiropractic adjustments were helping but insurance has run out on that for the rest of this year. Any recommendations would be great. Thanks
But if the patient has failed conservative treatment after they have gone through all these modalities, and has deformity and stenosis, then we might consider surgery. Those with deformity with low back pain and radicular symptoms and degeneration are a tough group. The adolescent or the young adult who comes in with a 60 degree scoliosis is otherwise healthy. They may have pain, but they have no stenosis, no degeneration, no segmental instability. So we measure the curve, assess the fusion levels, and fuse them to whatever levels we chose and you are done. You don't have to worry about the junctional levels until maybe 20 years later when they come in with junctional degeneration especially if they haven't been properly aligned, functional deformity may result from excessive activity causing the unfused segments to eventually go through an early degenerative process.