Lumbar Spinal Stenosis - What is the cause and how will I get better?

[@KathyFuller]

Thanks so much for this clear explanation. Stenosis is such a pain, literally.

[@ArmaghaniSpine]

Glad it was helpful!

[@JeanieD]

This was the clearest explanation I’ve seen/heard.

[@ArmaghaniSpine]

thank you so much!

[@torydz]

This doctor does absolutely the BEST spine videos on KZbin. His explanations and illustrations are fantastic.

[@PamB81]

I was diagnosed with Spinal Stenosis 12 years ago. Spinal Stenosis does NOT get better only worse, especially when it starts involving the sciatic nerve. I’ve had every procedure performed several times. Epidurals, back surgery, two different SCS devices, Radiofrequency ablations several times, opiates, trigger point injections, PT. Nothing works longer than a couple of months with only a 25% relief if that. Stopped all procedures and opiates five years ago because they were killing me. Medical Marijuana and Advil are the only things keeping me sane?

[@idagenova7519]

I'm sorry. Right now, I've had several months of physical therapy, and I'm about to go the spinal injection route. I kinda think it's not going to work for me. I'm just so used to being in pain, that I can't imagine anything working anymore. Sending up prayers for you (and me!)

[@allenpardon8211]

@@idagenova7519I have had the injections and even if they do work in the beginning, it will only last so long. It would last about 2 1/2 months and I was getting them every 3 months but then it gets to where they start not working as long as I took them for a year and a half until they were only lasted 1 month and they stopped giving them to me. The way it was explained to me was, that your body starts to protect itself and start gaining fat at the injection point and starts traveling up or down the spine and puts more pressure on the nerves so good luck and I hope it goes well for you.

[@feliciarosenthal102]

I’m right there with you. The only thing that ever eased the pain for me was magnesium spray.

[@theresaim6660]

@@feliciarosenthal102how do you use the magnesium spray.

[@feliciarosenthal102]

@Give it a shake and spray it wherever you need it.

[@helicart]

4:00 you missed one of the most common symptoms of spinal stenosis (central stenosis, neurogenic claudication). That is lower limb muscle cramps, especially worse at night and with walking/standing++.

[@ArmaghaniSpine]

Thank you for the comment. I like to use the word "discomfort" as patients can experience the symptoms of neurogenic claudication in many different ways. Cramping, numbness, tingling, burning, shooting, etc.

[@erenix3909]

i have stenosis but sitting doesnt help, in fact it causes my main butt pain.

[@farhannaadnan159]

Same with me

[@erenix3909]

@@farhannaadnan159 what are your symptoms and how do you manage it? have a good day.

[@hazaelmurray9713]

How does it affect your sex life

[@jenniporras0312]

Same for me. It causes my pelvic area to lock up and not be able to stand upright. It keeps me up all night.

[@IzaguirreC]

Sitting down is worse for your back due to the increased pressure. I’m 28 and have stenosis and it makes the pain worse. Standing up or laying in bed is better. Luckily I have the surgery next week after waiting for almost a month with pain / numbness.

[@stevevee4483]

I’ve been living with this for a year with no relief just bandaids like injections. Insurance is playing the war of attrition to avoid paying for surgery. Great system we have.

[@deannahigginbotham1777]

I did the shots!! Did nothing except send me to ER with heart palpitations as I have AFib. Please be aware if you are considering the injections and have AF.

[@patfallon3395]

This man is a great educator. I am sure he is a great surgeon as well.

[@ArmaghaniSpine]

Thank you so much for the kind words, Pat.

[@davidr4523]

Dr Armaghani seems like a credible physician with strong qualifications. I was impressed that he did not rush his patients into surgery for stenosis. The other orthopedic surgeon on KZbin, Dr. Lieberman of the Phoenix Spine & Joint, basically said you were foolish if you considered any other procedure except for surgery. Dr. Lieberman even mocked people who attempted to cure themselves through exercise/physical therapy as wasting their time.

[@ArmaghaniSpine]

That is troubling to hear...

[@pterrypower5140]

Thank you so much ! Been dealing with this issue for almost 10 years with lumbar injections. Last one I had lasted 16 days. I knew something was wrong and the pain has been awful. Orthopedic surgeon had MRI and X-rays done. When I saw his face, I knew it was going to be surgery. At times, it is time for surgery to fix the problem.

[@susansanders4123]

That was the best video I’ve seen. I’m having a MRI in a couple of weeks and this helped me understand so much. Thank you so much. Watching from Roseburg Oregon

[@ArmaghaniSpine]

Glad it was helpful!

[@vermin1970]

51 year old hockey player here, I have been playing for over 30 years. I have never had a back injury or even soreness or stiffness. In addition to 3 or more hockey games a week, I also strength train sever days a week. I felt like I was in my 20s until a couple of weeks ago. It started with some mild tingling in my feet, then some pain when I stood up, increasing in mornings when I first got out of bed. After some moving and stretching, I was good to go. I would then have pain throughout the day, that would disappear while I was playing hockey, I would usually feel better after that. Bowling was good too. After about a week, I tried to do some curls, I could feel whatever was wrong in my lumbar getting worse with each rep so I stopped. I've been degrading slowly every day since then. During my hockey game the next night, I started to feel sciatic pain, I had to go to the boards a couple of times and hitting the wall put me in more pain. I told my teams I had to stop for a while. Now I'm at the point where I have pain shooting down one or both of my legs so bad when I get up in the morning, that I cannot function. I did see my doctor, got a Xray, still trying to make sense of everything she saw, had to call the office back to repeat some of it. I have Stenosis, possibly in the lumbar region. I also have some SI joint problems, which I have already started therapy for on my own while I wait to see a specialist. Motrin helps some, but I can tell I'm getting worse even with that, though the pain seems more located in the lumbar now and isn't going into my legs as much. She said I had something severe going on with my third and fourth vertebrae, but I dont remember what the medical term was, Im trying to get them to call me back to let me know, or refer me to a specialist. This gives me a little hope, I went from feeling 20 to 80 almost over night.

[@ArmaghaniSpine]

Good luck, Noah. Hopefully when you hear back you can search this channel and find some more information regarding it.

[@mittakono9681]

I have LSS as well. I totally understand your pain brother. I suggest you try to get a prescription for physical therapy. Both of my legs used to shoot in horrible pain every 10-15 minutes at a time, but strengthening my core and legs through therapy really helped me manage the pain. We cannot be cured of this but we can try our best to manage it.

[@drsansanyi716]

@@mittakono9681 Thanks for your courage to me who suffer of it

[@flaminmongrel6955]

​@@mittakono9681 such a shame that you need priscription for physiotherapy in US in all other countries it is a primary healthcare provider.

[@uchydesmond9534]

Thanks so much. You teachings brings lots of clarity to this things

[@olutoyinoluwole5009]

Brilliant presentation!

[@ArmaghaniSpine]

Thank you so much!

[@annabelladj]

@@ArmaghaniSpine hello dr I try to reach your office but you aren’t offering any consultations? The lady told me no. I would love to hear what you think about my spine.

[@TonyG-iu4td]

A very good and informative video. Dr Armaghani has an excellent Rapport. Waiting for back surgery can be a daunting prospect for many. Though his many videos clearly show ALL options available. Thank you

[@ArmaghaniSpine]

You're most welcome thank you for the kind words

[@nassine0904]

I’m having this surgery in 2 weeks. 🙏🏽I have been in more pain since my first surgery for herniated disc last February. Thank you Doctor for such clear explanation .

[@DaVisionOutdoors]

How did it go? Any relief? If so how soon did u get relief after the surgery?

[@nassine0904]

@@DaVisionOutdoors I had my 2nd surgery in December Implanted LUMBAR DECOMPRESSION & FUSION W/ INSTRUM Lumber Spine • 1164.0160 CAGE 12/08/2022 • SUB BNGF KINEX + BIOACTIVE - 10026067 12/08/2022 • SCREW 5.5X30MM VA ST 12/08/2022 Beside left leg cramps I’m doing great , no more back pain. 🙏🏽

[@SafdarHussain-cn3fr]

ALLAH sehat da apko

[@nassine0904]

@@SafdarHussain-cn3fr amen 🙏🏽🕊️🕊️🕊️

[@jdubwurtz]

How you feeling?

[@batoulbabaei9088]

دكتر شايان وديوي شما بسيار مفيد است . I thought you are neurosurgeon later i recognized you are spine surgeon . Wish you the best and continous sucess !

[@andrewjeanlang5401]

I am in agony getting out of bed in the morning, my back is so painful, some days I can’t put out my feet on the floor I am in so much pain, the pain is so bad also up my back. In have an injection about every 4 months but it only seems to dull the pain for about 3 weeks, then I am back to square one. don’t know where to go next !!!!!!!

[@dwcar101]

Excellent presentation. So clear and helpful!

[@ArmaghaniSpine]

Glad it helped!

[@fredc2344]

Thank you for the well explained presentation.

[@ArmaghaniSpine]

Glad it was helpful!

[@mikedeegan9342]

This is a great explanation, thanks.

[@MsKikidarling]

Thank you for this super educative and clear video. Greatly appreciated.

[@ArmaghaniSpine]

Glad you enjoyed it!

[@gracefestejo1189]

Thank you very informative and clearly said

[@LeonardGarrison-ov8nk]

Thank you for the excellent video! A very logical, clear, and well-structured summary. This is the first time I have really understood the root cause of my pain with possible options for treatment. Thank you, excellent!!!!

[@2011sonex]

I have these problem.. after long time I know about my disease . MRI show same problem ... Thanx sir

[@shiv.seeking]

Thanks for the informative video my mother is struggling with this right now

[@yogenpaneru9749]

what a explaination ..hats off !

[@storagefindsales9469]

Ive thought for the last week that Ive been experiencing sciatica with pain starting near the hip or buttock and shoots down the leg but after alittle research and this explaination, Im leaning more toward lumbar stenosis as pain gets relieved when i sit and lean forward. I will probably make an appointment for an MRI to be sure. Great info

[@rehabspinalstenosis9548]

For a non surgical approach, please consider Rehab Your Own Spinal Stenosis - now available on Audible.

[@msudan1000]

central canal stenosis and spinal stenosis, both are same ?

[@marymannion2709]

Very interestiny and edu ational, especially as i have had surgery.

[@ArmaghaniSpine]

thank you!

[@foroom8520]

Thank you for the video. Can lumbar stenosis cause sharp sciatica type pain in both buttocks?

[@SonnyBoyBall]

Could be SI joint pain

[@BingeWorthit]

Great channel, keep the good work.

[@ArmaghaniSpine]

Much appreciated!

[@sandeep_srivastava]

Your video is a great source of knowledge and help us to understand our Spinal Stenosis, please if you can suggest physical therapy for Spinal Stenosis.

[@katygirl9221]

Dr. Armaghani PLEASE help me. 🙏🏽 It's been Since August 2020 that I've been in 24/7 PAIN from spinal stenosis. I can't take the pain and disability any longer. Please help me! I need an appointment to see you. PLEASE HELP ME. It hurts so bad. I can no longer drive and can barely walk. Please please help me. I have MRI'S.

[@jackieb8265]

EXCELLENT PRESENTATION

[@ArmaghaniSpine]

thank you so much

[@ruthcarrillo5872]

What is the difference between ciática and lumber stenosis ?

[@mR-dc4oq]

What was the percentage of patients who improved with surgery?

[@deborahdesanto2313]

Hello Dr. do you have any videos of what surgery you think is good for a lumber slippage?

[@mubariznaqvi1076]

Very elegant presentation,

[@ArmaghaniSpine]

Thanks a lot

[@Creators-w1902]

Super explanation...❤...Give more videos sir...Similarly for physiotherapy Conditions...

[@SBMKENT]

Great video thank you!

[@ArmaghaniSpine]

You are most welcome

[@kirameki7331]

what about severe spinal stenosis? is there solution?

[@megharaj7911]

We are glad to see doctor like you Thank God Sir IAM from India I have a small doubt Please help me I have l5 s1 8 mm canal stenosis is it possible to heal naturally

[@AfricanCrusader]

This is hope-giving. Thank you Sir 🙏🏾

[@sandyhebert3613]

Can ms be miss diagnost as stenosis

[@tonykarannn]

thanks for your work doc. good .

[@ArmaghaniSpine]

You're most welcome!

[@harshiljangid9365]

Is pedicle lengthening a good solution for stenosis ?

[@jeniferschultz5889]

I definitely have spinal stenosis omg the pain is unbearable, and yes I often several times a day I have to lean over to try to relieve the pain and having 7 herniated disc makes it even worse, it's been going on since 2008 when my ex-husband kicked me in my lower back and in 2006 he pushed my legs apart to far and caused me to have a pinched nerve and damage to my right hip wich he kept hitting on over the course of many years,and he hit me so hard it caused herniated disc in my csevicL spine

[@maplenook]

Leave him.

[@nassine0904]

😢so sorry, I’m hoping that you are no longer with such horrible person. Hope you are doing better now. 🙏🏽

[@Theanushaway]

I cried while reading this... devil in the form of human

[@nigarsultana8126]

I have mild canal stenosis in c5 and c6 What to do

[@clydesmith1855]

This is me to the tee, back, butt and leg pain.

[@larryhagman5514]

Hi Doctor great video best explanation I have ever seen ! I am only 47 and have diagnosed with SS recently, my doctor mentioned naproxen ( Advil) but I don't want to take anti inflammatory drugs if it's just going to cone back when I stop, should or could the anti inflammatory drugs actually make a permanent physical change if I take the course thanks.

[@ArmaghaniSpine]

Fantastic question. Pain (in general) is caused by 2 things. Physical compression and the body's reaction to physical compression which is inflammation. Naproxen really helps with inflammation type pain. Sometimes patient's pain may be a mix of both physical compression and inflammation. If there is more inflammation causing pain compared to physical compression, things like epidural injections, naproxen, and other things like physical therapy can certainly help. Sometimes patient's pain is coming all from physical compression because none of the above things help them.

[@livenotonevil8279]

@@ArmaghaniSpine For me, NSAIDS work immediately. But my pinched nerve which exits L5/S1(?) keeps getting reinflamed every time I drive to or from work, which is only 15 minutes. Sitting is my enemy. I've been suffering like this for 4 years. Did the PT, and did several injections with no significant help. Finally the doctor just prescribed NSAIDS and Gabapebten and wished me the best. Gaba is no help and I'm afraid at my age to live on NSAIDS. I'm going to a new doctor next week to ask for his thoughts on a foraminotomy. My physical life sucks.

[@mittakono9681]

I have LSS. I used to take a ton of naproxen, but I tried to switch to a more natural pain relief through physical therapy. It really helps you strengthen your muscles and help you manage your pain.

[@ToanTheNomad]

According to the current literature, pain is also influenced psychologically as well. How you feel about your current condition will drastically impact the neural pain response as well.

[@elizabethmcleod246]

@@ToanTheNomadIt most certainly will affect one’s response to physical pain if the person suffering cannot sleep. It’s a viscous cycle and if a person is left in long term flight and fright mode it’s utter agony.

[@victoriavillanueva9486]

Hi Doctor, I was diagnosed with lumbar stenosis 2 years L4 and L5. Doctor said no cure. I only have two options injections or surgery. I tried injections didn’t help. Surgery - Doctor said 50-50 chance of success. I tried alternative medicine didn’t help. I’m taken gabapentin I’m slightly relieved with pain but the tingling and numbness still there. I’d like to see you but how much you charge? I’m 77 years old. Do I have a chance to feel better ?

[@dawnsanders1495]

@@melissasplitt158 I am 36, I have terrible spinal stenosis, degenerative disc's, the works... I have had it for 10 years already, but always hoped it would go away on its own because I was so young. Obviously, it never did. It just progressed over the years. This long in, and seeing the toll it has taken on my life and making me literally disabled and for my age... I am in pain all of the time, I never feel good and essentially have no quality of life, honestly. I don't want to get surgery because of all of the horror stories I've heard about happening when you go messing with your spine. So.... I am on Gabapentin. They keep upping my dosage ever few months, and it has been me asking for it to be done. I have side terrible side effects of muscle contractions, especially if I bend my foot a certain way it really bring it on (a Charlie horse) so I really have to stay mindful of how I move my body around. For me, so far...and I hope I don't regret it later in life...I request an up in the dosage, because even with the side affects and tingling and numbing in the hands, I seem to feel better with it, than without it...so it has been a trade off. It isn't the cure all-be all, but it seems to help. In saying all of this, what is the highest dosage they can prescribe? I asked my doctor, and he said he wasn't even sure, that he would have to look into it.

[@hardlysuitable]

Medical marijuana is for you.

[@andreea6331]

Try doing Spiral Stabilisation exercises daily, 4-5 sessions per day, see if they work for your body. Also correct walking, if the posture is correct and the skeleton alignment is correct, it can regenerate the spine. Also check if frequencies, morphic fields, subliminals are working for you. If used daily, consistently, you can have some progress. See Sapien Medicine - Spinal Tapper for spine decompression , also subliminal kzbin.info/www/bejne/Y5-tYWOjnrydZ68 All the best to you, wish you much health 🙏

[@malliktejashwi878]

@@melissasplitt158 take it at bedtime to minimize side effects

[@moonscrafts8987]

Regeneration is possible So don't lose hope. Mother nature always works..... Lifestyle and diet play vital role in regeneration.

[@wallyroberts4373]

I have serious Lumber stenosis in several areas but worst in the L1, L2 area. Is it dangerous for me to play golf? What is the worst that could happen?

[@ArmaghaniSpine]

When you look at thousands and thousands of patients who have spinal stenosis, the chance of a catastrophic injury such as paralysis from daily activities is near zero.

[@JamshaidHasrat]

Do you have facilities for online consultation?

[@Invictaman]

Many thanks for a great explanation. However I wonder if you can help with my problem. Am approaching 84 with lumbar stenosis, and have tried conservative and epidural but pain still slowly increasing. Would surgery be unwise at my age, even minimally invasive? Also a medial branch block has been suggested. Is that likely to help? Would be very grateful for your comments.

[@ArmaghaniSpine]

All excellent questions, Henry. Age truly is just a number and there are 84 year olds who are as healthy as some of my 64 year olds. Some of the things we consider is what is the amount of surgery necessary to maximize outcomes and minimize risk. At your age, in general, smaller, single level, minimally invasive surgeries give the best mix of maximizing outcome and minimizing risk. Sometimes this isn't always possible though. As for the pain procedures, medial branch blocks will only really help with back pain, not pain going down the legs. For patients of your age, or any patient for that matter, if you have much more back pain than leg(s) pain, I highly discourage surgery.

[@Invictaman]

Thanks so much. Very helpful.

[@youtubeee8426]

@@ArmaghaniSpine thank you very much doctor!!! I still have back pain and numbness in the area after completing 12 days of physical therapy. I've been doing recommended physical stretching at home. Question: Do you think I still need steroid injection?

[@cathyismael5962]

Well explained video presentation..

[@ArmaghaniSpine]

Thank you 🙂

[@DilawarKhan-sn4rm]

Great video,great information. Pls what about kkt treatment?

[@jennycarolinarodriguezgait6547]

Hi I have the same sitting standing and at bed all is worst so don’t know if do surgery I am scared is worst. Can I do sports after surgery? My live can go back to normal? Thanks

[@asaahpamelatengu2496]

Thanks

[@daisies4444]

Can you please comment on whether someone who also has osteoporosis and osteoarthritis as well as DDD please as I don't think they would get better especially as their doctor has said that the spine bones are very thin and could break at any time. Many thanks.

[@Tadhakes67]

That is exactly me. I have had 3 disc fused & double laminectomy. Bone infection from laminectomy which now a large area of scar tissue. Surgeries 1. Double laminectomy 2 years ago. 2. Bone infection surgery 1 week later 3. Double fusion 1 year ago 4. 6 months ago, 2 test done for oblation didn't help 7. 1 month ago the burn is in buttocks now burns down both legs hamstring area and out side of both calls. 8. Burn so intense that I fell 4 times at work. Currently taking A. Percocet 7.5 325 twice daily B. Pregablin C. Methocarbamol I'm 55 years old excellant health in all aspects except My back and 7.9 A1c diabetic. Work about 55 hours at office jservice director so no lifting at work. I have tried treadmill to keep metabolism up for my sugar issues but the burn prevents. All of this is about defeated me but trying. To top all of this. The year before laminectomy. I had 3 disc fused in my neck. I could use a little advise. Thank you

[@a.b.37-f9v]

I hope you got some good advice and are feeling better!

[@elizabethmcleod246]

You are a true pain warrior. Right on!

[@laurachamberlain9591]

Does Lordosis and a double scoliosis cause this?

[@kevinm9051]

Can spinal stenosis cause foot drop? If so, does this ever heal without surgery?

[@michaelpurcell5508]

Can the spinal sack break if aggravated by spinal stenosis?

[@ArmaghaniSpine]

great question. not by itself. meaning the only way the spine sack or dura as we call it can have a hole in it is when we try to create more space for it via surgery.

[@aljundiones3087]

I have stenosis doc but seating can't help it really hurts my buttoks down to my thigh and leg,then when i walk it hurts also,but sometimes when i laydown it relieve but little bet only it really hurts me

[@hilltopshilltops9635]

Thank you so much for the great explanation. I suffer with neurogenic claudication symptoms and had a lumbar decompression performed 1 week ago. Is it normal for the symptoms to persist in the same pattern (when standing/walking) while the body is healing from the surgery/inflammation?

[@henryquenin6580]

I have stage 4 kidney disease so corticosteroids and NSAIDS are prohibited.

[@nikhilbrahmbhatt2619]

Thank you for sharing valuable information, I got a better idea of what I have ❤

[@marybuehler8549]

I wish you had been my doctor! The doctor I saw insisted surgery was my only option. I have regretted having the surgery ever since. I have had ablations, steroid injections, and medication, nothing helped with the pain until recently. I had a trial spinal cord stimulator and for 5 wonderful day I was pain free. Unfortunately the trial had to end but I am an excellent candidate for a permanent spinal cord implant stimulator. The surgery is next month and I can hardly wait!

[@ArmaghaniSpine]

good luck!

[@fredc2344]

Is it necessary to us anti-adhesion glue in microdisectomy?

[@ArmaghaniSpine]

There have been all sorts of things tried to close the hole after a microdiskectomy but none have shown to work. That's why we limit activity for 6 weeks and allow the body to scar over that hole and then lift restrictions. Lifetime chance for a reherniation is about 10%.

[@bornagainchristian2501]

Doctor, lst week of November I had lumbar back pain down to my right leg only anbd down to my feet I had pregabilin medicine for 45 days already. My condition i mproved but numbness in my right feet is not getting better. Is this spinal stenosis? I was recommended to get an MRI

[@sistersofstyle]

I have lumbar spinal stenosis along with degenerative disc disease at L4-S1. My orthopedic surgeon has suggested posterior lumbar fusion (with bolts and screws) to allow more spacing. I also have an upcoming appt with a neurosurgeon to see if he is a better selection for ensure relief from the nerve pain I have been experiencing in my back, buttocks, legs, and feet, after being on Gabapentin for 10 months, having PT, acupuncture, trying steroid injections, all the things I can. Two questions: 1) I feel most pain when sitting, and less when walking or standing. This seems opposite of regular symptoms. Is that unusual? 2) Is a neurosurgeon or orthopedic surgeon better when performing disc and nerve relief surgery? Thanks!

[@jerrykirby3152]

How do you feel about vertiflex

[@ArmaghaniSpine]

I don't believe it provides any benefit over traditional surgeries which are well studied and have reproducible, excellent outcomes. I find myself revising more of them to traditional surgeries than I hear success stories.

[@shristidubey7977]

Hello Doctor, my age is 20 yrs and I have been diagnosed with spinal stenosis in L4-L5 . I have been undergoing treatment since last month ( steroids tablets ) and there is some improvement in my condition. Do , I stand a chance to recover without undergoing the surgery?

[@ArmaghaniSpine]

The good news is based on your age and how long your symptoms have been going on for, there is about a 75% chance you can get through this without surgery. If symptoms persist for more than 3-4 months though, most will benefit with a surgery.

[@shristidubey7977]

Thank you so much, Doctor.

[@mohanasharma352]

​@@shristidubey7977,hey how are you doing now?

[@akshthakur8807]

Isthmic spondolythesis grade 1 L5 S1 and stenosis symtoms i have been going diffrent doctor to but no one is explaing what is the reason for my pain which is some time back some time legs can you please help and have a look at my MRI .. god bless you

[@barbarablackman3742]

Very informative

[@ArmaghaniSpine]

Thank you!

[@zubedachristian7844]

Thank you for all the useful info. 73 years .Just been diagnosed with C5/C6 and C6/C7 narrowing of interverterbral spaces.Some pain; not much at this stage. Narrowing of anterioratlantoaxial joint too. Treatment or surgery or is it best left alone?

[@AngelinaHelen-q5q]

Hello! I got lumbar stenosis! Got numbness more on my left leg, 8 days ago, I have footdrop! My doctor said, I have to undergo an operation! What if I don't want an operation, what will happen? Please, if you can advise me! Thanks! Angie from UAE!

[@greendragon4058]

What if you can't do NSAIDs and Pain Relief and anti-inflammatory because you're allergic to them

[@mindyritter7773]

How does paralysis occur with lumbar stenosis? And, is it a gradual loss of strength, or can it be abrupt? If abrupt, does it need a traumatic injury to precede it?

[@ArmaghaniSpine]

for spinal stenosis it is almost never abrupt. Abrupt paralysis can rarely occur with disk herniations. with spinal stenosis the symptoms are almost always related to standing and walking and improve with sitting down. weakness is rare.

[@mindyritter7773]

@Armaghani Spine Thank you sooo much, I've been scared to death with my MRI results of "critically severe spinal stenosis at L4/L5." Scared to do anything until I meet with spinal neurosurgeon that I've been referred to

[@seayorskivlogs418]

Thank you for sharing very informative...❤

[@panagiotismitkas5526]

Hello Doctor, doesn't a herniated disc causes spinal lumbar stenosis?

[@ArmaghaniSpine]

yes it can contribute

[@nevilns]

Is there contact info for your new office. The receptionist said you moved offices

[@ArmaghaniSpine]

321-843-5851. They will be taking appointments for me starting on 5/6 so I wouldn't call until then.

[@snappycanon]

Hi the thing is, there is a difference between improvement and cure.

[@gri7]

I'm 7 months into this pain. L4 L5 herniation. And stenosis. Decompression tables yoga physiotherapy chiropractor nothing's helping. I Steroid injection but that only gave me about 5 days of relief

[@RuthCRucoco]

Thank you so much - I might add Homeopathy can DISSOLVE Bone Spurs which can also press on the Spinal Nerves so I've heard. I'm going to try a COMBO of that + what you've suggested as mine is getting even worse; Electric Shocks in Lower Lumbar, CONSTANT Sciatic Nerve Pain on LHS, Numbness in random spots, lack of Blood flow to Forearms and Fingers and Toes and of course Pins n Needles just to top it off lol.i lost Power in my Legs lto Stand/Walk last year & my Chiro & Acupuncture helped heaps to Walk again but condition is deteriorating/increasing lately quite rapidly, so fast it's getting worrying so I'm getting PROACTIVE to HEAL Myself 😄😄😄

[@erikabowersmith7709]

i've had 2 back fusion's and a neck fusion. so what do you do? i have stenosis leg butt neuropathy 7 knee surgery's so now what do i do? any advice would be helpful. i've had a mri and locating a neurosurgeon since mine has left the area. where are you located? thank you so much. i'm in extreme pain. i've seen a pain management doc for 20 years but no pain meds and only one kidney. any advice would be helpful

[@kathywheeler2036]

Contact Dr. Jeffery Beane at Emergortho in Greensboro NC he’s a good dr

[@elainesaunders8300]

I feel really badly for you.

[@elainesaunders8300]

Wish I could help. The doc who did my spinal.surgy was fabulous. I am.in hamilton, Ontario, Canada Dr. Mark Pahuta.

[@michaelthomas366]

I was diagnosed lumbar and cervical stenosis 2 years ago and I can fully sympathize with you.

[@alexbelardinelli5539]

I have spinal stenosis, I just did MRI and x rays, doctor wants to do surgery, I would like to have second opinion

[@ArmaghaniSpine]

Get as many opinions as you need to find a surgeon that you are comfortable with. Good luck!

[@bijoymukherjee2167]

Thank you for this video doctor. I was diagnosed with Secondary Central Canal Stenosis. MRI says c5-c6 disk mildly impinging the cord hence causing it. However no obvious features of compressibe myelopathy. I'm 22 and I've been taking the medicines and the pain has improved a lot. My question is will it get worse with age? Cause I'm only 22. And can it be cured permanently. It would be a great help doctor. Thanks in advance

[@amritdiengdoh6706]

I had a posterior cervical fusion and stabilization it,s almost three month,s and still not getting any improvement my neck still feeling very weak and unable to walk and balance and as day,s pass by roll by i am feeling heavier although i am trying hard to walk how can i improve my walking ability and decrease heaviness plz suggest me so concept

[@mattmichael5298]

Great content! Thank you doctor!

[@ArmaghaniSpine]

Thank you!

[@thivyaravi8346]

Dr I have degenerative disc changes and facet arthropathy is demonstrated at multiple levels and spinal canal stenosis L4/5,L5/S1 level&impingement on the left L3,bilateral L4 and S1 nerve root in CT scan. When i stands and sit the pain is severe last 2 years walking also very difficult. what can i do? Is it curable?

[@anitacapagcuan1653]

What I experiece is pain on my buto KS & numbness of foot.please help me.

[@ArmaghaniSpine]

It is common for patients who have sciatica to have pain as you described and that usually comes from compression of the nerves within the spinal canal as explained in the video you viewed.

[@Banu-z3q]

Hi, I have lipoma myleningocele unsymtomatic. But at age 32 I started getting tingling pins and needles pain due to b12 and d3 deficiency. After taking supplements symptoms got reduced but since yesterday I feel some buzzing like feeling on the back of lumber region right side. Could you please help me

[@claudiarose5127]

I have severe back pain with weakness in legs and constant burning in lower legs but especially both fee. I have an implanted stimulator , Chiro treatments and steroid shots in my back with no relief. Will surgery help? I have no quality of life and have been seeing a dr for almost a year. I am 72 years old and have diabetes and high blood pressure.

[@rodneyrice7781]

I had surgery on the spine of my neck. No I have headache, back pain, that goes into my arms and hands. Down my legs into my feet and toes. Can you please tell me what the problem is.

[@kiwiswat]

Thank you sir. I have been having radiating pain down my legs since 2011. At that time it was determined to be a mix of few things. A minor fracture on the L5 and a grade-2 slippage. Losing weight and core training helped a lot. The pain comes and goes but certain position, for example bending forward to do work (tiling a floor) causes back stiffness after a minute or so. The radiating pain now happens a lot less. BUT the pain has shifted to the lower back itself and it tends to radiate to the hip bones on the side and front. The past year has been pretty bad. Waking up it hurts and super stiff. Few months ago it was so bad for 2-3 weeks that I could rate the pain as 7/10. It takes a good hour for things to go to back to a bit of normalcy when I sit or walk but breathing in can hurt. I met a surgeon and we did an MRI. My bottom 3 disks are not health, but the one in the L5-L1 is in a very bad shape. They all started to lose height but the one at the L5-S1 is very thing and it is causing sever nerve root flattening. My surgeon said this is not something that can heal on its own. However if I am not getting numbness, weakness or sciatica pain, the surgery itself might not make any pain resolution. He was just honest and wanted me to make an informed decision and I appreciate that. Basically a disk replacement with fusion on that level. Now my only question for you is related to the nerve damage. Do you recommend surgery to avoid further damage to the nerve once symptoms are not that bad? I mean I have tons of symptoms but the good thing is that I am not getting a lot of radiating pain down the legs, but it seems like once you have a lot of pain, it might be too late to fix it. So the structure is fixed, but the nerves are done for good. Thoughts? I know it differs for each case. The other two disks above the L5-S1 have herniations.

[@greenapplejuice23]

Make a appointment with the doctor

[@randyfredericks348]

L

[@Chiroman527]

kiwiswat, I can greatly relate to your conditions. I have similar and more. In addition to the L5-S1 Spondylioethesis , I have Spondylosis of the entire spine to the top of my head. Variuos sites of Stenosis (L2, L3, L5-S1; C4-C7 ), many disc bulges and Dextroscoliosis of 25 Degrees. have your SI Joints examined too. A Rheumatologist told me some years ago 9I do have SI Joint chronic Inflammation and OA in the left Hip) is the Ground ero to many spinal problems. My right leg is 1 inch shorter than my left as a result of fracturing my right femur imn 1966 , age 15 playing HS Football. That "Trauma" left unaddressed for many years, has yielded many problems in my spine . hips, knees, etc. This doctor lists many things, unfortunately, I'm The Sub-Set for many of the issues. 6 Surgeon consultations all said No Surgery...Too much Arthritis. keep in Mind, under current strict protocols. Spine / Neuro Surgeomns will NOT operate if the success rate isn't at least 80% (expectancy). It reflects on them and the associated Hospital... I've tried 6 different Chiropractors which did help a little, Acupuncture (45X - very little help), PT at least 7X over the years, but not offering the relief I need from the Chronic Pain and Stiffness. Like you, I need about an hour each morning to find some relief. When there are no real answers ... this SUX Big Time.You should try certain supplements to help with Inflammation (which is Public enemy No. 1): Turmeric, ginger, cinnamon, prolyoetic enzymes, MSM, Hylauronic acid, and many more for the battle. But everybody is different with differrent issues.

[@zahraelamine2392]

Hi doctor. What happens if I don’t do anything to treat lower back pain? If I only exercise fo example. I am 29 years and I have been suffering from lower back pain only I don’t have pain in my legs but I was wondering if I only exercise/ stretch will it be enough ?

[@ArmaghaniSpine]

Core and lower back strengthening exercises will the best treatment. Good luck!

[@beletetadesse6560]

Thank you Doctor.This video really helps me to know more about the disease.This week my doctor recommended me to go through surgery.But my question is about the risk of removing the bones to operate the thickened ligament that compress the the nerve roots canal.Especially in my case the problem happened on l3/l4 andl4/l5 spots consecutively.

[@ArmaghaniSpine]

Removing the ligament in consecutive levels rarely causes a problem long term. If you have pressure on your nerves and pain going down the legs with standing and walking, the removal has been shown to help patients with that condition.

[@mahasesingh4597]

​@@ArmaghaniSpine hey have pain on my left side hip straight down my foot I do and mri can i show you the results and you can tel me what to do sir please reply and say if you can help me

[@Itsme-e5j]

Very informative. Thank you!