HOW IS IT TREATED?
Typically, spinal stenosis is treated with conservative non-surgical therapies. One important therapy is exercise. Keeping the muscles of the hip, back, and legs toned allows for improved stability and will improve walking.
Medications such as nonsteroidal anti-inflammatories (NSAIDs) also may be appropriate and helpful in pain relief. Cortisone injections into the epidural space, the area around the spinal cord, may provide temporary relief to people suffering from this disorder.
Non-surgical spinal decompression therapy may help those with herniated or bulging discs, lateral canal stenosis, and facet syndrome.
Under severe and rare circumstances, surgery to correct this disorder may be appropriate. In these severe cases, nerves to the bladder or bowel may be affected, leading to partial or complete urinary or fecal incontinence. If you experience either of these problems, seek immediate medical care! Decompression laminectomy, which is the removal of a build-up of bony spurs or increased bone mass in the spinal canal, can free up space for the nerves and the spinal cord. However, adequate decompression of the neural elements and maintenance of bony stability are necessary for a good surgical outcome for patients with spinal stenosis.
Several studies report that surgical treatment produces better outcomes than non-surgical treatment in the short term. However, these results tend to deteriorate over time. In addition, lumbar decompressive surgery can be complicated by epidural hematoma, deep venous thrombosis, dural tear, infection, nerve root injury and recurrence of symptoms.