Lumbar stenosis is one of the severe spine conditions in which a narrowed spinal canal compresses structures within it. It is usually treated with open or endoscopic surgery, or if a patient’s condition allows, with conservative methods. The pathology progresses slowly, and there can be no improvement without treatment.
Conservative treatment or surgery?
In the case of lumbar stenosis, conservative treatment or surgery is not even a question of a better option, but a rather sorting mechanism for indications between the approaches. In mild cases of lumbar stenosis, physicians may advise conservative therapy, which, in turn, might help patients to get rid of symptoms but still doesn’t radically address the root cause the way surgery does.
Generally, conservative treatment is possible only in patients without neurological deficits. Pain relievers can be used to reduce low back pain. However, it is not possible to restore the size of the spinal canal with medications. Sustainable results can only be achieved by surgery. In the case of neurological symptoms, surgery is mandatory and is also performed as early as possible. After the decompression of the spinal cord, all signs will regress. If treatment of lumbar spinal stenosis is delayed, irreversible damage to the nerve structures occurs.
Conservative treatment or surgery shouldn’t be an “either-or” question as well. A surgery-oriented treatment regimen usually has therapies with medication included. To see what treatment programs consist of, we suggest you look here.
How is lumbar stenosis treated surgically?
Decompression of nerve structures in the spinal canal is the main stage of the surgical treatment of spinal canal stenosis. Decompression means the elimination of compression of the nerve roots. Each patient’s decompression is planned individually based on the diagnosis and clinical findings.
The most common treatment for lumbar spinal stenosis involves microsurgical decompression of the spinal canal and sometimes the additional installation of interspinous implants. The choice of surgical decompression and the need for spinal segment stabilization is determined by the severity of the disease and the presence of signs of spinal segment instability.
After surgery, the patient may experience pain and discomfort in the postoperative wound area for a short time. It should be kept in mind that back pain and sensory disturbances gradually regress after surgery. Painkillers are prescribed to alleviate complaints in the postoperative period. Under the doctor’s supervision, patients can stand on their feet and walk the next day after surgery. After discharge from the hospital, patients should adhere to minimal restrictions for the next six weeks, such as wearing an orthopedic corset, limiting weight lifting, sudden bending, and twisting.
What to expect with lumbar spinal stenosis progression?
Lumbar spinal stenosis begins with mild symptoms. However, the condition gradually worsens as the spinal canal narrows. For the most part, this problem develops after the age of 60, but in younger people, it can develop due to injury or be congenital.
The typical signs of progressive pathology include:
- Decreased sensitivity of the spine
- Weakness or numbness of the lower extremities
- Severe low back pain, pain in hip joints and legs
Patients often feel better when they sit or lean forward and feel worse while standing or walking. In severe health conditions, surgical intervention can be required.
Is it possible to undergo treatment of lumbar spinal stenosis during a lockdown?
Indeed, it is. In fact, you should not hesitate to choose the option of going abroad to treat lumbar stenosis, because the management of spinal canal narrowing at a lumbar region is a complex process. So, if you doubt the quality of available medical care, going abroad to treat lumbar stenosis will be worth it.
And Booking Health can help you fully organize the treatment. You will get a medical visa and a subsequent permission to travel, and if you have any issues during the process, the company will help resolve them.
If you’re wondering how much the treatment of lumbar spinal stenosis costs, we suggest you look here. Oh, and while you’re there, feel free to leave a request if you have any questions you’d like Booking Health to answer.